Department of cardiology, Jiroft University of Medical Sciences, Jiroft, Iran.
Medical School, Jiroft University of Medical Sciences, Jiroft, Iran.
Clin Exp Hypertens. 2020;42(1):31-35. doi: 10.1080/10641963.2018.1557684. Epub 2018 Dec 22.
: Since the introduction of leptin, many studies suggest an important role for this hormone in obesity-related hypertension. However, in non-obese patients, there are controversial results regarding the possible role of leptin in essential hypertension especially in both sexes and different groups of body mass index (BMI). We aimed to evaluate the association of leptin and hypertension in both female and male gender.: This cross-sectional study was conducted, recruiting 80 essential hypertensive patients and 80 healthy normotensive volunteers using convenience sampling method. Subjects without history of diabetes mellitus, hyperlipidemia, smoking, thyroid disease and insulin or corticosteroid use were included in two groups of normotensive and hypertensive subjects who were matched for age, sex and BMI. Systolic and diastolic blood pressure (SBP and DBP), weight and height were measured for all subjects and a blood sample was obtained for measurement of leptin, fasting blood sugar and lipid profiles.: Leptin was significantly higher in hypertensive patients as compared to normotensive subjects in all study population and both male and female subgroups (p < 0.001). Statistically significant correlation was also found between leptin and both SBP and DBP in above-mentioned subgroups. In comparison of controlled and uncontrolled hypertensive patients, leptin was significantly higher in uncontrolled hypertensive patients (p < 0.001).: Comparing two groups of hypertensive and normotensive subjects, leptin is found to be positively correlated with hypertension in both genders. Leptin level also tends to be higher in uncontrolled hypertensive patients which may indicate a possible role for leptin in mechanism of uncontrolled hypertension.
: 自瘦素被发现以来,许多研究表明该激素在肥胖相关高血压中具有重要作用。然而,在非肥胖患者中,瘦素在原发性高血压中的可能作用存在争议,尤其是在男女和不同体重指数 (BMI) 群体中。我们旨在评估瘦素与男女两性高血压之间的关联。: 这项横断面研究通过便利抽样法招募了 80 名原发性高血压患者和 80 名健康的血压正常志愿者。排除有糖尿病、高脂血症、吸烟、甲状腺疾病、胰岛素或皮质类固醇使用史的受试者,将无上述病史的受试者按血压正常和高血压分为两组,匹配年龄、性别和 BMI。对所有受试者测量收缩压和舒张压 (SBP 和 DBP)、体重和身高,并采集血样测量瘦素、空腹血糖和血脂谱。: 与血压正常受试者相比,所有研究人群以及男性和女性亚组的高血压患者的瘦素均显著升高 (p<0.001)。上述亚组中,瘦素与 SBP 和 DBP 之间也存在显著相关性。与血压控制良好和未控制的高血压患者相比,未控制的高血压患者的瘦素水平显著更高 (p<0.001)。: 将高血压患者和血压正常受试者进行比较,发现瘦素在两性中均与高血压呈正相关。未控制的高血压患者的瘦素水平也偏高,这可能表明瘦素在未控制高血压的机制中可能起作用。
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