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  • Dietary sodium loading in normotensive healthy volunteers does not increase arterial vascular reactivity or blood pressure

    Author(s)
    Todd, Alwyn
    Macginley, Robert
    Schollum, John
    Williams, Sheila
    Sutherland, Wayne
    Mann, Jim
    Walker, Robert
    Griffith University Author(s)
    Todd, Alwyn S.
    Year published
    2012
    Metadata
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    Abstract
    Background: Studies of dietary sodium on vascular function and blood pressure in normotensive volunteers have shown conflicting results. There are very limited data available on the effect of chronic sodium loading from a low-sodium diet to a high-sodium diet on vascular function and blood pressure in normotensive volunteers. Objective: To assess the effect of modifying dietary sodium intake on arterial function and surrogate markers of arterial remodelling in normal healthy volunteers. Design: Twenty-three normotensive volunteers met the inclusion criteria. After a 2 week run-in with a low-sodium diet (60 mmol/day), the ...
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    Background: Studies of dietary sodium on vascular function and blood pressure in normotensive volunteers have shown conflicting results. There are very limited data available on the effect of chronic sodium loading from a low-sodium diet to a high-sodium diet on vascular function and blood pressure in normotensive volunteers. Objective: To assess the effect of modifying dietary sodium intake on arterial function and surrogate markers of arterial remodelling in normal healthy volunteers. Design: Twenty-three normotensive volunteers met the inclusion criteria. After a 2 week run-in with a low-sodium diet (60 mmol/day), the participants maintained their low-sodium diets and were randomly assigned to receive sequentially one of three interventions for 4 weeks, with a 2 week washout between interventions: sodium-free tomato juice (A), tomato juice containing 90 mmol Na (B) and tomato juice containing 140 mmol Na (C). The outcomes measured were changes in pulse wave velocity (PWV), systolic blood pressure and diastolic blood pressure. Results: There was no difference in PWV between interventions (B-A 0.00 m/s, 95% CI: -0.30, 0.31 m/s; C-A 0.01 m/s, 95% CI: -0.38, 0.40 m/s). There was also no change in pulse wave analysis, systolic or diastolic blood pressure between interventions. There was an appropriate increase in urinary sodium excretion in the added sodium interventions. Conclusion: Dietary salt loading did not produce significant increases in PWV and blood pressure in normotensive subjects with systolic blood pressure <130 mmHg. The lack of an observed effect supports Guyton's pressure- natriuresis hypothesis with appropriate renal excretion of the excess sodium load.
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    Journal Title
    Nephrology
    Volume
    17
    Issue
    3
    DOI
    https://doi.org/10.1111/j.1440-1797.2011.01550.x
    Subject
    Clinical and Sports Nutrition
    Nutritional Physiology
    Clinical Sciences
    Publication URI
    http://hdl.handle.net/10072/49834
    Collection
    • Journal articles

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