Abstract
Essential hypertension (EH) is a major public health problem world over and in India. Recent data on EH in the population of Chandigarh (Union Territory and capital of Punjab and Haryana States of India) revealed that the prevalence of EH has become double in the last 30 years in the residents of Chandigarh (26.9 to 45.80% in the year 1968 and 2002). Zinc (Zn), copper (Cu), magnesium (Mg), and manganese (Mn) in the serum are considered important in maintaining the human hypertension. The high Zn intake was considered to increase the blood pressure (BP) and to affect the other mineral status in the body. Recent survey on the trace metal status of different vegetables in the State of Punjab around Chandigarh (India) revealed that Zn level is significantly higher (40 mg/kg or more in above ground vegetables and 120 mg/kg or above in underground vegetables) in underground water-irrigated vegetables, but the levels of Cu and Mg are within prescribed limit. The present study was conducted on Chandigarh population to evaluate the levels of Zn, Cu, Mg, and Mn in the blood and urine of normotensive (NT) control and hypertensive (HT) subjects matched with number, age and sex. Atomic absorption spectrophotometer studies revaluated that the levels of serum Zn, Mg, and Mn were significantly higher (p < 0.001), but the level of Cu was low in the HT subjects (BP = 160/93) compared to NT control (BP = 140/83). Higher levels of urinary Zn, Cu, Mg, and Mn were observed in the HT subject vs NT control (p < 0.001). Positive correlations were evaluated between the levels of serum Zn, Mg, and Mn vs systolic and diastolic pressures (DP and SP), respectively (r = 0.928, 0.863, 0.876, 0.808, 0.404, 0.326, p < 0.01), but negative and positive nonsignificant correlations between the serum Cu with SP and DP were recorded (r = −0.032, r = 0.024). Positive correlations were also evaluated between urinary levels of Zn, Cu, Mg, and Mn vs SP and DP (r = 0.718, 0.657, 0.750, 0.681, 0.630, 0.578, 0.516, 0.461, p < 0.01). Prevalence of essential hypertension may be due to higher Zn level in the food chain that makes the individuals vulnerable to other diseases over the time related to essential hypertension.
Similar content being viewed by others
References
Gupta R, Al-Odat NA, Gupta VP (1996) Hypertension epidemiology in India: meta-analysis of 50 years prevalence rates and blood pressure trends. J Hum Hypertens 10:465–472
Fauci SA, Baunwald E, Isselbacher KJ (1998) Harrison’s principles of internal medicine, 14st edn. Academic, New York
Edward JR, Giffard RW, Aldermand MD (1993) The fifth report of the Joint National Committee on detection, evaluation and treatment of high blood pressure (JNCV). Arch Intern Med 153:154–183
Shepherd JT (1990) Increased systemic vascular resistance and primary hypertension: the expanding complexity. J Hypertens 8(7):S15–S27
Sarvotham SG, Berry JN (1968) Prevalence of coronary heart disease in an urban population in Northern India. Circulation 37:939–942
Kumar R, Singh MC, Ahlawat SK, Thakur JS, Srivastava A, Sharma MK, Malhotra P, Bali HK, Kumari S (2006) Urbanization and coronary heart disease: a study of urban–rural differences in Northern India. Indian Heart J 58:126–130
Ahlawat SK, Singh MMC, Kumar R, Kumari S, Sharma BK (2002) Time trends in the prevalence of hypertension and associated risk factors in Chandigarh. J Indian Med Assoc 10:547–555
Sidhu S, Kamal N, Kumari K (2002) Incidence of hypertension among Punjabi population. In: Bhasin MK, Malik SK (eds) The science of man in service of man. University of Delhi, Delhi
Sidhu S, Kumari K, Prabhjot P (2005) Socio-demographic variables of hypertension among adult Punjabi females. J Hum Ecol 17(3):211–215
