The unique response of renin and aldosterone to dietary sodium intervention in sodium sensitivity

Introduction: Sodium sensitivity (SS) is a phenomenon in which significant changes in blood pressure (BP) are observed based on sodium intake. The renin–angiotensin–aldosterone system plays a critical role in sodium handling and hypertension. We identified the specific responses of renin and aldoste...

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Main Authors: Sung Joon Shin, ChiYeon Lim, Sang Woo Oh, Moo-Yong Rhee
Format: Article
Language:English
Published: SAGE Publications 2014-06-01
Series:Journal of the Renin-Angiotensin-Aldosterone System
Online Access:https://doi.org/10.1177/1470320314526437
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author Sung Joon Shin
ChiYeon Lim
Sang Woo Oh
Moo-Yong Rhee
author_facet Sung Joon Shin
ChiYeon Lim
Sang Woo Oh
Moo-Yong Rhee
author_sort Sung Joon Shin
collection DOAJ
description Introduction: Sodium sensitivity (SS) is a phenomenon in which significant changes in blood pressure (BP) are observed based on sodium intake. The renin–angiotensin–aldosterone system plays a critical role in sodium handling and hypertension. We identified the specific responses of renin and aldosterone based on dietary sodium intake and revealed the relationship between these hormonal changes and dietary sodium intake in patients with SS. Materials and methods: In total, 61 subjects were available to analyze full data including plasma renin activity (PRA) and aldosterone. Participants were given a low-sodium DASH diet (LSD) for 7 days and a high-sodium DASH diet (HSD) for the following 7 days. Results: SS was found in five (14.71%) in normotensives, and 14 (51.85%) in hypertensives. In sodium-resistant (SR) subjects, both PRA and aldosterone decreased significantly after consuming HSD. Moreover, a significant correlation was observed between PRA and aldosterone in SR subjects. In contrast, only hypertensive subjects showed a marked fall in PRA after consuming HSD (1.299 ± 0.904 vs. 0.593 ± 0.479) among SS subjects. Conclusions: This study demonstrated the different responses of renin and aldosterone in SS and SR subjects based on dietary sodium intake whether or not they had hypertension.
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spelling doaj.art-78763a9e79ee45d7871497a9af4d6e362024-03-02T10:10:44ZengSAGE PublicationsJournal of the Renin-Angiotensin-Aldosterone System1470-32031752-89762014-06-011510.1177/1470320314526437The unique response of renin and aldosterone to dietary sodium intervention in sodium sensitivitySung Joon Shin0ChiYeon Lim1Sang Woo Oh2Moo-Yong Rhee3Department of Internal Medicine, Dongguk University Ilsan Hospital, Dongguk University-Seoul, Republic of KoreaDepartment of Medicine, Graduate School, Dongguk University Ilsan Hospital, Dongguk University-Seoul, Republic of KoreaCenter for Obesity, Nutrition, and Metabolism, Department of Family Medicine, Dongguk University Ilsan Hospital, Republic of KoreaCardiovascular Center, Dongguk University Ilsan Hospital, Dongguk University-Seoul, Republic of KoreaIntroduction: Sodium sensitivity (SS) is a phenomenon in which significant changes in blood pressure (BP) are observed based on sodium intake. The renin–angiotensin–aldosterone system plays a critical role in sodium handling and hypertension. We identified the specific responses of renin and aldosterone based on dietary sodium intake and revealed the relationship between these hormonal changes and dietary sodium intake in patients with SS. Materials and methods: In total, 61 subjects were available to analyze full data including plasma renin activity (PRA) and aldosterone. Participants were given a low-sodium DASH diet (LSD) for 7 days and a high-sodium DASH diet (HSD) for the following 7 days. Results: SS was found in five (14.71%) in normotensives, and 14 (51.85%) in hypertensives. In sodium-resistant (SR) subjects, both PRA and aldosterone decreased significantly after consuming HSD. Moreover, a significant correlation was observed between PRA and aldosterone in SR subjects. In contrast, only hypertensive subjects showed a marked fall in PRA after consuming HSD (1.299 ± 0.904 vs. 0.593 ± 0.479) among SS subjects. Conclusions: This study demonstrated the different responses of renin and aldosterone in SS and SR subjects based on dietary sodium intake whether or not they had hypertension.https://doi.org/10.1177/1470320314526437
spellingShingle Sung Joon Shin
ChiYeon Lim
Sang Woo Oh
Moo-Yong Rhee
The unique response of renin and aldosterone to dietary sodium intervention in sodium sensitivity
Journal of the Renin-Angiotensin-Aldosterone System
title The unique response of renin and aldosterone to dietary sodium intervention in sodium sensitivity
title_full The unique response of renin and aldosterone to dietary sodium intervention in sodium sensitivity
title_fullStr The unique response of renin and aldosterone to dietary sodium intervention in sodium sensitivity
title_full_unstemmed The unique response of renin and aldosterone to dietary sodium intervention in sodium sensitivity
title_short The unique response of renin and aldosterone to dietary sodium intervention in sodium sensitivity
title_sort unique response of renin and aldosterone to dietary sodium intervention in sodium sensitivity
url https://doi.org/10.1177/1470320314526437
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