Salt intake causes B-type natriuretic peptide elevation independently of blood pressure elevation in the general population without hypertension and heart disease

Autor: Hideo Yasuda, Akihiko Kato, Sayaka Ishigaki, Tomoyuki Fujikura, Shinsuke Isobe, Naro Ohashi, Taro Aoki, Takashi Matsuyama, Hiroyuki Takase
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Adult
Male
medicine.medical_specialty
hypertension
Heart disease
medicine.drug_class
Urinary system
Population
Observational Study
heart disease
general population
03 medical and health sciences
0302 clinical medicine
Internal medicine
Natriuretic Peptide
Brain

medicine
Natriuretic peptide
Humans
030212 general & internal medicine
cardiovascular diseases
Sodium Chloride
Dietary

Salt intake
education
Aged
education.field_of_study
Surrogate endpoint
business.industry
blood pressure
General Medicine
Middle Aged
salt intake
medicine.disease
left ventricular hypertrophy
Cross-Sectional Studies
medicine.anatomical_structure
Endocrinology
Quartile
Ventricle
B-type natriuretic peptide
030220 oncology & carcinogenesis
Female
business
hormones
hormone substitutes
and hormone antagonists

Research Article
Zdroj: Medicine
ISSN: 1536-5964
0025-7974
Popis: Excessive salt intake causes hypertension and cardiovascular diseases (CVDs). B-type natriuretic peptide (BNP) is synthesized and released from the ventricle, and is a surrogate marker reflecting various CVDs. Moreover, when a slight BNP elevation is shown, it leads to a poor prognosis in the general population. However, the relationship between salt intake and BNP levels in the general population remains unclear, especially in those without hypertension and heart diseases. In this study, we recruited 1404 participants without hypertension and electrocardiogram abnormalities, who received regular annual health check-ups in Japan. Plasma BNP levels were measured, and daily salt intake levels were evaluated using urinary samples. In addition, some clinical parameters were obtained, and the data were cross-sectionally analyzed. The median of plasma BNP levels was 10.50 pg/mL, and daily salt intake was 8.50 ± 1.85 g. When dividing participants into quartiles according to daily salt intake, those with the highest daily salt intake revealed the highest plasma BNP levels. Plasma BNP levels were significantly and positively associated with daily salt intake. Moreover, multiple linear regression analyses revealed that plasma BNP levels showed a significant positive association with daily salt intake levels after adjustments. Plasma BNP levels were significantly and positively associated with daily salt intake after adjustment in the general population. Plasma BNP levels may be a surrogate marker reflecting salt-induced heart diseases.
Databáze: OpenAIRE