Fat mass as an important predictor of persistent hypertension in patients with primary aldosteronism after adrenalectomy

Wei Chieh Huang, Ying Ying Chen, Shao Yu Yang, Chun Fu Lai, Tai Shuan Lai, Hsiang Yao Chen, Li Wei Chen, Yi Jen Wang, Yu Lun Cheng, Cheng Lin Lang, Chih Fan Chen, Hui Fang Chang, Jen Kuei Peng, Liang Yu Lin, Hao Min Cheng, Chii Min Hwu, Tse Min Lu, Jeff S. Chueh, Yen Hung Lin, Vin Cent Wu

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

Aldosterone excess is present in obesity and is associated with involvement in the pathogenesis of obesity. We evaluate the impact of body obesity as measured by body composition monitor (BCM) on clinical outcomes in patients with unilateral primary aldosteronism (uPA) after adrenalectomy. The BCM device was used to assess body composition before and after adrenalectomy. We used fat mass (FM) and body mass index (BMI) to classify obesity and divided obesity into three groups: clinical overweight (BMI (kg/m2) ≥25); normal weight obesity (NWO, FM (%) ≥ 35 for women, >25 for men & BMI < 25); and no obesity (FM < 35 for women, <25 for men & BMI < 25). A total of 130 unilateral PA (uPA) patients received adrenalectomy, and 27 EH patients were identified; uPA patients with hypertension remission were found to have lower FM (p = 0.046), BMI (p < 0.001), and lower prevalence of overweight (p = 0.001). In the logistic regression model, patients with clinical overweight (OR = 2.9, p = 0.007), NWO (OR = 3.04, p = 0.041) and longer HTN duration (years, OR = 1.065, p = 0.013) were at the risk of persistent hypertension after adrenalectomy. Obesity status was strongly associated with persistent hypertension in uPA patients after adrenalectomy. However, patients in the NWO group also carried higher risk of persistent hypertension. Therefore, assessment of pre-obesity and overweight in uPA patients are extremely important, especially in those who have normal BMI. [Figure not available: see fulltext.].

Original languageEnglish
Pages (from-to)1375-1384
Number of pages10
JournalHypertension Research
Volume46
Issue number6
DOIs
Publication statusAccepted/In press - 2023

Keywords

  • Adrenalectomy
  • Bioimpedance
  • Fat Mass
  • Normal Weight Obesity
  • Primary aldosteronism

ASJC Scopus subject areas

  • Internal Medicine
  • Physiology
  • Cardiology and Cardiovascular Medicine

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