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Estrogen status and the renin angiotensin aldosterone system

The renin-angiotensin-aldosterone system (RAAS) is integrally involved in multiple cardiovascular physiological processes including arterial blood pressure (BP) regulation. Over activity of the RAAS has been implicated in the pathogenesis of a number of cardiovascular disease entities, including hyp...

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Main Authors: Emma ODonnell, John S. Floras, Paula J. Harvey
Format: Default Article
Published: 2014
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Online Access:https://hdl.handle.net/2134/20625
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author Emma ODonnell
John S. Floras
Paula J. Harvey
author_facet Emma ODonnell
John S. Floras
Paula J. Harvey
author_sort Emma ODonnell (1384770)
collection Figshare
description The renin-angiotensin-aldosterone system (RAAS) is integrally involved in multiple cardiovascular physiological processes including arterial blood pressure (BP) regulation. Over activity of the RAAS has been implicated in the pathogenesis of a number of cardiovascular disease entities, including hypertension. Several lines of evidence suggest estrogen favorably modulates the RAAS. Conversely, estrogen deficiency due to menopause may contribute to over activity of the RAAS. Of importance, estrogen deficiency in women is not exclusive to the postmenopausal period. Functional hypothalamic amenorrhea is a reversible cause of premenopausal hypoestrogenemia. In contrast to postmenopausal women (PMW), premenopausal women with exercise-associated functional hypothalamic amenorrhea demonstrate decreased, not increased, resting BP compared with their estrogen-replete eumenorrheic counterpart. In this review we briefly examine the effects of estrogen status on the RAAS and present the hypothesis that the RAAS is altered in physically active women with functional hypothalamic amenorrhea.
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institution Loughborough University
publishDate 2014
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spelling rr-article-96115462014-01-01T00:00:00Z Estrogen status and the renin angiotensin aldosterone system Emma ODonnell (1384770) John S. Floras (7239164) Paula J. Harvey (7238525) Other health sciences not elsewhere classified Amenorrhea Estrogens Energy deficiency Exercise Ovarian disruption Medical and Health Sciences not elsewhere classified The renin-angiotensin-aldosterone system (RAAS) is integrally involved in multiple cardiovascular physiological processes including arterial blood pressure (BP) regulation. Over activity of the RAAS has been implicated in the pathogenesis of a number of cardiovascular disease entities, including hypertension. Several lines of evidence suggest estrogen favorably modulates the RAAS. Conversely, estrogen deficiency due to menopause may contribute to over activity of the RAAS. Of importance, estrogen deficiency in women is not exclusive to the postmenopausal period. Functional hypothalamic amenorrhea is a reversible cause of premenopausal hypoestrogenemia. In contrast to postmenopausal women (PMW), premenopausal women with exercise-associated functional hypothalamic amenorrhea demonstrate decreased, not increased, resting BP compared with their estrogen-replete eumenorrheic counterpart. In this review we briefly examine the effects of estrogen status on the RAAS and present the hypothesis that the RAAS is altered in physically active women with functional hypothalamic amenorrhea. 2014-01-01T00:00:00Z Text Journal contribution 2134/20625 https://figshare.com/articles/journal_contribution/Estrogen_status_and_the_renin_angiotensin_aldosterone_system/9611546 CC BY-NC-ND 4.0
spellingShingle Other health sciences not elsewhere classified
Amenorrhea
Estrogens
Energy deficiency
Exercise
Ovarian disruption
Medical and Health Sciences not elsewhere classified
Emma ODonnell
John S. Floras
Paula J. Harvey
Estrogen status and the renin angiotensin aldosterone system
title Estrogen status and the renin angiotensin aldosterone system
title_full Estrogen status and the renin angiotensin aldosterone system
title_fullStr Estrogen status and the renin angiotensin aldosterone system
title_full_unstemmed Estrogen status and the renin angiotensin aldosterone system
title_short Estrogen status and the renin angiotensin aldosterone system
title_sort estrogen status and the renin angiotensin aldosterone system
topic Other health sciences not elsewhere classified
Amenorrhea
Estrogens
Energy deficiency
Exercise
Ovarian disruption
Medical and Health Sciences not elsewhere classified
url https://hdl.handle.net/2134/20625