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Introduction: Low-renin hypertension LRH accounts for approximately one-third of patients with hypertension and are more prevalent in women and the older adult population. Previous study has found a link between the renin-angiotensin-aldosterone system RAAS and sex hormones. However, there are insufficient data on the relationship between LRH and metabolic or musculoskeletal outcomes in older adults. Individuals with missing data, and those who had used medications that could affect PRA within the past six months were excluded.
Muscle function was assessed according to the Asian Working Group for Sarcopenia guidelines. PRA was measured using radioimmunoassay. Results: The median age was 66 [61—72] years, and the body mass index BMI was Individuals with LRH, accounting for Conclusion: Our findings suggest that LRH can influence clinical features and metabolic risk in older adults. Larger prospective studies are required to elucidate how changes in the RAAS affect metabolic and musculoskeletal outcomes in older adults.
The renin-angiotensin-aldosterone system RAAS is a circulatory system that is crucial for regulating fluid balance as well as sodium and potassium homeostasis, and its dysregulation may lead to arterial hypertension 1. Classification based on renin levels can help differentiate the pathophysiological causes of hypertension 2. Approximately one-third of patients with hypertension have essential hypertension and low plasma renin activity PRA , also known as low-renin hypertension LRH 3.
LRH is more common in women, older adults, and individuals of African descent 4 , 5. LRH is a multifactorial disease category that includes patients with a high-sodium diet, primary aldosteronism PA , hypercortisolism, congenital adrenal hyperplasia, Gordon syndrome, Liddle syndrome, and medications, such as nonsteroidal anti-inflammatory drugs and cyclooxygenase-2 inhibitors 6. Although the final mechanism for LRH development is the activation of mineralocorticoid receptors, which is also linked to the pathogenesis of PA 7 , the clinical significance of LRH remains unclear.
