Research Article

Physiological Aldosterone Concentrations Are Associated with Alterations of Lipid Metabolism: Observations from the General Population

Table 1

Characteristics of the study population.

CharacteristicsQuartiles of the plasma aldosterone concentration (PAC)
Q1 ()Q2 ()Q3 ()Q4 ()

Male (%)45.146.445.945.90.98
Age (years)46.0 (37.0–58.0)46.0 (37.0–58.0)45.0 (37.0–57.0)42.0 (35.0–53.0)<0.01
BMI (kg/m2)25.7 (23.6–29.1)25.7 (23.2–28.2)26.4 (23.6–29.1)26.2 (23.1–29.8)0.21
HbA1c (%)5.20 (4.90–5.50)5.10 (4.80–5.50)5.10 (4.80–5.50)5.10 (4.70–5.40)0.11
Diabetes mellitus (%)5.304.613.806.000.48
eGFR (ml/min/1.73 m2)89.8 (78.8–103.8)89.0 (78.6–102.5)89.1 (76.0–100.8)89.2 (78.3–99.8)0.50
Systolic blood pressure (mmHg)125 (115–137)127 (114–138)126 (116–139)124 (115–137)0.47
Diastolic blood pressure (mmHg)79.5 (74.0–86.0)79.5 (73.5–87.0)80.5 (75.0–88.0)80.5 (74.0–88.5)0.34
Hypertension (%)25.326.028.627.30.70
Intake of oral contraceptives (%)13.615.98.2614.50.07
PAC (ng/l)17.0 (12.0–21.0)33.0 (28.0–38.0)49.0 (43.0–54.0)78.0 (67.0–96.0)<0.01
PRC (ng/l)6.50 (4.50–9.00)7.60 (4.70–10.70)8.30 (5.40–11.70)10.05 (7.30–14.90)<0.01
ARR2.43 (1.59–3.57)4.51 (2.99–6.59)6.17 (4.10–8.62)7.90 (5.66–11.04)<0.01
Potassium (mmol/l)4.26 (4.08–4.50)4.30 (4.10–4.50)4.32 (4.18–4.59)4.37 (4.13–4.58)<0.01
Sodium (mmol/l)139 (138–141)139 (138–141)139 (138–141)139 (138–141)0.18
Total cholesterol (mmol/l)5.37 (4.70–6.20)5.60 (0.97–6.40)5.51 (4.80–6.24)5.40 (4.70–6.30)0.26
LDL cholesterol (mmol/l)3.35 (2.81–4.04)3.56 (2.80–4.36)3.54 (2.86–4.17)3.42 (2.85–4.20)0.28
HDL cholesterol (mmol/l)1.22 (0.95–1.55)1.20 (0.97–1.50)1.16 (0.89–1.49)1.13 (0.90–1.45)0.04
Non-HDL cholesterol (mmol/l)4.10 (3.43–4.94)4.31 (3.42–5.25)4.33 (3.45–5.10)4.24 (3.45–5.09)0.34
Triglycerides (mmol/l)1.20 (0.83–1.92)1.30 (0.88–2.03)1.28 (0.88–1.98)1.36 (0.88–1.95)0.29

Data are median (1st–3rd quartile) or proportions. Group differences were tested with chi-squared or Kruskal-Wallis tests. Intake of oral contraceptives in women. ARR: aldosterone-to-renin ratio; BMI: body mass index; eGFR: estimated glomerular filtration rate; HDL-C: high-density lipoprotein cholesterol; LDL-C: low-density lipoprotein cholesterol; PRC: plasma renin concentration.