Familial predisposition to hypertension and the association between urinary sodium excretion and blood pressure in a population-based sample of young adults
Braz. j. med. biol. res
;
33(7): 799-803, July 2000. tab, graf
Article
in English
| LILACS
| ID: lil-262679
RESUMO
The reasons for the inconsistent association between salt consumption and blood pressure levels observed in within-society surveys are not known. A total of 157 normotensive subjects aged 18 to 35 years, selected at random in a cross-sectional population-based survey, answered a structured questionnaire. They were classified as strongly predisposed to hypertension when two or more first-degree relatives had a diagnosis of hypertension. Anthropometric parameters were obtained and sitting blood pressure was determined with aneroid sphygmomanometers. Sodium and potassium excretion was measured by flame spectrophotometry in an overnight urine sample. A positive correlation between blood pressure and urinary sodium excretion was detected only in the group of individuals strongly predisposed to hypertension, both for systolic blood pressure (r = 0.51, P<0.01) and diastolic blood pressure (r = 0.50, P<0.01). In a covariance analysis, after controlling for age, skin color and body mass index, individuals strongly predisposed to hypertension who excreted amounts of sodium above the median of the entire sample had higher systolic and diastolic blood pressure than subjects classified into the remaining conditions. The influence of familial predisposition to hypertension on the association between salt intake and blood pressure may be an additional explanation for the weak association between urinary sodium excretion and blood pressure observed in within-population studies, since it can influence the association between salt consumption and blood pressure in some but not all inhabitants.
Full text:
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Index:
LILACS (Americas)
Main subject:
Sodium Chloride, Dietary
/
Genetic Predisposition to Disease
/
Hypertension
Type of study:
Etiology study
/
Observational study
/
Prevalence study
/
Qualitative research
/
Risk factors
Limits:
Adolescent
/
Adult
/
Humans
Language:
English
Journal:
Braz. j. med. biol. res
Journal subject:
Biology
/
Medicine
Year:
2000
Type:
Article
Affiliation country:
Brazil
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