Gupta R, Gupta VP, Sarma M, Bhatnagar S, Thanvi I, Sharma V (2002) Prevalence of coronary heart disease and coronary risk factors in an urban population, Jaipur Heart Watch-2. Indian Heart J 54:59–66
Joseph A, Kutty VR, Soman CR (2000) High risk for coronary disease in Thiruvanthapuram city: a study of serum lipids and other factors. Indian Heart J 52:29–35
Banerji M, Kusma YS, Das PK (2003) Prevalence of hypertension among an urban population of Bhubaneswar city, Orissa, India. J Hum Ecol 14:377–381
Loyke HF (1991) Copper and zinc in experimental hypertension. Biol Trace Elem Res 29(1):45–49
Liu WM, Zhu ZG, Leng HX (2004) Analysis of the contents of K, Na, Ca, Mg, Zn, Cu, Fe and Mn in serum of middle and old-aged hypertensive patients. Guang Pu Xue Yu Guang Pu Fen Xi 24(3):360–362
Hajjar I, Kotchen T (2003) Regional variations of blood pressure in the United States are associated with regional variations in dietary intakes: the NHANES-III data. J Nutr 133:211–214
Fridovich I, Freeman B (1986) Antioxidant defense in the lung. Annu Rev Physiol 48:693–702
Marklund SL, Holme E, Hellner L (1982) Superoxide dismutase in extracellular fluids. Clin Chim Acta 126:41–51
Russo C, Olivievi O, Girelli D, Faccini G, Zenari M, Lombardi S, Corrocher R (1998) Antioxidant status and lipid peroxidation in patients with essential hypertension. J Hypertens 16(9):1267–1271
McIntyre M, Bohr DF, Dominiczak AF (1999) Endothelial function in hypertension. Hypertension 34:539–545
Ma J, Betts NM (2000) Zinc and copper intakes and their major food sources for older adults in the 1994–96 continuing Survey of food intakes by individuals (CSF II). J Nutr 130:2838–2843
Altura BT, Altura BM (1987) Cardiovascular actions of magnesium. Magnesium Bull 9:6–21
Yanagisawa H, Sato M, Nodera M, Wada O (2004) Excessive Zinc intake elevates systemic blood pressure levels in normotensive rats-potential role of superoxide-induced oxidative stress. J Hypertens 22(3):543–550
Klevay LM (1987) Hypertension in rats due to copper deficiency. Nutr Rep Int 35:999–1005
Sandstead HH (1995) Requirements and toxicity of essential trace elements, illustrated by zinc and copper. Am J Clin Nutr 61(3):621S–624S
He BP, Li DF, Ma JW, Chen J, Liu XY, Zhang XR, Xu JM (2004) Determination of trace copper and zinc in hypertension complicated with hyperlipemia by atomic absorption spectrophotometry. Guang Pu Xue Yu Guang Pu Fen Xi 24(6):741–743
Tang YR, Zhang SQ, Xiong Y, Zhao Y, Fu H, Zhnag HP, Xiong KM (2003) Studies of five microelements contents in human serum, hair, and fingernails correlated with aged hypertension and coronary heart disease. Biol Trace Elem Res 92(2):97–104
Vivoli G, Bergomi M, Roverti S, Pinotiti M, Caselgrands E (1995) Zinc, copper and zinc-or copper-dependent enzymes in human hypertension. Biol Trace Elem Res 49:97–103
Ram B, Garg SP, Matharu SS (2005) Effect of contaminants in wastewater on soil and vegetables—a case study. Panjab Pollution Control Board, Panjab
Bakhle Y, Reynard A (1971) Characteristics of the angiotensin I converting enzyme from dog lung. Nature New Biol 229:187–189
Ekmekci OB, Donma O, Tunckale A (2003) Angiotensin-converting enzyme and metals in untreated essential hypertension. Boil Trace Elem Res 95:203–110
Ripa S, Ripa R (1994) Zinc and arterial pressure. Minerva Med 85(9):455–459 (Abstract)
Gekle M, Golenhofen N, Oberleithner H, Silbernagl S (1996) Rapid activation of Na+/H+ exchange by aldosterone in renal epithelial cells requires Ca+2 and stimulation of a plasma membrane proton conductance. Proc Natl Acad Sci USA 93:10500–10504
Gekle M, Silbernagl S, Obserleithner H (1997) The mineralocorticoid aldosterone activates a proton conductance in cultured kidney cells. Am J Physiol Cell Physiol 273(42):C1673–C1678
