Page last updated: 2024-10-28

hydrochlorothiazide and Abdominal Obesity

hydrochlorothiazide has been researched along with Abdominal Obesity in 5 studies

Hydrochlorothiazide: A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism.
hydrochlorothiazide : A benzothiadiazine that is 3,4-dihydro-2H-1,2,4-benzothiadiazine 1,1-dioxide substituted by a chloro group at position 6 and a sulfonamide at 7. It is diuretic used for the treatment of hypertension and congestive heart failure.

Research Excerpts

ExcerptRelevanceReference
"We assessed adverse metabolic effects of atenolol and hydrochlorothiazide among hypertensive patients with and without abdominal obesity using data from a randomized, open-label study of hypertensive patients without evidence of cardiovascular disease or diabetes mellitus."5.14Impact of abdominal obesity on incidence of adverse metabolic effects associated with antihypertensive medications. ( Beitelshees, AL; Boerwinkle, E; Chapman, AB; Cooper-DeHoff, RM; Gong, Y; Gums, JG; Hall, K; Johnson, JA; Parekh, V; Turner, ST; Wen, S; Zineh, I, 2010)

Research

Studies (5)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's5 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Medvedev, IN1
BriukhovetskiÄ­, AG1
Manrique, C1
Johnson, M1
Sowers, JR3
Cooper-DeHoff, RM1
Wen, S1
Beitelshees, AL1
Zineh, I1
Gums, JG1
Turner, ST1
Gong, Y1
Hall, K1
Parekh, V1
Chapman, AB1
Boerwinkle, E1
Johnson, JA1
Ofili, EO1
Zappe, DH2
Purkayastha, D2
Samuel, R2
Deedwania, PC1
Egan, BM1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Pharmacogenomic Evaluation of Antihypertensive Responses (PEAR)[NCT00246519]Phase 41,701 participants (Actual)Interventional2005-10-31Completed
A 16-week Double-blind, Randomized, Multicenter, Force-titration Study to Evaluate the Antihypertensive Efficacy of Valsartan/Hydrochlorothiazide (HCTZ) Therapy Compared to HCTZ Based Therapy in Obese, Hypertensive Patients[NCT00439738]Phase 4412 participants (Actual)Interventional2006-12-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Blood Pressure Response (Delta BP (After 18 Weeks of Medication - Baseline)).

(NCT00246519)
Timeframe: baseline to 18 weeks of treatment

InterventionmmHg (Mean)
Atenolol +HCTZ Arm-12.06
HCTZ + Atenolol-13.33

Change From Baseline in Postprandial Glucose

After a 75 gram anhydrous glucose challenge 2 hours after an oral glucose tolerance test (NCT00439738)
Timeframe: Week 16

,
Interventionmg/dL (Mean)
Baseline visit (0 minutes)Week 16 (0 minutes)Change from baseline to week 16 (0 minutes)Baseline visit (120 minutes)Week 16 (120 minutes)Change from baseline to week 16 (120 minutes)
HCTZ +Amlodipine99.4102.83.4127.7146.518.9
Valsartan/HCTZ (Hydrochlorothiazide)98.098.1-0.5123.9126.32.1

Change From Baseline in Postprandial Insulin

After a 75 gram anhydrous glucose challenge 2 hours after an oral glucose tolerance test (NCT00439738)
Timeframe: Week 16

,
Interventionmg/dL (Mean)
Baseline visit (0 minutes)Week 16 (0 minutes)Change from baseline to week 16 (0 minutes)Baseline visit (120 minutes)Week 16 (120 minutes)Change from baseline to week 16 (120 minute)
HCTZ +Amlodipine20.3723.623.6795.95120.0128.07
Valsartan/HCTZ (Hydrochlorothiazide)19.6623.453.4192.04116.0424.68

Change From Baseline in Postprandial Non-esterified Fatty Acids

After a 75 gram anhydrous glucose challenge 2 hours after an oral glucose tolerance test (NCT00439738)
Timeframe: Week 16

