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Aldosterone – meaning, action, deficiency, excess

4 maja 2021
Aldosterone, adrenal glands, adrenal diseases
Aldosterone is a key steroid hormone, and also another hormone described by experts collaborating with ONSEN® in response to readers' requests of the best sleep blog.

As with almost every hormone, even the slightest disturbance in aldosterone levels can lead to a disruption of the entire hormonal system. This system is responsible for our biopsychosocial functioning during the day, as well as the ability to have comfortable and regenerative sleep at night.

Therefore, it is so important to know not only what aldosterone is but also how it works. This knowledge allows us to predict what the deficiency or excess of aldosterone may lead to, and also to recognize potential symptoms of disease early.
Steroid, steroid hormone, adrenal cortex

Aldosterone – meaning

Aldosterone is one of the key steroid hormones, playing a very important role in regulating the water-electrolyte balance of the body. Its production takes place mainly in the adrenal cortex, which is part of the adrenal system. The action of aldosterone focuses on maintaining the appropriate levels of sodium and potassium in the body, which directly affects the regulation of blood pressure, thus influencing hypotension or hypertension.

The process of aldosterone synthesis is initiated by angiotensin II, a peptide that is part of the renin-angiotensin-aldosterone system (RAAS), which activates the production of aldosterone in response to lowering blood pressure or a decrease in sodium concentration in its plasma. Aldosterone acts on the epithelial cells of the renal tubules, increasing the reabsorption of sodium and water, which leads to an increase in the volume of circulating fluid and an increase in blood pressure. At the same time, aldosterone promotes the excretion of potassium, which is significant in maintaining the body's electrolyte balance.

Aldosterone, renin, angiotensin

Aldosterone – action

Aldosterone is a steroid hormone, playing an important role in regulating electrolyte balance and blood pressure. Its production occurs mainly in the adrenal cortex, where it is synthesized from cholesterol. Aldosterone remains a key hormone for maintaining appropriate levels of sodium and potassium in the human body, thereby regulating electrolytes.

The action of aldosterone is associated with metabolic processes, especially the regulation of water and electrolytes, which is of fundamental importance for the cardiovascular system. This hormone affects the kidneys' ability to reabsorb sodium from urine, which in turn leads to an increase in body fluid volume, as well as to raising blood pressure. Aldosterone also plays a role in regulating potassium levels, which is essential for proper muscle function, including the heart, as well as for maintaining electrochemical cell stability throughout the body.
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Aldosterone – deficiency

As a general rule, aldosterone deficiency can lead to problems with the hormonal and electrolyte system of the body in some people. The most commonly noted causes of aldosterone deficiency are:

  • damage to the adrenal cortex;
  • adrenal insufficiency, including Addison's disease;
  • congenital hyperaldosteronism;
  • prolonged use of certain drugs, such as ACE inhibitors or angiotensin receptor antagonists;
  • genetic predisposition to aldosterone production disorders;
  • autoimmune diseases attacking the adrenal glands;
  • hyponatremia, or too low sodium levels in the blood;
  • hyperkalemia, or high potassium levels in the blood.

A persistent aldosterone deficiency in the body sometimes results in very serious health consequences. The most commonly noted effects of aldosterone deficiency are:

  • hypotension, or too low blood pressure;
  • fatigue and muscle weakness;
  • dehydration of the body;
  • increased risk of cardiovascular disorders;
  • electrolyte disorders, especially hyperkalemia and hyponatremia;
  • metabolic disorders, such as metabolic acidosis;
  • arrhythmias.
Aldosterone deficiency, hyponatremia, hyperkalemia, hypotension

Aldosterone – excess

Excess aldosterone, also known as hyperaldosteronism, can lead to serious health complications related to the hormonal system and blood pressure in some people. The most commonly noted causes of excess aldosterone include:

  • primary hyperaldosteronism, also known as Conn's syndrome;
  • secondary hyperaldosteronism;
  • adrenal cortex tumors;
  • genetic predispositions to overproduction of aldosterone;
  • prolonged use of certain medications, including hypertension drugs;
  • electrolyte disturbances, especially low levels of potassium in the body.

Maintaining a high level of aldosterone in the body is also not advisable and can lead to the following health effects:

  • hypertension, which may be difficult to control with traditional treatment methods;
  • hypokalemia, or low levels of potassium in the blood;
  • increased risk of cardiovascular diseases, such as heart attack or stroke;
  • edema caused by the retention of water and sodium in the body;
  • frequent urination and thirst;
  • metabolic disorders.
Excess aldosterone, hyperaldosteronism, Conn's syndrome, hypokalemia

Aldosteron – sleep comfort

The health and rehabilitation psychologist working with us, Mateusz Nesterok, M.Sc., also emphasizes that aldosterone has a significant impact on the electrolyte balance and blood pressure. An improper level of aldosterone can contribute to blood pressure disorders, leading to hyperaldosteronism or hypotension, depending on whether there is an excess or deficiency of the hormone. Both excess and deficiency of aldosterone can affect the health status of the heart, including the risk of developing cardiovascular diseases and the overall water-electrolyte state of the body, which can have far-reaching consequences for health and well-being.

As scientific research results show, an appropriate level of aldosterone is key to maintaining cardiovascular health, including preventing disorders such as hypertension or heart failure. Regulation of blood pressure and electrolyte balance, especially sodium and potassium, is essential for optimal functioning of the cardiovascular system.

Maintaining an optimal level of aldosterone in the blood is possible thanks to a healthy lifestyle, including a balanced diet rich in potassium and low in salt. This is also contributed to by engaging in regular physical activity, which has other benefits related to maintaining cardiovascular system health for many years.

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We also encourage you to explore other articles on the best sleep and health blog, as well as the Encyclopedia of Healthy Sleep prepared by the ONSEN® team of specialists. For those who care about spine health, we recommend a set of spine exercises prepared by our physiotherapist.

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FAQ: Aldosterone

What is aldosterone responsible for?

Aldosterone is a steroid hormone produced by the adrenal cortex. It is primarily responsible for regulating the body's water-electrolyte balance, which includes maintaining the proper concentration of sodium and potassium in the blood and regulating its blood pressure. Aldosterone acts by increasing the reabsorption of sodium and water and the excretion of potassium through the kidneys.

What are the effects of aldosterone deficiency or low levels?

Aldosterone deficiency can lead to many health problems, including hypotension and hyperkalemia, which affect heart function. Moreover, a low level of aldosterone causes hyponatremia, meaning an increased amount of sodium in the blood. Individuals with aldosterone deficiency often feel weak, tired, and have a tendency to dehydrate.

What are the effects of excess or high levels of aldosterone?

Excess aldosterone, known as hyperaldosteronism, can result in hypertension and hypokalemia. This leads to muscle weakness and heart arrhythmias, as well as an increased risk of heart and vascular diseases. It can also cause edema due to the accumulation of excessive amounts of fluid in the body.

How to increase aldosterone secretion?

Aldosterone secretion can be increased by reducing sodium intake in the diet, which effectively stimulates the body to produce more aldosterone to retain it. It's also beneficial to increase physical activity or go to the sauna to lose sodium through sweating, which also boosts aldosterone production.

How to decrease aldosterone secretion?

Reducing aldosterone secretion can be achieved by increasing sodium intake in the diet and using aldosterone receptor-blocking medications, such as spironolactone. It's also important to treat the underlying conditions that lead to increased aldosterone secretion, such as primary hyperaldosteronism (Conn's syndrome).

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