Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1 Suppl
|
pubmed:dateCreated |
1994-2-16
|
pubmed:abstractText |
Evidence supports the hypothesis that hyperinsulinemia, especially in obesity, contributes to salt-sensitive hypertension by enhancing sodium retention and blunting the normal reduction of sympathetic drive and vascular resistance that occurs during a high versus low NaCl diet. To address these issues, we studied 18 obese (body mass index, > 27 kg/m2) subjects younger than 45 years old with mild hypertension to determine if the salt-sensitive versus salt-resistant subset had higher insulin levels, retained more volume, and failed to suppress sympathetic drive and vascular tone normally on a high (approximately 200 mEq/d) versus low (20 mEq/d) NaCl diet for 7 days each. Six obese subjects were salt sensitive, with an 8.4 +/- 2.1 (SEM) mm Hg increase of ambulatory mean blood pressure on the high versus low NaCl diet. Ten obese subjects were salt resistant, with a 7.1 +/- 0.9 mm Hg reduction of ambulatory mean blood pressure on high versus low NaCl. The salt-sensitive and salt-resistant groups had similar values, respectively, for the insulin area under the curve during an oral glucose tolerance test on low (14.6 +/- 1.8 versus 14.0 +/- 1.4 mU x min/dL, P = NS) and high (10.6 +/- 1.5 versus 10.6 +/- 1.0, P = NS) salt diets. Although insulin levels were similar, insulin raised calf blood flow in salt-resistant subjects (P < .05) but not in salt-sensitive subjects on the high NaCl diet.(ABSTRACT TRUNCATED AT 250 WORDS)
|
pubmed:grant | |
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Jan
|
pubmed:issn |
0194-911X
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
23
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
I1-7
|
pubmed:dateRevised |
2011-11-17
|
pubmed:meshHeading |
pubmed-meshheading:8282338-Adult,
pubmed-meshheading:8282338-Blood Pressure,
pubmed-meshheading:8282338-Cardiac Output,
pubmed-meshheading:8282338-Female,
pubmed-meshheading:8282338-Heart Rate,
pubmed-meshheading:8282338-Hemodynamics,
pubmed-meshheading:8282338-Humans,
pubmed-meshheading:8282338-Hypertension,
pubmed-meshheading:8282338-Insulin,
pubmed-meshheading:8282338-Male,
pubmed-meshheading:8282338-Obesity,
pubmed-meshheading:8282338-Sodium,
pubmed-meshheading:8282338-Sodium, Dietary,
pubmed-meshheading:8282338-Vascular Resistance
|
pubmed:year |
1994
|
pubmed:articleTitle |
Insulin levels are similar in obese salt-sensitive and salt-resistant hypertensive subjects.
|
pubmed:affiliation |
Department of Medicine, Medical College of Wisconsin, Milwaukee.
|
pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
|