Cited by 37Renin-Angiotensin System StudiesParathyroid Disorders and TreatmentsHormonal Regulation and Hypertension

A High Aldosterone to Renin Ratio Is Associated With High Serum Parathyroid Hormone Concentrations in the General Population

Fischer, Evelyn, Hannemann, Anke, Rettig, Rainer, Lieb, Wolfgang, Nauck, Matthias, Pallauf, Anna, Bildingmaier, Martin, Beuschlein, Felix +2 more·2014·The Journal of Clinical Endocrinology & Metabolism

Abstract

CONTEXT: Activation of the renin-angiotensin-aldosterone system (RAAS) is associated with high serum PTH concentrations and vice versa. OBJECTIVE: The aim of this study was to analyze the associations of the plasma aldosterone concentration (PAC), the plasma renin concentration (PRC), or the aldosterone to renin ratio (ARR) with serum PTH concentrations in a sample from the general population of northeast Germany. DESIGN: We selected 3105 subjects (25-88 y) from the first 5-year follow-up examination of the Study of Health in Pomerania. The associations of PAC, PRC, or ARR with serum PTH concentrations were examined with multivariable linear regression analyses. We further calculated adjusted mean serum PTH concentrations according to PAC, PRC, and ARR categories (≥90th and < 90th sex specific percentiles and sex specific quartiles). The models were adjusted for age, sex, estimated glomerular filtration rate, serum 25-hydroxy vitamin D concentration, waist circumference, body mass index, hypertension, diabetes mellitus, liver disease, and intake of drugs that affect the RAAS or bone metabolism. RESULTS: We found no associations between PAC or PRC and serum PTH concentrations in fully adjusted linear regression models. However, fully adjusted linear regression and ANOVA models revealed higher serum PTH concentrations in subjects with an ARR 90th percentile or greater than in subjects with a lower ARR. CONCLUSIONS: Our data show that a high ARR is associated with high serum PTH concentrations in the general population and thus add to the increasing evidence of a relation between the RAAS and PTH.

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Crossref · 10.1210/jc.2013-3214

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Authors
Fischer, E., Hannemann, A., Rettig, R., Lieb, W., Nauck, M., Pallauf, A., Bildingmaier, M., Beuschlein, F., Wallaschofski, H., & Reincke, M.
Affiliations
  • LMU Klinikum (DE)
  • Universitätsmedizin Greifswald (DE)
  • Universität Greifswald (DE)
  • Medizinische Klinik und Poliklinik IV (E.F., A.P., M.B., F.B., M.R.), Klinikum der Ludwig-Maximilians-Universität München, D-80336 München, Deutschland
Corresponding author
Hannemann, Anke
Venue
The Journal of Clinical Endocrinology & Metabolism
Published
2014-03-01
Volume
99
Issue
3
Pages
965-971
ISSN
  • 0021-972X (ISSN-L)
  • 1945-7197
OpenAlex
W1976139404
Cited by
37
References
43
Citations by year
2025: 2 · 2024: 1 · 2023: 2 · 2022: 5 · 2021: 2 · 2020: 6 · 2019: 3 · 2018: 2 · 2017: 3 · 2016: 1 · 2015: 7 · 2014: 3
FWCI
2.49
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Javna Agencija za Raziskovalno Dejavnost RS
  • Universität Greifswald
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Renin-Angiotensin System Studies
  • Health Sciences › Medicine › Nephrology › Parathyroid Disorders and Treatments
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal Regulation and Hypertension
Keywords
aldosterone-renin ratio, parathyroid hormone, renin-angiotensin-aldosterone system, plasma aldosterone, plasma renin concentration, parathyroid hormone regulation, general population, Study of Health in Pomerania
MeSH terms
Adult, Aged, Aged, 80 and over, Aldosterone, Female, Germany, Glomerular Filtration Rate, Humans, Male, Middle Aged, Parathyroid Hormone, Renin, Renin-Angiotensin System, Young Adult

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