Insulin resistance as cause of increased blood pressure in the elderly: effects on intracellular ion contents.

Abstract:

:Previous reports have evidenced a strong relationship between high plasma insulin levels and blood pressure in diabetic and obese subjects but not in the elderly. During aging many patho-physiological changes in cardiovascular functions and autonomic nervous system occur, so that aging per se might be a cause of a 'physiological' increase in blood pressure. Nevertheless, an insulin resistance also develops during aging. The present study investigates the possible role of age-dependent insulin resistance in the genesis of increased blood pressure. Our data show that insulin resistance calculated by the glucose infusion rate during a euglycemic hyperinsulinemic glucose clamp procedure is significantly correlated with the insulin-mediated net decrease in erythrocyte Na+ content (r = 0.58, P < 0.05), as well as with net increase in erythrocyte K+ (r = 0.64, P < 0.05) and Mg2+ (r = 0.67, P < 0.01) content and to basal diastolic blood pressure (r = -0.63, P < 0.05). We conclude that in elderly subjects the age-related and normally occurring insulin resistance might contribute to the increase of arterial blood pressure through its effect on cell cation content.

journal_name

Arch Gerontol Geriatr

authors

Paolisso G,Marrazzo G,De Riu S,Sgambato S,Varricchio M,D'Onofrio F

doi

10.1016/0167-4943(90)90053-9

subject

Has Abstract

pub_date

1990-07-01 00:00:00

pages

23-32

issue

1

eissn

0167-4943

issn

1872-6976

pii

0167494390900539

journal_volume

11

pub_type

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