Creatine kinase activity and blood pressure in a normal population: the Tromsø study
Stein H Johnsen1, Hallvard Lilleng, Tom Wilsgaard
1Department of Neurology and Clinical Neurophysiology, University Hospital of North Norway, Tromsø, Norway. sh_johnsen@live.no
Insights
Creatine kinase (CK) activity is linked to higher blood pressure in a large Norwegian population. This suggests CK may be a factor in hypertension, regardless of ethnicity.
Area of Science:
- Biochemistry
- Cardiovascular Medicine
- Genetics
Background:
- The etiology of primary hypertension remains largely unknown.
- Previous observations in Black and multiethnic populations suggest a potential link between genetically high tissue creatine kinase (CK) activity and hypertension.
- This study investigates if this association holds true in a Caucasian population.
Purpose of the Study:
- To examine the association between creatine kinase (CK) activity and blood pressure in a large, normal Caucasian population.
- To determine if CK is an independent factor associated with blood pressure.
- To assess if the CK-blood pressure relationship is independent of ethnicity.
Main Methods:
- A cross-sectional study analyzed data from 12,776 men and women aged 30-87 in Tromsø, Norway.
- Linear regression was used to model the association between creatine kinase (CK) and blood pressure.
- Statistical adjustments were made for age, sex, BMI, glucose, creatinine, physical activity, and alcohol consumption.
Main Results:
- Creatine kinase (CK) was independently associated with both systolic and diastolic blood pressure.
- A one-unit increase in log CK correlated with a 3.3 mmHg rise in systolic and a 1.3 mmHg rise in diastolic blood pressure.
- The association between CK and blood pressure was independent of antihypertensive medication.
Conclusions:
- Creatine kinase (CK) activity is associated with blood pressure in a Caucasian population.
- These findings support the hypothesis that CK may be an independent factor in primary hypertension.
- The observed association suggests a potential biological mechanism linking CK to blood pressure regulation.
Objectives:
In the vast majority of cases the cause for hypertension is not known. On the basis of observations from black and multiethnic populations, it has been hypothesized that a genetically high tissue creatine kinase activity may be an independent factor responsible for primary hypertension. If the relation between creatine kinase and blood pressure is causal, it is reasonable to believe that it will be independent of ethnicity and present in different populations. In this cross-sectional study, we examined whether creatine kinase was associated with blood pressure in a large Caucasian normal population.
Methods And Results:
Data on creatine kinase and blood pressure were analyzed in a random sample of 12 776 men and women (65% of those eligible), aged 30-87 years from a normal population in the municipality of Tromsø, Norway. We used linear regression to model the association between creatine kinase and blood pressure. Creatine kinase was independently associated with blood pressure. A one unit increase in log CK was associated with a 3.3 (95% CI 1.4-5.2) mmHg increase in systolic blood pressure and a 1.3 (95% CI 0.3-2.3) mmHg increase in diastolic blood pressure, after adjustment for age, sex, body mass index, s-glucose, s-creatinine, physical activity and alcohol consumption. The creatine kinase effect on blood pressure was independent of antihypertensive medication, and no difference in creatine kinase level was found between those with controlled and uncontrolled hypertension (geometric mean 101 vs. 104 IU/l, P = 0.1).
Conclusion:
Creatine kinase was associated with blood pressure in this population.
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