Nuevo Usuario

Recordar Contraseña

Nutrición Hospitalaria 04622 / http://dx.doi.org/10.20960/nh.04622

Resumen| PDF (ENGLISH)

Trabajo Original

Effect of low-sodium salt applied to Chinese modified DASH diet on arterial stiffness in older patients with hypertension and type 2 diabetes

Yujia Zou, Jie Tang, Fan Zhang, Dan Chen, Lisha Mu, Huini Xu, Pingping Yu, Yanni Ren, Ying Mei, Lihong Mu

Prepublicado: 2023-07-31

Publicado: 2023-09-28

VOLUMEN 40, NÚM. 5, septiembre-octubre (2023), PAG. 967-974

Logo Descargas Número de descargas: 11385 Logo Visitas Número de visitas: 4734 Citas Citas: 3

Compártelo:

Background and purpose: the Dietary Approaches to Stop Hypertension (DASH) diet has multifunctional health benefits. We evaluated the effects of low-sodium salt applied to Chinese modified DASH diet on arterial stiffness in older patients with hypertension and type 2 diabetes. Methods: sixty-one older adults with hypertension and type 2 diabetes were randomly allocated to low sodium salt group (n = 31) or normal sodium salt group (n = 30). They were given the Chinese modified DASH diet plus low-sodium salt (52 % sodium chloride) or same diet plus regular salt (99 % sodium chloride) for eight weeks, respectively. Brachial and ankle pulse wave conduction velocity, ankle brachial index and atherosclerosis-related indices were measured at baseline and week 8. In addition, 24-hour urine and blood samples were measured at baseline, the 4th week and the end of the intervention. Results: as compared with the baseline, the low sodium salt group significantly decreased in ankle brachial index (-0.09 ± 0.11, p < 0.001) and brachial and ankle pulse wave conduction velocity (-133.07 ± 265.99 cm/s, p = 0.010) at week 8 while the normal sodium salt group only decreased significantly in ankle brachial index (-0.06 ± 0.12, p = 0.010) at week 8. Conclusion: the low-sodium salt applied to Chinese modified DASH diet may improve arterial stiffness in patients with hypertension and type 2 diabetes. Further research with an extended follow-up is needed.

Palabras Clave: Hypertension complicated with type 2 diabetes. Low sodium salt. DASH diet. Arterial stiffness. Atherosclerosis related indices.

Descargar PDF (ENGLISH)

Cedeño Mero, Devis Geovanny, Rueda Sandoval, Giselle Verónica, Moya Jiménez, Evelin Lizbeth (2024) Programas de intervención para reducción de factores de riesgos de enfermedades cardiovasculares en adultos mayores: una revisión sistemática. Anatomía Digital

Gallardo Segovia, Luis Fernando, Narváez Jaramillo , Melba Esperanza , Guerrón Enríquez, Sara Ximena (2024) Factors associated with hypertension management and its complications in older adults in Ecuador. Salud, Ciencia y Tecnología

Cui, Xinhai, Wei, Wendi, Hu, Yuanlong, Zhang, Zhiyuan, Lu, Mengkai, Li, Yunlun, Wu, Jibiao, Li, Chao (2024) Dietary inflammation and vascular calcification: a comprehensive review of the associations, underlying mechanisms, and prevention strategies. Critical Reviews in Food Science and Nutrition

[1] Mitchell GF, Powell JT. Arteriosclerosis: A Primer for "In Focus" Reviews on Arterial Stiffness. Arterioscler Thromb Vasc Biol. 2020 May;40(5):1025-1027.
DOI: 10.1161/ATVBAHA.120.314208

[2] Bauersachs R, Zeymer U, Brière JB, Marre C, Bowrin K, Huelsebeck M. Burden of Coronary Artery Disease and Peripheral Artery Disease: A Literature Review. Cardiovasc Ther. 2019 Nov 26;2019:8295054.
DOI: 10.1155/2019/8295054

[3] Weisbrod RM, Shiang T, Al Sayah L, Fry JL, Bajpai S, Reinhart-King CA et al. Arterial stiffening precedes systolic hypertension in diet-induced obesity. Hypertension. 2013 Dec;62(6):1105-10.
DOI: 10.1161/HYPERTENSIONAHA.113.01744

[4] Poznyak A, Grechko AV, Poggio P, Myasoedova VA, Alfieri V, Orekhov AN. The Diabetes Mellitus-Atherosclerosis Connection: The Role of Lipid and Glucose Metabolism and Chronic Inflammation. Int J Mol Sci. 2020 Mar 6;21(5):1835.
DOI: 10.3390/ijms21051835

