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Association between Vitamin D Deficiency and Levels of Renin and Angiotensin in Essential Hypertension
Lu Han1, Xin-Juan Xu2, Jun-Shi Zhang2
1Department of Cardiology, The Armed Police Corps Hospital, Xinjiang, Urumqi 830000, China.
Insights
Vitamin D deficiency is common in essential hypertension patients in China. Lower vitamin D levels correlate with higher renin, suggesting a role in blood pressure regulation via the renin-angiotensin-aldosterone system.
Area of Science:
- Endocrinology
- Cardiovascular Medicine
- Nutritional Science
Background:
- Essential hypertension is a significant global health concern.
- The renin-angiotensin-aldosterone system (RAAS) plays a critical role in blood pressure regulation.
- Emerging evidence suggests a link between vitamin D status and cardiovascular health.
Purpose of the Study:
- To investigate the association between vitamin D deficiency and RAAS levels in patients with essential hypertension.
- To explore the relationship between vitamin D, renin, and blood pressure in a Chinese population.
Main Methods:
- A comparative study was conducted in Urumqi, Xinjiang, China.
- 80 essential hypertension patients and 76 healthy controls were enrolled.
- Measurements included 25-hydroxyvitamin D (25(OH)D), plasma renin activity, angiotensin II, and biochemical indicators.
Main Results:
- Vitamin D deficiency was prevalent in the study population.
- Hypertension patients showed significantly lower 25(OH)D levels and higher renin levels compared to controls.
- 25(OH)D levels were negatively correlated with renin and positively correlated with systolic pressure.
Conclusions:
- Vitamin D deficiency is common in essential hypertension patients in Xinjiang, China.
- Vitamin D levels are inversely associated with renin levels in this cohort.
- Vitamin D may influence blood pressure regulation through modulation of the RAAS.
Objective:
The present study aims to investigate the relationship between vitamin D deficiency and renin-angiotensin-aldosterone levels in patients with essential hypertension.
Methods:
The present study observed two groups of patients from Urumqi, Xinjiang, China, from April 2017 to March 2018. There were two subject groups: the hypertension group (80 patients with essential hypertension selected by random cluster sampling) and the control group (76 healthy adults). The 25-hydroxyvitamin D (25(OH)D or vitamin D) levels were measured through electrolytes; fasting blood glucose, blood lipids, and other biochemical indicators were detected using immune chemiluminescence; and plasma renin activity and angiotensin II concentrations were detected with radio-immunity.
Results:
Comparison between the hypertension group and control group showed statistically significant differences in the systolic pressure and levels of 25(OH)D, renin, and triglycerides (P < 0.05). The correlation analysis showed that 25(OH)D was negatively correlated with renin (r = -0.185; P=0.021) and positively correlated with systolic pressure (r = -0.105; P=0.035). There were no statistically significant differences in diastolic pressure, fasting blood glucose, total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, and triglycerides between the two groups.
Conclusions:
The results of the present study show that vitamin D deficiency is common in Urumqi, Xinjiang, China and vitamin D levels are negatively correlated with renin levels. Vitamin D plays an important role in regulating blood pressure by affecting renin levels through the renin-angiotensin-aldosterone system.
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