The aim of this study was to test the association of peroxisome proliferator-activated receptor (PPAR-c2) (Pro12Ala, C1431T) and b3-AR (Trp64Arg) polymorphisms with metabolic, nutritional, and blood pressure parameters in 271 postmenopausal women (151 hypertensive and 120 normotensive controls). The TaqMan genotyping assay and restriction fragment length polymorphism methods were used to determine the distributions of selected alleles and genotype frequencies. Nutritional status was determined by a bioimpedance method and dietary habits were assessed via 7-day dietary recall. The distribution of selected genotypes and allele frequencies did not differ between hypertensive women and normal controls after analysis by chi-square test. The postmenopausal hypertensive women were older and had higher body fat mass, serum glucose, and triglyceride levels. The cluster analysis showed that the hypertensive group with Pro12Pro genotype had highest pulse pressure and mean arterial pressure values when compared with Pro12Ala patients. In the logistic regression analysis, blood glucose (Pro12Ala polymorphism) and energy intake (C1431Tand T1431T polymorphisms) determined hypertension. J Clin Hypertens (Greenwich). 2015;17:549-556. ª 2015 Wiley Periodicals, Inc.Increased body weight, insulin resistance (IR), hyperglycemia, abnormal blood lipid profiles, oxidative stress, and hypertension (HTN) contribute to cardiovascular diseases.1-4 With aging, a greater incidence of HTN and cardiovascular complications is widely observed in postmenopausal women compared with premenopausal women. 5,6 The hypertensive state is often associated with dyslipidemia, 7 obesity (nearly 40% of hypertensive patients are obese), 8 and IR. 9 Moreover, blood pressure (BP) in women presents specific hemodynamic characteristics, and, in the postmenopausal age, the role of pulse pressure (PP) predominates over that of mean arterial pressure (MAP) in the mechanism of high BP. The stiffness of the large elastic arteries in cardiothoracic (central) circulation increases with age 10 and it results in progressive age-associated elevations in SBP and PP. These changes accelerate after the age of 50 and are much greater in women than in men. 5,6 Studies have shown that PPAR-c2 polymorphisms (Pro12Ala, C14131T) and b-adrenergic receptor gene polymorphisms (b3-AR Trp64Arg) may have an important impact on adipose tissue, 11 metabolic parameters, 12,13 and inflammation in the vasculature, and through their influence determine high BP.14,15 Some data have indicated that Pro12Pro normoglycemic homozygotes had significantly higher incidence of HTN 16 and higher diastolic BP (DBP) 17 when compared with Ala12 carriers. However, the association between the Pro12Ala variants and arterial BP remains controversial and most other studies could not demonstrate such an association, 18,19 while some even indicated that Ala12 carriers had higher BP. 20 Besides this, the polymorphisms have been mostly studied separately (not in constellation) in patients with diabetes mellitus or o...