Metabolic syndrome and blood pressure: the salty connection

Correia, Marcelo

doi:10.1038/sj.jhh.1002184

J Hum Hypertens

2007

DOI: 10.1038/sj.jhh.1002184

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Metabolic syndrome and blood pressure: the salty connection

Marcelo Correia

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Cited by 2 publications

(3 citation statements)

References 27 publications

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“…25 (76%) of them were salt-sensitive. Our study, as well as some other studies, confirms that salt sensitive hypertension is more prevalent among metabolic syndrome patients [15].…”

supporting

confidence: 91%

“…Like some other authors [15], we can assume that during sodium restriction the normal circadian pattern of blood pressure was partially restored, suggesting that the non-dipping phenomenon observed in metabolic syndrome patients is partly caused by increased salt sensitivity of blood pressure.…”

supporting

confidence: 83%

“…Recently, sodium sensitivity was shown to be a cardiovascular risk factor independently of other classic factors [1]. Salt sensitivity of blood pressure, like hypertension, is more prevalent among metabolic syndrome patients [15].…”

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confidence: 99%

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Circadian Rhythm of Blood Pressure and Urinary Sodium Excretion in Patients With Metabolic Syndrome

ANDRONIKASHVILI,

SIMONIA,

LABARTKAVA

et al. 2023

jecm

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Salt-sensitive hypertension is known as most severe, treatment resistance course, with high incidence of fatal complications. This type of hypertension is more prevalent among syndrome (MS) patients. Inverted circadian rhythm so called "non-dipper" pattern carries a significant risk of cardiovascular morbidity and mortality. The aim of the study was to determine the relationship between the circadian rhythm of blood pressure, salt-sensitive hypertension and MS. We investigated 92 ethnically Georgian middle-aged patients of stage I essential hypertension (JNC VIII). Anthropometry, blood pressure monitoring, and 24 hr urinary sodium excretion were performed. All subjects were tested for salt-sensitivity. Blood pressure circadian rhythm was assessed by 24 hr ambulatory blood pressure monitoring with 1-hour intervals. Circadian rhythm of renal sodium excretion was assessed by comparison of daytime and nocturnal natriuresis and calculating their ratio. MS was classified as recommended by the International Diabetes Federation -IDF9. Our results have shown that virtually all hypertensive patients of Georgian ethnicity consumed very high amount of sodium chloride. The study revealed high incidence of salt-sensitive hypertension among patients with metabolic syndrome. High salt intake attenuated the circadian rhythm of blood pressure in SS patients; salt-sensitive hypertension is associate with non-dipping pattern of BP and is more common MS. Based on our research we assume that sodium restriction can partially re-establish the normal circadian pattern of blood pressure. Reduction in sodium intake could be an especially important component in reducing blood pressure in patients with risk factors for metabolic syndrome.

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“…25 (76%) of them were salt-sensitive. Our study, as well as some other studies, confirms that salt sensitive hypertension is more prevalent among metabolic syndrome patients [15].…”

supporting

confidence: 91%

supporting

confidence: 83%

See 1 more Smart Citation

Circadian Rhythm of Blood Pressure and Urinary Sodium Excretion in Patients With Metabolic Syndrome

ANDRONIKASHVILI,

SIMONIA,

LABARTKAVA

et al. 2023

jecm

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Nonalcoholic fatty liver disease, adiponectin and insulin resistance in dipper and nondipper essential hypertensive patients

Fallo¹,

Pozza²,

Sonino³

et al. 2008

Journal of Hypertension

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Metabolic syndrome and blood pressure: the salty connection

Cited by 2 publications

References 27 publications

Circadian Rhythm of Blood Pressure and Urinary Sodium Excretion in Patients With Metabolic Syndrome

Circadian Rhythm of Blood Pressure and Urinary Sodium Excretion in Patients With Metabolic Syndrome

Nonalcoholic fatty liver disease, adiponectin and insulin resistance in dipper and nondipper essential hypertensive patients

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