[Metabolic abnormalities in young offsprings of parents with essential hypertension]

Miguel H Vicco1, Luz Rodeles, Lucía I César

  • 1Servicio de Clínica Médica, Hospital J. B. Iturraspe. mvicco@santafe-conicet.gov.ar

Medicina
|June 5, 2013
PubMed

Insights

Healthy young adults with hypertensive parents showed no significant differences in insulin, cortisol, or microalbuminuria levels. This study found no link between parental hypertension history and these cardiovascular risk markers in offspring.

Area of Science:

  • Endocrinology
  • Cardiovascular Health
  • Nephrology

Background:

  • Hypertension in offspring is linked to hyperinsulinemia, elevated cortisol, and renal damage.
  • Microalbuminuria is a marker of endothelial dysfunction and increased cardiovascular risk.

Purpose of the Study:

  • To investigate the association between insulin levels, serum cortisol, and microalbuminuria in healthy young adults with a parental history of hypertension.
  • To explore the relationship of these markers with increased cardiovascular risk.

Main Methods:

  • Cross-sectional correlational study in Santa Fe, Argentina.
  • 145 healthy individuals aged over 18 years were divided into a study group (hypertensive parents) and a control group.
  • Fasting serum insulin, serum cortisol, and first morning urine microalbuminuria were measured.

Main Results:

  • No significant differences were found in serum insulin, cortisol, or microalbuminuria between the study and control groups.
  • Prevalence of insulin resistance was 4.8%, microalbuminuria 13.8%, and hypercortisolemia 52%.
  • No correlation was identified between parental hypertension history and insulin, cortisol, or microalbuminuria levels.

Conclusions:

  • A parental history of hypertension was not associated with impaired insulin or cortisol homeostasis in healthy young offspring.
  • The study did not find a link between parental hypertension and early markers of cardiovascular risk in this cohort.

Related Concept Videos

Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
Inborn Errors of Metabolism01:20

Inborn Errors of Metabolism

Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...
Teratogenicity01:07

Teratogenicity

The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
Hypertension I: Introduction01:28

Hypertension I: Introduction

Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...