Anonymous (2005) Trace elements modify the activity of sodium transporting system in erythrocyte membrane in patients with essential hypertension—preliminary study. Nephrol Dial Transplant 20(2):469–471 (letter)
Rude R, Mannoogian C, Ehrlich L (1989) Mechanisms of blood pressure regulation by magnesium in man. Magnesium 8:266–273
Satio K, Hattori K, Omatsu T (1988) Effects of oral magnesium on blood pressure and red cell sodium transport in patients receiving long-term thiazide diuretics for hypertension. Am J Hypertens 1:71S–74S
Loyke HF (2002) Effect of elements in human blood pressure control. Biol Trace Elem Res 85:193–209
Davydenko NV, Smirnova IP, Kvasha EA, Gorbas IM, Koblians KAV (1995) Interrelationship between dietary intake of minerals and prevalence of hypertension. Vopr Pitan 6:17–19
Sagar S, Kallo IJ, Kaul N, Ganguly NK, Sharma BK (1992) Oxygen free radicals in essential hypertension. Mol Cell Biochem 111:103–108
Rubanyi GM, Vanhoutte PM (1986) Superoxide anions and hyperoxia inactivation endothelium-derived relaxing factor. Am J Physiol 250:H822–H827
Beckman JS, Chen J, Ischiropoulos H, Crow JP (1994) Oxidative chemistry of peroxynitrite. In: Packer L (ed) Methods of enzymology. Academic, San Diego, CA, pp 229–240
Auch-Schwelk W, Katusic ZS, Vanhoutte PM (1989) Contractions to oxygen-derived free radicals are augmented in aorta of the spontaneously hypertensive rat. Hypertension 13:859–864
Cosentino F, Sill JC, Katusic ZS (1994) Role of superoxide anions in the mediation of endothelium-dependent concentrations. Hypertension 23:229–235
Vallance P, Collier J, Moncada S (1989) Effects of endothelium-derived nitric oxide on peripheral arteriolar tone in man. Lancet 2:997–1000
Angus JA, Dyke AC, Jennings GL, Korner PI, Sudhir K, Ward JE, Wrights CE (1992) Release of endothelium-derived relaxing factor from resistance arteries in hypertension. Kidney Int Suppl 37:S73–S78
Salom MG, Lahera V, Miranda GF, Romero JC (1992) Blockage of pressure natriuresis induced by inhibition of renal synthesis of nitric oxide in dogs. Am J Physiol 262:F718–F722
McIntyre M, Hamilton CA, Rees DD, Reid JL, Dominizak AF (1997) Sex difference in the abundance of endothelial nitric oxide in a model of genetic hypertension. Hypertension 30:1517–1524
Redon J, Oliva MR, Tormas C, Giner V, Chaves J, Iradi A, Saez GT (2003) Antioxidant activities and oxidative stress by products in human hypertension. Hypertension 41:1096–1101
Paik HY, Joung H, Lee JY, Lee HK, King JC, Keen CL (1999) Serum extracellular superoxide dismutase activity as an indicator of Zinc status in humans. Biol Trace Elem Res 69(1):45–57
Yamada H, Yamada Y, Adachi T, Goto H, Omasawara N, Futenma A, Gitano M, Miyai H, Fukatsu A, Hirano K, Kakumu S (1997) Polymorphism of extracellular superoxide (EC-SOD) gene: relation to the mutation responsible for high EC-SOD level in serum. Jpn J Hum Genet 42:353–356
Adachi T, Wang XL (1998) Association of extracellular superoxide dismutase phenotype with the endothelial constitutive nitric oxide synthease polymorphism. FEBS Lett 433:166–168
Marklund SL, Nilsson P, Israelsson K, Schampi I, Peltonen M, Asplund K (1997) Two variants of extracellular-superoxide dismutase: relationship to cardiovascular risk factors in and unselected middle-aged population. J Intern Med 242:5–14
Baudin B (2002) New aspects on angiotensin-converting enzyme: from gene to disease. Clin Chem Lab Med 40(3):256–265
Turner AJ, Hooper NM (2002) The angiotensin-converting enzyme gene family: genomics and pharmacology. Trends Pharmacol Sci 23(4):177–183
Corvol P, Michaud A, Soubrier F, Williams TA (1995) Recent advances in knowledge of the structure and function of the angiotensin–converting enzyme. J Hypertens 13(3):3–10
Semplicini A, Canessa M, Mozzato MG (1989) Red blood cell Na+/H and Li+/Na+ exchanges in patients with essential hypertension. Am J Hypertens 2:903–908
