Multimedialna platforma wiedzy medycznej Internetowa Księgarnia Medyczna Kalendarium Konferencji
Arterial Hypertension
MENU
Shortcuts Submit an article Author Guidelines Ahead Of Print Reviewers 2023

open access

Vol 20, No 4 (2016)
Original paper
Published online: 2016-12-29
View PDF Download PDF file View HTML
Get Citation

The influence of varying dietary sodium content on circadian blood pressure profile in patients with salt-sensitive hypertension

Marta Sołtysiak, Krystyna Widecka, Tomasz Miazgowski, Anna Brzeska, Joanna Ziemak
DOI: 10.5603/AH.2016.0024
·
Arterial Hypertension 2016;20(4):211-215.

open access

Vol 20, No 4 (2016)
ORIGINAL PAPERS
Published online: 2016-12-29

Abstract

The pathogenesis of essential hypertension is not fully understood. Literature indicates the complexity of blood pressure regulating mechanisms with a high impact of genetics and environmental factors. Previous experimental studies have shown the importance of salt intake in the development of hypertension. The aim of the study was to explore the influence of varying dietary sodium content on circadian blood pressure profile in patients with salt-sensitive hypertension. The study was carried out among 69 salt-sensitive hypertensive patients (19 females i 50 males) mean aged 36.1 ± 8.0 years. Study protocol provided low sodium diet firstly then high sodium diet containing 10–20 mmol and 220–240 mmol of sodium per day respectively. On each of the diet ABPM was performed. Our results suggest that in salt-sensitive patients the reduction of salt intake may decrease blood pressure and restore its circadian profile and thus lead to the reduction in the rate of complications of hypertension.

Abstract

The pathogenesis of essential hypertension is not fully understood. Literature indicates the complexity of blood pressure regulating mechanisms with a high impact of genetics and environmental factors. Previous experimental studies have shown the importance of salt intake in the development of hypertension. The aim of the study was to explore the influence of varying dietary sodium content on circadian blood pressure profile in patients with salt-sensitive hypertension. The study was carried out among 69 salt-sensitive hypertensive patients (19 females i 50 males) mean aged 36.1 ± 8.0 years. Study protocol provided low sodium diet firstly then high sodium diet containing 10–20 mmol and 220–240 mmol of sodium per day respectively. On each of the diet ABPM was performed. Our results suggest that in salt-sensitive patients the reduction of salt intake may decrease blood pressure and restore its circadian profile and thus lead to the reduction in the rate of complications of hypertension.

Full Text:

View PDF Download PDF file View HTML
Get Citation

Keywords

arterial hypertension, sodium sensitivity, blood pressure profile, sodium intake

About this article
Title

The influence of varying dietary sodium content on circadian blood pressure profile in patients with salt-sensitive hypertension

Journal

Arterial Hypertension

Issue

Vol 20, No 4 (2016)

Article type

Original paper

Pages

211-215

Published online

2016-12-29

Page views

852

Article views/downloads

1394

DOI

10.5603/AH.2016.0024

Bibliographic record

Arterial Hypertension 2016;20(4):211-215.