[5] Lechner K, von Schacky C, McKenzie AL, Worm N, Nixdorff U, Lechner B et al. Lifestyle factors and high-risk atherosclerosis: Pathways and mechanisms beyond traditional risk factors. Eur J Prev Cardiol. 2020 Mar;27(4):394-406.
DOI: 10.1177/2047487319869400

[6] Juraschek SP, Miller ER 3rd, Weaver CM, Appel LJ. Effects of Sodium Reduction and the DASH Diet in Relation to Baseline Blood Pressure. J Am Coll Cardiol. 2017 Dec 12;70(23):2841-2848.
DOI: 10.1016/j.jacc.2017.10.011

[7] 2018 Chinese guidelines for the management of hypertension [J]. Chinese Journal of Cardiovascular Medicine, 2019,24(01):24-56.

[8] 2017 Chinese Guidelines for the Prevention and Treatment of Type Ⅱ Diabetes [J]. Chinese Journal of Diabetes, 2018,10(01):4-67.

[9] Munakata M. Brachial-ankle pulse wave velocity in the measurement of arterial stiffness: recent evidence and clinical applications. Curr Hypertens Rev. 2014;10(1):49-57.
DOI: 10.2174/157340211001141111160957

[10] McClary KN, Massey P. Ankle Brachial Index. 2021 May 15. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan–. PMID: 31334946.

[11] Wu S, Jin C, Li S, Zheng X, Zhang X, Cui L et al. Aging, Arterial Stiffness, and Blood Pressure Association in Chinese Adults. Hypertension. 2019 Apr;73(4):893-899.
DOI: 10.1161/HYPERTENSIONAHA.118.12396

[12] Patel Y, Joseph J. Sodium Intake and Heart Failure. Int J Mol Sci. 2020 Dec 13;21(24):9474.
DOI: 10.3390/ijms21249474

[13] Zheng M, Zhang X, Chen S, Song Y, Zhao Q, Gao X et al. Arterial Stiffness Preceding Diabetes: A Longitudinal Study. Circ Res. 2020 Dec 4;127(12):1491-1498.
DOI: 10.1161/CIRCRESAHA.120.317950

[14] Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Böhm M et al. 2013 ESH/ESC guidelines for the management of arterial hypertension: the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Eur Heart J. 2013 Jul;34(28):2159-219.
DOI: 10.1093/eurheartj/eht151

[15] Neal B, Wu Y, Feng X, Zhang R, Zhang Y, Shi J et al. Effect of Salt Substitution on Cardiovascular Events and Death. N Engl J Med. 2021 Sep 16;385(12):1067-1077.
DOI: 10.1056/NEJMoa2105675

[16] Al-Solaiman Y, Jesri A, Zhao Y, Morrow JD, Egan BM. Low-Sodium DASH reduces oxidative stress and improves vascular function in salt-sensitive humans. J Hum Hypertens. 2009 Dec;23(12):826-35.
DOI: 10.1038/jhh.2009.32

[17] Jung S, Kim MK, Shin J, Choi BY, Lee YH, Shin DH et al. High sodium intake and sodium to potassium ratio may be linked to subsequent increase in vascular damage in adults aged 40 years and older: the Korean multi-rural communities cohort (MRCohort). Eur J Nutr. 2019 Jun;58(4):1659-1671.
DOI: 10.1007/s00394-018-1712-3

[18] Zieman SJ, Melenovsky V, Kass DA. Mechanisms, pathophysiology, and therapy of arterial stiffness. Arterioscler Thromb Vasc Biol. 2005 May;25(5):932-43.
DOI: 10.1161/01.ATV.0000160548.78317.29

[19] Edwards DG, Farquhar WB. Vascular effects of dietary salt. Curr Opin Nephrol Hypertens. 2015 Jan;24(1):8-13.
DOI: 10.1097/MNH.0000000000000089

[20] Young DB, Lin H, McCabe RD. Potassium's cardiovascular protective mechanisms. Am J Physiol. 1995 Apr;268(4 Pt 2):R825-37.
DOI: 10.1152/ajpregu.1995.268.4.R825

[21] Yuan S, Bruzelius M, Damrauer SM, Håkansson N, Wolk A, Åkesson A, Larsson SC. Anti-inflammatory diet and incident peripheral artery disease: Two prospective cohort studies. Clin Nutr. 2022 Jun;41(6):1191-1196.
DOI: 10.1016/j.clnu.2022.04.002

[22] Stancel N, Chen CC, Ke LY, Chu CS, Lu J, Sawamura T, Chen CH. Interplay between CRP, Atherogenic LDL, and LOX-1 and Its Potential Role in the Pathogenesis of Atherosclerosis. Clin Chem. 2016 Feb;62(2):320-7.
DOI: 10.1373/clinchem.2015.243923

