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Are increased oxidative stress and asymmetric dimethylarginine levels associated with masked hypertension?
Abstract
OBJECTIVE: In this study, our aim was to determine total oxidative stress and asymmetric dimethylarginine (ADMA) levels in patients with masked hypertension (MHT) and to examine their association with blood pressure. METHODS: Fifty patients diagnosed with MHT and 48 healthy volunteers without any known chronic diseases have been included in this study. RESULTS: When compared to the control group, patients with MHT had higher levels of mean ADMA (p < 0.001), total oxidant status (TOS) (p < 0.001), and oxidative stress index (OSI) (p < 0.001), and a lower mean total antioxidant status (TAS) (p < 0.001) level. While a positive correlation was determined between the systolic blood pressure (SBP) and diastolic blood pressure (DBP) levels with ADMA, TOS, and OSI levels, a negative correlation was determined with the TAS level. During the stepwise multivariable logistic regression analysis, age (OR = 1.221; p = 0.003), body mass index (OR = 1.512; p = 0.005), low density lipoprotein (OR = 0.925; p = 0.016), ADMA (OR = 1.200; p = 0.002), and OSI (OR = 3.750; p = 0.002) levels were determined to be the predictors of MHT. During the linear regression analysis, it was determined that the independent risk factors of SBP and DBP are ADMA and OSI, and the independent risk factor of TOS, OSI, and ADMA is SBP. Our study found out that oxidative stress and ADMA levels of patients with MHT are higher than those of the control group. ADMA and OSI were determined to be predictors of MHT. CONCLUSION: Based on these results, it could be said that oxidative stress, and therefore the ADMA level, could have an effect on the etiopathogenesis of MHT.
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“Studies have demonstrated that individuals with atherosclerosis, chronic heart failure [16, 17], hypertension [18], hypercholesterolemia [19], and diabetes mellitus [20], as well as women with PCOS [21], exhibit elevated levels of ADMA [22].”
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Metadata
- Authors
- Inan, B., Ates, I., Ozkayar, N., Kundi, H., Topcuoglu, C., Dede, F., & Sennaroglu, E.
- Affiliations
- Ankara Numune Eğitim ve Araştırma Hastanesi (TR)
- Venue
- Clinical and Experimental Hypertension
- Publisher
- Informa UK Limited
- Published
- 2016-03-28
- Volume
- 38
- Issue
- 3
- Pages
- 294-298
- ISSN
- 0148-3927 (ISSN-L)
- 1064-1963
- 1525-6006
- OpenAlex
- W2322763843
- Cited by
- 14
- References
- 26
- Citations by year
- 2025: 1 · 2022: 1 · 2020: 2 · 2019: 2 · 2018: 4 · 2017: 4
- FWCI
- 2.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical and Experimental Hypertension (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Nitric Oxide and Endothelin Effects
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Keywords
- masked hypertension, oxidative stress, asymmetric dimethylarginine, total oxidant status, oxidative stress index, total antioxidant status, blood pressure, risk factors, endothelial dysfunction, LDL cholesterol, body mass index
- MeSH terms
- Adult, Age Factors, Antioxidants, Arginine, Blood Pressure, Blood Pressure Determination, Female, Humans, Lipoproteins, LDL, Male, Middle Aged, Predictive Value of Tests, Risk Factors, Statistics as Topic, Body Mass Index, Oxidants, Oxidative Stress, Masked Hypertension
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