Bober J, Kdzierska K, Kwiatkowska E (2002) The erythrocyte sodium-proton exchanges activity in patients with primary hypertension. Pol Arch Med Wew 1:619–624
Zicha J (1993) Red cell ion transport abnormalities in experimental hypertension. Fundam Clin Pharmacol 7:129–141
Avkiran M (2001) Protection of the ischemic myocardium by Na+/H exchange inhibitors: potential mechanisms of action. Basic Res Cardiol 96:306–311
Tubek S (2001) Increased absorption of zinc from alimentary tract in primary arterial hypertension. Biol Trace Elem Res 83(1):31–38
Lopez C, Occon DC, Mengo MS, Frasquet M, Derarmino VA (1991) Study of zinc and copper serum levels in dislipemias. Therapie 46(1):17–20
Lee DY, Prasad AS, Hydrick-Adair C, Brewer G, Johnson PE (1993) Homeostasis of Zinc in marginal human zinc deficiency: role of absorption and endogenous excretion of zinc. J Lab Clin Med 122:549–556
Allen GD, Klevay LM (1994) Copper: an antioxidant nutrient for cardiovascular health. Curr Opin Lipidol 5(1):220–208
Taneja SK, Mandal R, Girhotra S (2006) Long term excessive Zn-supplementation promotes metabolic syndrome-X in Wistar rats fed sucrose and fat rich semi synthetic diet. Indian J Exp Biol 44:705–718
Vivoli G, Borella P, Bergomi M, Fantuzzi G (1987) Zinc and copper levels in serum, urine, and hair of humans in relation to blood pressure. Sci Total Environ 66:55–64
Resnick L, Nicholson J, Laragh J (1985) Calcium metabolism and the rennin-aldosterone system in essential hypertension. J Cardiovasc Phamacol 7(6):S187–S193
Lim R, Herzog W (1998) Magnesium for cardiac patients. Contemp Intern Med 10:6–9
Stevenson RN, Keywood C, Amadi A, Davies DJ (1991) Angiotensin converting enzyme inhibitors and conservation in patients with congestive heart failure. Br Heart J 66:19–21
Fujita T, Ito Y, Ando K, Noda H, Ogata E (1990) Attenuated vasodilator responses to Mg2+ in young patients with borderline hypertension. Circulation 82:384–393
Swaminathan R (2003) Magnesium metabolism and its disorders. Clin Biochem Rev 24:47–66
Gottlieb SS, Fisher ML, Pressel MD (1993) Effects of intravenous magnesium sulfate on arrhythmias in patients with congestive heart failure. Am Heart J 125:1646–1650
Swami HM, Bhatia V, Gupta AK, Bhatia SPS (2005) An Epidemiological study of Obesity among elderly in Chandigarh. Indian J Commun Med 30:1–8
Malhotra P, Kumari S, Kumar R, Jain S, Sharma BK (1999) Prevalence and determinants of hypertension in an un-industrialized rural population of North India. J Hum Hypertens 13:467–472
Taneja SK, Mahajan M, Arya P (1996) Excess bioavailability of zinc may cause obesity in humans. Experientia 52:31–33
Taneja SK, Mahajan M, Gupta S, Singh KP (1998) Assessment of copper and zinc status of hair and urine of young women descendant of NIDDM parents. Biol Trace Elem Res 62:255–264
Census of India (2001) Data from the 2001 census, including cities, villages and towns. Office of the Registrar General, New Delhi, India
Acknowledgements
Thanks are due to Prof. T. Gill for the laboratory facilities. The financial assistance of Panjab University, Chandigarh, to R. Mandal is gratefully acknowledged. Thanks are also due to Dr. H.C. Gupta and Mr. K.L. Kapur (Tarun Clinic, Sector-46C, Chandigarh) for providing the samples and the Department of Internal Medicine and Community Medicine, Post graduate Institute of Medical Education and Research (PGI), Chandigarh, India (2007), for their recent finding on essential hypertension on the Chandigarh population.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Taneja, S.K., Mandal, R. Mineral Factors Controlling Essential Hypertension—a Study in the Chandigarh, India Population. Biol Trace Elem Res 120, 61–73 (2007). https://doi.org/10.1007/s12011-007-8013-7
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12011-007-8013-7