2011
DOI: 10.1111/j.1751-7176.2011.00523.x
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Determinants of Blood Pressure Response to Low‐Salt Intake in a Healthy Adult Population

Abstract: Although the beneficial effects of lowering salt intake in hypertensives are widely appreciated, the impact of promoting dietary salt restriction for BP reduction at the population level remains controversial. We used 24-hr ambulatory blood pressure monitoring to characterize the determinants of systolic blood pressure (SBP) response to low salt intake in a large, relatively healthy Amish population. Subjects received a high and low sodium diet for 6 days each, separated by a 6–14 day washout period. Variance … Show more

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Cited by 22 publications
(27 citation statements)
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“…It is recognized that a high sodium diet is deleterious and a low sodium diet has been advocated as part of a healthy life style and treatment of hypertension (2, 12). However, low sodium diet can actually increase blood pressure, i.e., inverse salt sensitivity (1315), with other adverse consequences (1618). The mechanisms leading to such adverse consequences and their relationship to “salt-resistant” and “salt-sensitive” genes are not known.…”
Section: Introductionmentioning
confidence: 99%
“…It is recognized that a high sodium diet is deleterious and a low sodium diet has been advocated as part of a healthy life style and treatment of hypertension (2, 12). However, low sodium diet can actually increase blood pressure, i.e., inverse salt sensitivity (1315), with other adverse consequences (1618). The mechanisms leading to such adverse consequences and their relationship to “salt-resistant” and “salt-sensitive” genes are not known.…”
Section: Introductionmentioning
confidence: 99%
“…The compliance data have been reported in detail previously [17]. In brief, while not a direct measure of carotenoid intake, the excreted sodium, potassium, and creatinine levels reflecting the varying salt content in the different diets suggest that compliance with the controlled diet in this study was excellent.…”
Section: Methodsmentioning
confidence: 54%
“…Among individuals of similar age and BP level, the pressor response to high sodium intakes varies greatly. Reduction in sodium intake may be particularly effective in lowering BP in individuals who are older, obese, African-Americans, possibly in females, and who have CKD, higher SBPs or a greater SBP response to the cold pressor test [88,94]. Sodium chloride sensitivity can be diagnosed by a reduction in BP associated with low sodium chloride intake and/or an increase in BP with sodium chloride loading.…”
Section: Sodium Chloridementioning
confidence: 99%