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Hypertension: salt restriction, sodium homeostasis, and other ions.

Indian journal of medical sciences
March 1, 2011
Neeru Gupta et al. (3 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers explored whether Calcium supplementation could serve as an alternative to Sodium withdrawal in hypertensive subjects.

Results Summary

The abstract suggests Calcium supplementation may be a viable alternative to Sodium restriction in hypertensive individuals, though further studies are needed to confirm safety and side effects. No specific outcomes or data on Calcium's efficacy are provided.

Population

Hypertensive subjects, particularly those sensitive to salt.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (11)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Na⁺ withdrawal
decrease
blood pressure
-
-
utilized in lowering
#1
moderate or severe dietary salt restriction
increase
hyponatremia
subjects in certain conditions (e.g., during exercise, intake of drugs and in disorders causing SIADH, diuretics, diarrhea) coupled with anorexia nervosa
-
can get precipitated
#2
severe Na⁺ depletion
increase
hyponatremia
-
-
caused
#3
moderate Na⁺ depletion
decrease
hypohydration (or less total body water)
-
-
can cause
#4
moderate Na⁺ depletion
decrease
lower urinary volume (U v )
-
-
can cause
#5
dietary Na⁺ intake
neutral
salt sensitivity
various populations
-
leading to different responses
#6
Na⁺ withdrawal
increase
diabetes
salt sensitive subjects
-
worsens
#7
Na⁺ withdrawal
decrease
hypertension
salt sensitive subjects
-
gets better
#8
salt loading
neutral
diabetes and hypertension
salt sensitive subjects
-
reverse occurs
#9
Potassium (K⁺) supplementation
neutral
-
hypertensive subjects
-
could be other alternatives to Na⁺ withdrawal
#10
Calcium (Ca⁺²) supplementation
neutral
-
hypertensive subjects
-
could be other alternatives to Na⁺ withdrawal
#11
Abstract

Salt is composed of Sodium Chloride (NaCl) which in body water becomes essential electrolytes, viz., Sodium (Na⁺) and Chloride (Cl⁻) ions, including in the blood and other extracellular fluids (ECF). Na⁺ ions are necessary cations in muscle contractions and their depletion will effect all the muscles in body including smooth muscle contraction of blood vessels, a fact which is utilized in lowering the blood pressure. Na⁺ ions also hold water with them in the ECF. Na⁺ homeostasis in body is maintained by thirst (water intake), kidneys (urinary excretion) and skin (sweating). In Na⁺ withdrawal, body tries to maintain homeostasis as far as possible. However, in certain conditions (e.g., during exercise, intake of drugs and in disorders causing Syndrome of Inappropriate Anti Diuretic Hormone Secretion (SIADH), diuretics, diarrhea) coupled with moderate or severe dietary salt restriction (anorexia nervosa), hyponatremia can get precipitated. Hyponatremia is one end point in the spectrum of disorders caused by severe Na⁺ depletion whereas in moderate depletion it can cause hypohydration (or less total body water) and lower urinary volume (U v ). Moreover, salt sensitivity varies in various populations leading to different responses in relation to dietary Na⁺ intake. Diabetes and Hypertension often co-exist but Na⁺ withdrawal in salt sensitive subjects worsens diabetes though hypertension gets better and reverse occurs in salt loading. Therefore, Na⁺ or salt restriction may be non-physiological. In hypertensive subjects other alternatives to Na⁺ withdrawal could be Potassium (K⁺) and Calcium (Ca⁺²) supplementation. Further studies are required to monitor safety/side effects of salt restriction.

Medical Subject Headings (MeSH)
Blood PressureDiet, Sodium-RestrictedHumansHypertensionSodiumSodium Chloride, Dietary
Study Links
PubMed ID23250294
Quality Scores
SafetyNot Assessed
Efficacy60/10
Quality50/10
Citation Metrics
Total Citations9
Citations/Year0.6
Relative Citation Ratio0.33
NIH Percentile17.5%
Research Impact Scores
APT Score0.25
Weight Score0.97
Normalized Score0.54
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