Understanding the Impact of Sodium in Diet on Blood Pressure: Results of a Crossover Trial | Cardiology | JAMA

Title: Impact of Dietary Sodium Intake on Blood Pressure in Middle-Aged to Elderly Individuals

Impact of Dietary Sodium Intake on Blood Pressure in Middle-Aged to Elderly Individuals

What is the impact of dietary sodium intake on blood pressure in middle-aged to elderly individuals?

Recent research has investigated the impact of dietary sodium intake on blood pressure in middle-aged to elderly individuals. In a prospective diet order crossover study involving 213 participants, a low-sodium diet resulted in an 8-mm Hg reduction in systolic blood pressure compared to a high-sodium diet. This effect was observed in nearly 75% of the participants.

Key Findings

During the study, a 1-week low-sodium diet led to a significant reduction in systolic blood pressure, comparable to commonly used first-line antihypertensive medications.

Importance of Dietary Sodium Recommendations

The research highlights the importance of dietary sodium recommendations that are still being debated due to variable blood pressure response to sodium intake, especially among individuals taking antihypertensive medications.

Objectives of the Study

The study aimed to examine the distribution of within-individual blood pressure response to dietary sodium, differences in blood pressure based on the sequence of high- or low-sodium diet consumption, and how these varied based on baseline blood pressure and antihypertensive medication use.

Design, Setting, and Participants

The study involved 213 participants between the ages of 50 and 75, including individuals with normotension, controlled hypertension, uncontrolled hypertension, and untreated hypertension. The participants were enrolled in the study conducted in two US cities.

Throughout the study, individuals underwent 1-week high-sodium and low-sodium diets, and the study measured their average 24-hour ambulatory systolic and diastolic blood pressure, mean arterial pressure, and pulse pressure.

Further analysis revealed that the decline in blood pressure from a high- to low-sodium diet was independent of hypertension status and antihypertensive medication use. Adverse events were minimal and did not impact the study results.

Conclusions and Relevance

Dietary sodium reduction significantly lowered blood pressure in the majority of the middle-aged to elderly participants without causing excessive adverse events. This research provides valuable insights into the impact of dietary sodium on blood pressure and its implications for cardiovascular health in this age group.

Overall, this study emphasizes the need for personalized treatment approaches considering individual variability in blood pressure response to dietary sodium and the potential impact on antihypertensive medication effectiveness.

Reference

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