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American Journal of Clinical Nutrition, Vol 65, 708S-711S, Copyright © 1997 by The American Society for Clinical Nutrition, Inc

REVIEW ARTICLES

Dietary sodium and blood pressure: interactions with other nutrients

TA Kotchen and JM Kotchen
Department of Medicine, Medical College of Wisconsin, Milwaukee 53226, USA.

This paper reviews the evidence that salt sensitivity of blood pressure is related both to the anion ingested with sodium as well as to other components of the diet. In several experimental models of salt- sensitive hypertension and in humans, blood pressure is not increased by a high sodium intake provided with anions other than chloride. Salt- induced increase of blood pressure depends on the concomitant ingestion of both sodium and chloride. Both epidemiologic and clinical evidence suggest that sodium chloride-induced increases of blood pressure are augmented by diets deficient in potassium or calcium. In experimental animals, a high intake of simple carbohydrates also augments sodium chloride sensitivity of blood pressure. These observations indicate that the effect of dietary sodium on blood pressure is modulated by other components of the diet.




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Copyright © 1997 by The American Society for Nutrition