Keywords

arterial hypertension
sodium sensitivity
blood pressure profile
sodium intake

Authors

Marta Sołtysiak
Krystyna Widecka
Tomasz Miazgowski
Anna Brzeska
Joanna Ziemak

References (47)
  1. Sullivan JM, Ratts TE, Taylor JC, et al. Hemodynamic effects of dietary sodium in man: a preliminary report. Hypertension. 1980; 2(4): 506–514.
    PubMed
  2. Weinberger MH, Miller JZ, Luft FC, et al. Definitions and characteristics of sodium sensitivity and blood pressure resistance. Hypertension. 1986; 8(6 Pt 2): II127–II134.
    PubMed
  3. Sullivan JM, Ratts TE. Sodium sensitivity in human subjects. Hemodynamic and hormonal correlates. Hypertension. 1988; 11(6 Pt 2): 717–723.
    PubMed
  4. Sullivan JM. Salt sensitivity. Definition, conception, methodology, and long-term issues. Hypertension. 1991; 17(1 Suppl): I61–I68.
    PubMed
  5. Luft FC, Miller JZ, Grim CE, et al. Salt sensitivity and resistance of blood pressure. Age and race as factors in physiological responses. Hypertension. 1991; 17(1 Suppl): I102–I108.
    PubMed
  6. Tuck ML. Role of salt in the control of blood pressure in obesity and diabetes mellitus. Hypertension. 1991; 17(1 Suppl): I135–I142.
    PubMed
  7. Weidmann P, Ferrari P. Central role of sodium in hypertension in diabetic subjects. Diabetes Care. 1991; 14(3): 220–232.
    PubMed
  8. Dyer A, Stamler R, Elliott P, et al. Dietary salt and blood pressure. Nature Medicine. 1995; 1(10): 994–996.
    CrossRef
  9. Harmsen E, Leenen FH. Dietary sodium induced cardiac hypertrophy. Can J Physiol Pharmacol. 1992; 70(4): 580–586.
    PubMed
  10. Heimann JC, Drumond S, Alves AT, et al. Left ventricular hypertrophy is more marked in salt-sensitive than in salt-resistant hypertensive patients. J Cardiovasc Pharmacol. 1991; 17 Suppl 2: S122–S124.
    PubMed
  11. Julius S. Corcoran Lecture. Sympathetic hyperactivity and coronary risk in hypertension. Hypertension. 1993; 21(6 Pt 2): 886–893.
    PubMed
  12. Lind L, Lithell H, Gustafsson IB, et al. Metabolic cardiovascular risk factors and sodium sensitivity in hypertensive subjects. Am J Hypertens. 1992; 5(8): 502–505.
    PubMed
  13. Uzu T, Kazembe FS, Ishikawa K, et al. High sodium sensitivity implicates nocturnal hypertension in essential hypertension. Hypertension. 1996; 28(1): 139–142.
    PubMed
  14. Chobanian AV, Bakris GL, Black HR, et al. National Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure, National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA. 2003; 289(19): 2560–2572.
    CrossRefPubMed
  15. Zanchetti A, Rywik S, Sznajd J, et al. Arterial hypertension. Report of a WHO expert committee. World Health Organ Tech Rep Ser. 1978; 1(628): 7–56.
    PubMed
  16. Tykarski A, Narkiewicz K, Gaciong Z, et al. Guidelines for the Management of Hypertension. Arterial Hypertension. 2015; 19(2): 53–83.
    CrossRef
  17. Grim CE, Weinberger MH, Higgins JT, et al. Diagnosis of secondary forms of hypertension. A comprehensive protocol. JAMA. 1977; 237(13): 1331–1335.
    PubMed
  18. Tykarski A, Narkiewicz K, Gaciong Z, et al. 2015 Guidelines for management of hypertension (Part 9). Arterial Hypertens. 2015; 19: 101–109.
  19. Bigazzi R, Bianchi S, Baldari G, et al. Microalbuminuria in salt-sensitive patients. A marker for renal and cardiovascular risk factors. Hypertension. 1994; 23(2): 195–199.
    PubMed
  20. Grupa robocza skiego Towarzystwa Nadciśnienia Tętniczego. 24-godzinne automatyczne monitorowanie ciśnienia tętniczego krwi w diagnostyce i terapii nadciśnienia tętniczego — stan obecny i perspektywy. Pol Arch Med Wewn. 1993; 89: 251–254.
  21. Higashi Y, Oshima T, Ozono R, et al. Nocturnal decline in blood pressure is attenuated by NaCl loading in salt-sensitive patients with essential hypertension: noninvasive 24-hour ambulatory blood pressure monitoring. Hypertension. 1997; 30(2 Pt 1): 163–167.
    PubMed
  22. Thijs L, Staessen JA, Celis H, et al. Reference values for ambulatory blood pressure: a meta-analysis. J Hypertens Suppl. 1990; 8(6): S57–S64.
    PubMed
  23. Januszewicz W, Sznajderman M, Szczepańska-Sadowska E. Nadciśnienie tętnicze. PZWL, Warszawa 1993.
  24. Bianchi S, Bigazzi R, Valtriani C, et al. Diurnal variations of blood pressure and microalbuminuria in essential hypertension. Am J Hypertens. 1994; 7(1): 23–29.
    PubMed
