The Impact of Trace Elements and Lipid Levels on Blood Pressure: A Clinical Biochemistry Study
Abstract
Trace elements and lipid levels play a crucial role in blood pressure regulation, influencing vascular function and potentially contributing to hypertension. Investigate the relationship between trace elements and lipid levels and their impact on blood pressure regulation, with a focus on understanding their potential role in the development of hypertension. This case-control study, conducted from August 1 to November 1, 2024, at Al-Habboubi Teaching Hospital with ethical approval, involved blood sample collection under aseptic conditions. Plasma and serum were separated by centrifugation and stored at -20°C. Trace elements (zinc, copper, and selenium) were measured using Atomic Absorption Spectrometry (AAS), and lipid profile parameters (total cholesterol, LDL, HDL, and triglycerides) were analyzed with a spectrophotometer. The results showed that the gender distribution between the hypertensive and control groups was balanced, with similar mean ages. The proportion of individuals with secondary education was higher in the hypertensive group, while marital status showed a higher proportion of married individuals in the hypertensive group. Significant increases in systolic and diastolic blood pressure, heart rate, total cholesterol, LDL, and triglycerides were observed in the hypertensive group compared to the control group. Zinc levels were lower in the hypertensive group, while copper and selenium were also lower, but the differences were not statistically significant. HDL levels were lower in the hypertensive group. The study found that high blood pressure is linked to big changes in lipid profile, heart rate, and blood pressure. Some of these changes are higher levels of HDL and lower levels of total cholesterol, LDL, and lipids. This means that trace elements may have something to do with high blood pressure. Zinc, copper, and selenium were found in smaller amounts.
References
Ascherio A, Hennekens C, Willett WC, Sacks F, Rosner B, Manson J, et al. Prospective study of nutritional factors, blood pressure, and hypertension among US women. Hypertension. 1996;27(5):1065–72.
CDC. National Health and Nutrition Examination Survey. 2003. Accessed 12 July 2019
Association AH. Blood pressure categories 2018Available from: https://www.health.harvard.edu/heart-health/reading-the-new-blood-pressure-guidelines. Accessed 12 Oct 2019
Supplements OoD. Selenium: ODS/NIH; 2018 Available from: https://ods.od.nih.gov/factsheets/Selenium-HealthProfessional%20/. Accessed 12 Oct 2019
de Lorgeril M, Salen P. Selenium and chronic heart failure. Circulation. 2000;101(5):E74.
Hu XF, Stranges S, Chan LHM. Circulating selenium concentration is inversely associated with the prevalence of stroke: results from the Canadian health measures survey and the National Health and nutrition examination survey. J Am Heart Assoc. 2019;8(10):e012290.
Liu L, Lin G, Wang H, Zhang B, Du S. Selenium Exposure and Incident Hypertension Among Chinese Adults (P24–020-19). Curr Dev Nutr. 2019;3(Suppl 1).
Su L, Jin Y, Unverzagt FW, Liang C, Cheng Y, Hake AM, et al. Longitudinal association between selenium levels and hypertension in a rural elderly Chinese cohort. J Nutr Health Aging. 2016;20(10):983–8.
Stranges S, Sieri S, Vinceti M, Grioni S, Guallar E, Laclaustra M, et al. A prospective study of dietary selenium intake and risk of type 2 diabetes. BMC Public Health. 2010;10:564.
Lu CW, Chang HH, Yang KC, Kuo CS, Lee LT, Huang KC. High serum selenium levels are associated with increased risk for diabetes mellitus independent of central obesity and insulin resistance. BMJ Open Diabetes Res Care. 2016;4(1):e000253.
Laclaustra M, Navas-Acien A, Stranges S, Ordovas JM, Guallar E. Serum selenium concentrations and hypertension in the US population. Circ Cardiovasc Qual Outcomes. 2009;2(4):369–76.
Tubek S. Role of zinc in regulation of arterial blood pressure and in the etiopathogenesis of arterial hypertension. Biol Trace Elem Res. 2007;117(1–3):39–51.
Kim J. Dietary zinc intake is inversely associated with systolic blood pressure in young obese women. Nutr Res Pract. 2013;7(5):380–4.
Kasai M, Miyazaki T, Takenaka T, Yanagisawa H, Suzuki H. Excessive zinc intake increases systemic blood pressure and reduces renal blood flow via kidney angiotensin II in rats. Biol Trace Elem Res. 2012;150(1–3):285–90.
