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What is the role of dietary sodium and potassium in hypertension and target organ injury?

Abstract

There is substantial evidence from both observational epidemiology studies and randomized controlled trials that dietary intake of sodium and potassium is important in the etiology of hypertension. However, the direct evidence for a direct link between dietary sodium and potassium and risk of cardiovascular and renovascular events is limited. Epidemiological studies should be designed to examine the relationship between dietary intake of sodium and potassium and risk of stroke, coronary heart disease, left ventricular hypertrophy, and renal disease in a prospective manner. In these studies, dietary intake of sodium and potassium should be estimated using multiple 24-hour urine collections. These studies should be focused on African Americans because they are at a disproportionately high risk of developing hypertension and blood pressure-related vascular disease. Moreover, this group has been underrepresented in most previous epidemiological studies.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana, USA. jhe@mailhost.tcs.tulane.edu

    Source

    MeSH

    African Americans
    African Continental Ancestry Group
    Blood Pressure
    Cerebrovascular Disorders
    Coronary Disease
    Humans
    Hypertension
    Hypertrophy, Left Ventricular
    Potassium, Dietary
    Risk
    Sodium, Dietary

    Pub Type(s)

    Journal Article
    Research Support, U.S. Gov't, P.H.S.
    Review

    Language

    eng

    PubMed ID

    10100688

    Citation

    He, J, and P K. Whelton. "What Is the Role of Dietary Sodium and Potassium in Hypertension and Target Organ Injury?" The American Journal of the Medical Sciences, vol. 317, no. 3, 1999, pp. 152-9.
    He J, Whelton PK. What is the role of dietary sodium and potassium in hypertension and target organ injury? Am J Med Sci. 1999;317(3):152-9.
    He, J., & Whelton, P. K. (1999). What is the role of dietary sodium and potassium in hypertension and target organ injury? The American Journal of the Medical Sciences, 317(3), pp. 152-9.
    He J, Whelton PK. What Is the Role of Dietary Sodium and Potassium in Hypertension and Target Organ Injury. Am J Med Sci. 1999;317(3):152-9. PubMed PMID: 10100688.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - What is the role of dietary sodium and potassium in hypertension and target organ injury? AU - He,J, AU - Whelton,P K, PY - 1999/4/1/pubmed PY - 1999/4/1/medline PY - 1999/4/1/entrez SP - 152 EP - 9 JF - The American journal of the medical sciences JO - Am. J. Med. Sci. VL - 317 IS - 3 N2 - There is substantial evidence from both observational epidemiology studies and randomized controlled trials that dietary intake of sodium and potassium is important in the etiology of hypertension. However, the direct evidence for a direct link between dietary sodium and potassium and risk of cardiovascular and renovascular events is limited. Epidemiological studies should be designed to examine the relationship between dietary intake of sodium and potassium and risk of stroke, coronary heart disease, left ventricular hypertrophy, and renal disease in a prospective manner. In these studies, dietary intake of sodium and potassium should be estimated using multiple 24-hour urine collections. These studies should be focused on African Americans because they are at a disproportionately high risk of developing hypertension and blood pressure-related vascular disease. Moreover, this group has been underrepresented in most previous epidemiological studies. SN - 0002-9629 UR - https://www.unboundmedicine.com/medline/citation/10100688/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9629(15)40497-5 DB - PRIME DP - Unbound Medicine ER -