  25. Pickering T. Short-term variability of blood pressure, and the effects of physical and mental activity. Ambulatory monitoring and blood pressure variability. Science Press. 1995; 4: 1–5.
  26. Pickering T. Variability of blood pressure. Blood Press Monit. 1998; 3: 141–145.
  27. Redon J, Liao Y, Lozano JV, et al. Ambulatory blood pressure and microalbuminuria in essential hypertension: role of circadian variability. J Hypertens. 1994; 12(8): 947–953.
    PubMed
  28. Mochizuki Y, Okutani M, Donfeng Y, et al. Limited reproducibility of circadian variation in blood pressure dippers and nondippers. Am J Hypertens. 1998; 11(4 Pt 1): 403–409.
    PubMed
  29. Parati G, Pomidossi G, Albini F, et al. Relationship of 24-hour blood pressure mean and variability to severity of target-organ damage in hypertension. J Hypertens. 1987; 5(1): 93–98.
    PubMed
  30. Perloff D, Sokolow M, Cowan R. The prognostic value of ambulatory blood pressure monitoring in treated hypertensive patients. J Hypertens Suppl. 1991; 9(1): S33–S40.
    PubMed
  31. Prognostic significance of blood pressure variability in essential hypertension. Blood Press Monit. 1996; 1(1): 3–11.
    PubMed
  32. Redon J, Campos C, Narciso ML, et al. Prognostic value of ambulatory blood pressure monitoring in refractory hypertension: a prospective study. Hypertension. 1998; 31(2): 712–718.
    PubMed
  33. Zanchetti A. The role of ambulatory blood pressure monitoring in clinical practice. Am J Hypertens. 1997; 10(9 Pt 1): 1069–1080.
    PubMed
  34. Wilson DK, Sica DA, Miller SB. Effects of potassium on blood pressure in salt-sensitive and salt-resistant black adolescents. Hypertension. 1999; 34(2): 181–186.
    PubMed
  35. Calhoun DA, Zhu S, Wyss JM, et al. Diurnal blood pressure variation and dietary salt in spontaneously hypertensive rats. Hypertension. 1994; 24(1): 1–7.
    PubMed
  36. Oshima T, Matsuura H, Matsumoto K, et al. Role of cellular calcium in salt sensitivity of patients with essential hypertension. Hypertension. 1988; 11(6 Pt 2): 703–707.
    PubMed
  37. Verdecchia P, Schillaci G, Boldrini F, et al. Variability between current definitions of 'normal' ambulatory blood pressure. Implications in the assessment of white coat hypertension. Hypertension. 1992; 20(4): 555–562.
    PubMed
  38. Higashi Y, Oshima T, Watanabe M, et al. Renal response to L-arginine in salt-sensitive patients with essential hypertension. Hypertension. 1996; 27(3 Pt 2): 643–648.
    PubMed
  39. Imai Y, Abe K, Munakata M, et al. Cicardian blood pressure variations under different pathophysiological conditions. J Hypertens. 1990; 8(Suppl. 7): S125–132.
  40. Littler WA, Watson RD, Stallard TJ. Cicardian variation of blood pressure. Lancet. 1978; 1: 995–996.
  41. Campese V, Romoff M, Levitan D, et al. Abnormal relationship between sodium intake and sympathetic nervous system activity in salt-sensitive patients with essential hypertension. Kidney International. 1982; 21(2): 371–378.
    CrossRef
  42. Gill JR, Güllner G, Lake CR, et al. Plasma and urinary catecholamines in salt-sensitive idiopathic hypertension. Hypertension. 1988; 11(4): 312–319.
    PubMed
  43. de la Sierra A, Lluch MM, Coca A, et al. Fluid, ionic and hormonal changes induced by high salt intake in salt-sensitive and salt-resistant hypertensive patients. Clin Sci (Lond). 1996; 91(2): 155–161.
    PubMed
  44. Esler M, Jennings G, Korner P, et al. Assessment of human sympathetic nervous system activity from measurements of norepinephrine turnover. Hypertension. 1988; 11(1): 3–20.
    PubMed
  45. Furlan R, Guzzetti S, Crivellaro W, et al. Continuous 24-hour assessment of the neural regulation of systemic arterial pressure and RR variabilities in ambulant subjects. Circulation. 1990; 81(2): 537–547.
    PubMed
  46. Tanaka T, Natsume T, Shibata H, et al. Circadian rhythm of blood pressure in primary aldosteronism and renovascular hypertension--analysis by the cosinor method. Jpn Circ J. 1983; 47(7): 788–794.
    PubMed
  47. Brandenberger G, Follenius M, Simon C, et al. Nocturnal oscillations in plasma renin activity and REM-NREM sleep cycles in humans: a common regulatory mechanism? Sleep. 1988; 11(3): 242–250.
    PubMed

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., Grupa Via Medica, ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl