Obesity, sleep apnea, aldosterone, and hypertension
Abstract
The pathogenesis of hypertension associated with obesity is unclear. This review provides evidence supporting excess visceral fat as an early aspect, and obstructive sleep apnea and elevated levels of aldosterone as factors closer to hypertension in the mechanistic chain. Features of visceral obesity and obstructive sleep apnea that may stimulate aldosterone secretion are described here. Possible therapeutic interventions addressing the hypertension associated with obesity are briefly mentioned.
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Aldosterone levels may be increased out of proportion to the increase in renin activity in obesity.
“Aldosterone levels may be increased out of proportion to the increase in renin activity.33”
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- Authors
- Goodfriend, T. L.
- Affiliations
- William S. Middleton Memorial Veterans Hospital (US)
- Corresponding author
- Goodfriend, Theodore L.
- Venue
- Current Hypertension Reports
- Published
- 2008-06
- Volume
- 10
- Issue
- 3
- Pages
- 222-226
- ISSN
- 1522-6417 (ISSN-L)
- 1534-3111
- OpenAlex
- W2117578773
- Cited by
- 44
- References
- 46
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 4 · 2016: 5 · 2015: 3 · 2014: 4 · 2012: 6
- FWCI
- 0.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Hypertension Reports (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal Regulation and Hypertension
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Keywords
- obesity, obstructive sleep apnea, aldosterone, hypertension, visceral fat, visceral obesity, aldosterone secretion, antihypertensive therapy
- MeSH terms
- Aldosterone, Mineralocorticoid Receptor Antagonists, Humans, Hypertension, Obesity, Risk Factors, Spironolactone, Sympathetic Nervous System, Sleep Apnea, Obstructive, Metabolic Syndrome
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