Adrenal disease

Sex-specific Associations of Aldosterone and Renin With Body Composition: A Population-based Cohort Study

J Clin Endocrinol MetabPublished Population-based cohort study

Authors' conclusion

Independent of body weight, increased RAAS activity is associated with unfavorable differences in body composition; however, the strength and pattern of association varies by sex.

Study context

Population
Adults aged 40 to 69 years enrolled in CARTaGENE, 2009–2010, Québec (Canada); mean (SD) age 55 (8) years, BMI 27.3 (4.8) kg/m²
Participants
3,687 adults
Exposure
Plasma aldosterone and renin concentrations vs body composition, by sex
Outcome
Body composition: waist circumference and WHR, lean body mass, fat mass and muscle mass (bioelectrical impedance), epicardial and pericardial adipose tissue volumes (cardiac MRI)

Main finding

As reported in the abstract

Males: higher aldosterone and renin associated with increased waist circumference, WHR and fat mass, decreased lean body mass and muscle mass
P < .05
Males: aldosterone associated with increased ectopic cardiac adiposity
P = .02
Males: renin not associated with ectopic cardiac adiposity
P = .43
Females: higher renin associated with increased waist circumference, WHR and cardiac adiposity
P < .05
Females: aldosterone not associated with waist circumference, WHR or cardiac adiposity
P ≥ .05
Females: higher renin and aldosterone associated with increased fat mass
P < .05
Females: renin and aldosterone not associated with lean body mass or muscle mass
P ≥ .05

Observational data: associations, not effects.

Original publication

Sex-specific Associations of Aldosterone and Renin With Body Composition: A Population-based Cohort Study. J Clin Endocrinol Metab. Published 16 August 2024. doi:10.1210/clinem/dgae566

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