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Hormone linked to body weight may help regulate blood pressure

ORLANDO, Fla., Sept. 15 -- Leptin, a hormone believed to help regulate body weight, may also be involved in the regulation of blood pressure, according to research presented today at the American Heart Association's meeting on high blood pressure.

"It is possible that leptin is one of the regulators of blood pressure," says Hideki Takizawa, M.D., Ph.D., an instructor in the second department of internal medicine at the Sapporo Medical University in Sapporo, Japan.

In an earlier study, Takizawa's group found that blood levels of leptin were higher in normal weight people with high blood pressure than in individuals of similar size who had normal blood pressure. To further evaluate the relationship between leptin and blood pressure, the researchers studied 133 men and 263 women under age 65 who did not have diabetes and also had not taken medication for high blood pressure.

Leptin is a hormone manufactured in fat cells of the body. It affects food intake and energy expenditures by interacting with a receptor in the brain. Previous studies involving mice found that those who are missing the gene that regulates leptin production become fat. When they are given leptin, they eat less and lose weight.

But the situation is less clear-cut in humans. Obese people tend to have high leptin levels. Researchers believe these individuals may have a leptin resistance that blocks their ability to recognize or respond to the hormone.

When researchers adjusted for age, body mass index and insulin, they found that men with higher leptin levels also had higher diastolic blood pressure -- the pressure when the heart is resting between beats. "The data clearly indicate that high leptin levels are related to high blood pressure," Takizawa says.

He adds that although other studies have found that weight loss leads to a reduction in high blood pressure and leptin levels, further research is needed to determine if reduced leptin levels due to weight loss can re
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Contact: Carole Bullock
caroleb@heart.org
214-706-1279
American Heart Association
15-Sep-1999


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