Cohort study

Blood Levels of Angiotensinogen and Hypertension in the Multi-Ethnic Study of Atherosclerosis (MESA)

J Am Coll CardiolPublished

  • Cohort study
  • multi-ethnic
  • sex-balanced

Authors' conclusion

Significant differences in angiotensinogen levels are present between sexes and ethnicities. A positive association is present between levels and prevalent hypertension and BP, which differs between sexes.

Study context

Population
Sex-balanced, ethnically diverse cohort (MESA)
Participants
5,786 participants
Exposure
Males vs Females
Outcome
Association of plasma angiotensinogen with BP, prevalent hypertension and incident hypertension

Main finding

As reported in the abstract

SBP per SD increment in log-angiotensinogen, by sex (no RAAS-blocking medications)
higher SBP per SD increment in log-angiotensinogen
Difference, mm Hg (95% CI)
Males
2.61(1.49–3.80)
Females
0.97(0.30–1.65)

Per SD increment in log-angiotensinogen, as printed

Observational data: associations, not effects.

Further findings

Angiotensinogen levels by sex and ethnicity

Significantly higher in females than males
Differed across self-reported ethnicities, highest to lowest: White, Black, Hispanic, Chinese adults

Original publication

Blood Levels of Angiotensinogen and Hypertension in the Multi-Ethnic Study of Atherosclerosis (MESA). J Am Coll Cardiol. Published 4 April 2023. doi:10.1016/j.jacc.2023.01.033

Summarised from the published abstract; every number is checked against it