,
Interventionmg/dL (Mean)
Baseline visit (0 minutes)Week 16 (0 minutes)Change from baseline to week 16 (0 minutes)Baseline visit (120 minutes)Week 16 (120 minutes)Change from baseline to week 16 (120 minutes)
HCTZ +Amlodipine0.470.470.000.100.10-0.01
Valsartan/HCTZ (Hydrochlorothiazide)0.450.460.010.110.10-0.01

Change in Mean Sitting Diastolic Blood Pressure (MSDBP)

(NCT00439738)
Timeframe: Baseline to Weeks 4, 8, 12 and 16

,
Interventionmm Hg (Mean)
BaselineWeek 4Week 8Week 12Week 16Change from baseline to week 16
HCTZ +Amlodipine93.687.685.182.880.9-12.7
Valsartan/HCTZ (Hydrochlorothiazide)94.985.781.981.180.8-14.0

Change in Mean Sitting Systolic Blood Pressure (MSSBP)

(NCT00439738)
Timeframe: Baseline to Week 8

,
Interventionmm Hg (Mean)
BaselineWeek 8Change from baseline
HCTZ +Amlodipine159.0137.5-21.5
Valsartan/HCTZ (Hydrochlorothiazide)159.7131.2-28.6

Number of Patients Achieving Blood Pressure (BP) Control by Visit (< 140/90 mm Hg)

Mean sitting systolic blood pressure/mean sitting diastolic blood pressure < 140/90 mm Hg (NCT00439738)
Timeframe: Weeks 4, 8, 12 16 and End of Study (for patients that did not complete the last visit at week 16)

,
Interventionparticipants (Number)
Week 4Week 8Week 12Week 16End of study
HCTZ +Amlodipine69102112140146
Valsartan/HCTZ (Hydrochlorothiazide)91123122124133

Number of Patients Achieving Blood Pressure (BP)Control by Visit (< 130/80 mm Hg)

Mean sitting systolic blood pressure/mean sitting diastolic blood pressure < 130/80 mm Hg (NCT00439738)
Timeframe: Week 4, 8, 12, 16, End of Study (for patients that did not complete the last visit at week 16)

,
Interventionparticipants (Number)
Week 4Week 8Week 12Week 16End of Study
HCTZ +Amlodipine1823466568
Valsartan/HCTZ (Hydrochlorothiazide)3359576268

Trials

3 trials available for hydrochlorothiazide and Abdominal Obesity

ArticleYear
[The use of verospiron and the degree of platelet aggregation in arterial hypertension with abdominal obesity].
    Klinicheskaia meditsina, 2014, Volume: 92, Issue:3

    Topics: Comorbidity; Diuretics; Humans; Hydrochlorothiazide; Hypertension; Male; Middle Aged; Obesity, Abdom

2014
Impact of abdominal obesity on incidence of adverse metabolic effects associated with antihypertensive medications.
    Hypertension (Dallas, Tex. : 1979), 2010, Volume: 55, Issue:1

    Topics: Adolescent; Adult; Aged; Antihypertensive Agents; Atenolol; Diabetes Mellitus; Drug Therapy, Combina

2010
Antihypertensive and metabolic effects of Angiotensin receptor blocker/diuretic combination therapy in obese, hypertensive African American and white patients.
    American journal of therapeutics, 2013, Volume: 20, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Amlodipine; Angiotensin II Type 1 Receptor Blockers; Antihypertensiv

2013

Other Studies

2 other studies available for hydrochlorothiazide and Abdominal Obesity

ArticleYear
Thiazide diuretics alone or with beta-blockers impair glucose metabolism in hypertensive patients with abdominal obesity.
    Hypertension (Dallas, Tex. : 1979), 2010, Volume: 55, Issue:1

    Topics: Adrenergic beta-Antagonists; Atenolol; Diabetes Mellitus; Diuretics; Drug Therapy, Combination; Fast

2010
Does response of RAS blockade on serum K+ levels influence its glycemic-mitigating response when combined with hydrochlorothiazide?
    Journal of clinical hypertension (Greenwich, Conn.), 2012, Volume: 14, Issue:7

    Topics: Aged; Antihypertensive Agents; Blood Glucose; Diuretics; Dose-Response Relationship, Drug; Drug Ther

2012