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American Journal of Clinical Nutrition, Vol 20, 897-902, Copyright © 1967 by The American Society for Clinical Nutrition, Inc.

Sodium and Potassium Metabolism during Starvation

GEORGE J. HAMWI M.D.1, MARY C. MITCHELL M.S.1, RALPH G. WIELAND M.D.1, FRED A. KRUGER M.D.1, and STEPHEN S. SCHACHNER M.D.1

1 From the Division of Endocrinology and Metabolism of the Department of Medicine, and the Clinical Research Center, Ohio State University College of Medicine, Columbus, Ohio

Natruresis and kaluresis are consistently observed during the initial phase of fasting. Any study relating changes in body composition to potassium balance must take into account this early potassium loss. Studies with glucagon administration during this period would indicate that this hormone is not responsible for the observed high levels of sodium and potassium excretion during the early period of fasting. Interruption of 10-14 days of fasting with diets containing either carbohydrate or fat-protein resulted in body conservation of sodium and potassium of a similar magnitude.






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