[23] Obarzanek E, Sacks FM, Vollmer WM, Bray GA, Miller ER 3rd, Lin PH et al. Effects on blood lipids of a blood pressure-lowering diet: the Dietary Approaches to Stop Hypertension (DASH) Trial. Am J Clin Nutr. 2001 Jul;74(1):80-9.
DOI: 10.1093/ajcn/74.1.80

[24] Fernández-Macías JC, Ochoa-Martínez AC, Varela-Silva JA, Pérez-Maldonado IN. Atherogenic Index of Plasma: Novel Predictive Biomarker for Cardiovascular Illnesses. Arch Med Res. 2019 Jul;50(5):285-294.
DOI: 10.1016/j.arcmed.2019.08.009

[25] Strandjord SE, Lands B, Hibbeln JR. Validation of an equation predicting highly unsaturated fatty acid (HUFA) compositions of human blood fractions from dietary intakes of both HUFAs and their precursors. Prostaglandins Leukot Essent Fatty Acids. 2018 Sep;136:171-176.
DOI: 10.1016/j.plefa.2017.03.005

[26] Scourboutakos MJ, Semnani-Azad Z, L'Abbe MR. Restaurant meals: almost a full day's worth of calories, fats, and sodium. JAMA Intern Med. 2013 Jul 22;173(14):1373-4.
DOI: 10.1001/jamainternmed.2013.6159

[27] Algert SJ, Agrawal A, Lewis DS. Disparities in access to fresh produce in low-income neighborhoods in Los Angeles. Am J Prev Med. 2006 May;30(5):365-70.
DOI: 10.1016/j.amepre.2006.01.009

[28] Bertoni AG, Foy CG, Hunter JC, Quandt SA, Vitolins MZ, Whitt-Glover MC. A multilevel assessment of barriers to adoption of Dietary Approaches to Stop Hypertension (DASH) among African Americans of low socioeconomic status. J Health Care Poor Underserved. 2011 Nov;22(4):1205-20.
DOI: 10.1353/hpu.2011.0142

Artículos más populares

Artículo Especial: VII Lección Jesús Culebras. Respuesta inflamatoria sistémica y disfunción/ fracaso multiorgánico tras una agresión: implicaciones metabólicas

Ante cualquier agresión, el organismo pone en marc...

Publicado: 2017-01-30

Resumen | PDF

Artículo Especial: VIII Lección Jesús Culebras. Medicina intensiva, nutrición e hiperglucemia: una relación muy estrecha

El paciente crítico presenta una respuesta metaból...

Publicado: 2017-07-28

Resumen | PDF

Trabajo Original: Waist-to-height ratio and its relation with cardiometabolic risk factors in children from Bucaramanga, Colombia

Background: Currently, the waist-to-height ratio (...

Publicado: 2017-02-21

Resumen | PDF

Licencia creative commons: Open Access bajo la licencia Creative Commons 4.0 CC BY-NC-SA
https://creativecommons.org/licenses/by-nc-sa/4.0/legalcode

Editado en Madrid por:

Diseño y Desarrollo web Im3diA comunicación

Trabajo Original

Effect of low-sodium salt applied to Chinese modified DASH diet on arterial stiffness in older patients with hypertension and type 2 diabetes

Artículos Relacionados:

Trabajo Original: Adherence to the DASH dietary pattern is associated with blood pressure and anthropometric indicators in Mexican adults

Trabajo Original: Effect of sodium reduction based on the DASH diet on blood pressure in hypertensive patients with type 2 diabetes

Trabajo Original: Effect of 52 % low-sodium salt applied to CM-DASH Diet on atherosclerotic cardiovascular disease risks in patients with hypertension and type-2 diabetes

Trabajo Original: Effect of 23 % low-sodium salt applied to Chinese modified DASH diet on cerebrovascular function in patients with hypertension and type 2 diabetes: a pilot study

Revisión: Patrones dietéticos asociados a la obesidad y a sus comorbilidades

Trabajo Original: Exploring the link between the Naples prognostic score and the cardio-ankle vascular index

Artículos más populares

Artículo Especial: VII Lección Jesús Culebras. Respuesta inflamatoria sistémica y disfunción/ fracaso multiorgánico tras una agresión: implicaciones metabólicas

Artículo Especial: VIII Lección Jesús Culebras. Medicina intensiva, nutrición e hiperglucemia: una relación muy estrecha

Trabajo Original: Waist-to-height ratio and its relation with cardiometabolic risk factors in children from Bucaramanga, Colombia