Bergomi M, Rovesti S, Vinceti M, Vivoli R, Caselgrandi E, Vivoli G. Zinc and copper status and blood pressure. J Trace Elem Med Biol. 1997;11(3):166–9.
Vivoli G, Bergomi M, Rovesti S, Pinotti M, Caselgrandi E. Zinc, copper, and zinc- or copper-dependent enzymes in human hypertension. Biol Trace Elem Res. 1995;49(2–3):97–106.
Yao J, Hu P, Zhang D. Associations between copper and zinc and risk of hypertension in US adults. Biol Trace Elem Res. 2018;186(2):346–53.
Loyke HF. Copper and zinc in experimental hypertension. Biol Trace Elem Res. 1991;29(1):45–9.
Darroudi S, Saberi-Karimian M, Tayefi M, Tayefi B, Khashyarmanesh Z, Fereydouni N, et al. Association between hypertension in healthy participants and zinc and copper status: a population-based study. Biol Trace Elem Res. 2019;190(1):38–44.
Zhou, Bin, et al. "Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension." Nature Reviews Cardiology 18.11 (2021): 785-802.
Fuchs, Flávio Danni, and Sandra Costa Fuchs. "The effect of alcohol on blood pressure and hypertension." Current Hypertension Reports 23.10 (2021): 42.
Aramjoo, Hamed, et al. "The association between environmental cadmium exposure, blood pressure, and hypertension: a systematic review and meta-analysis." Environmental Science and Pollution Research 29.24 (2022): 35682-35706.
Pitter, Gisella, et al. "Perfluoroalkyl substances are associated with elevated blood pressure and hypertension in highly exposed young adults." Environmental Health 19 (2020): 1-11.
Bastola, Mrigendra M., et al. "Selenium, copper, zinc and hypertension: An analysis of the National Health and Nutrition Examination Survey (2011–2016)." BMC Cardiovascular Disorders 20 (2020): 1-8.
Kee, Hae Jin, Inkyeom Kim, and Myung Ho Jeong. "Zinc-dependent histone deacetylases: Potential therapeutic targets for arterial hypertension." Biochemical Pharmacology 202 (2022): 115111.
He, Panpan, et al. "U-shaped association between dietary copper intake and new-onset hypertension." Clinical Nutrition 41.2 (2022): 536-542.
Cui, Zhixin, et al. "The association between plasma copper concentration and prevalence of diabetes in Chinese adults with hypertension." Frontiers in Public Health 10 (2022): 888219.
Liang, Cui, et al. "The association between dietary selenium intake and telomere length in hypertension." The Journal of Clinical Hypertension 26.8 (2024): 990-996.
Wu, Yilin, and Zongliang Yu. "Association between dietary selenium intake and the prevalence of hypertension: results from the National Health and Nutrition Examination Survey 2003–2018." Frontiers in Immunology 15 (2024): 1338745.
Toulabi, Tahereh, et al. "Effects of flaxseed on blood pressure, body mass index, and total cholesterol in hypertensive patients: A randomized clinical trial." Explore 18.4 (2022): 438-445.
Liu, Dechen, et al. "Association of triglycerides to high-density lipoprotein-cholesterol ratio with risk of incident hypertension." Hypertension Research 43.9 (2020): 948-955.
Calvier, Laurent, Joachim Herz, and Georg Hansmann. "Interplay of low-density lipoprotein receptors, LRPs, and lipoproteins in pulmonary hypertension." Basic to Translational Science 7.2 (2022): 164-180.
Trimarco, Valentina, et al. "High HDL (high-density lipoprotein) cholesterol increases cardiovascular risk in hypertensive patients." Hypertension 79.10 (2022): 2355-2363.
Lateef, Diyar, et al. "The Relationships Between Aplein, Vaspin and Thyroid Hormone Levels in Obese Diabetic and Non-Diabetic Women." Journal of Experimental and Clinical Medicine 41.2 (2024): 239-245.
Nasser NA, Sadek AH, Mahmeed BA, Mohsein OA. "The levels of prostate specific antigen and leptin hormone in patients with prostate cancer." South Asian Journal of Life Sciences 13.1 (2025): 7. DOI | http://dx.doi.org/10.17582/journal.sajls/2025/13.1.7