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补充钙和钾对盐敏感儿童血压的降低作用:一项为期2年的双盲安慰剂对照试验。

Reduction of blood pressure with calcium and potassium supplementation in children with salt sensitivity: a 2-year double-blinded placebo-controlled trial.

作者信息

Mu J J, Liu Z Q, Liu W M, Liang Y M, Yang D Y, Zhu D J, Wang Z X

机构信息

Department of Cardiovascular Medicine, First Affiliated Hospital of Medical College, Xian Jiaotong University, Xian, PR China.

出版信息

J Hum Hypertens. 2005 Jun;19(6):479-83. doi: 10.1038/sj.jhh.1001854.

Abstract

An investigation of the reductive effect of blood pressure and increment of urinary sodium excretion with calcium and potassium supplementation in children with sodium sensitivity is conducted. In total of 261 school children who had completed a 2-year double-blinded, placebo-controlled trial with calcium and potassium supplementation salt sensitivity, with a salt volume expansion and contraction protocol, was determined. The results showed that in children with salt sensitivity, the increase in blood pressure in the supplementary group was lower by 4.3/4.8 mmHg than that in the placebo group (P<0.05), while no significant change was found between the supplementary group and placebo group in children with nonsalt sensitivity. With calcium and potassium supplementation, the night urinary sodium excretion in children with salt sensitivity was significantly increased (P<0.01), and it is negatively correlated with the increase in blood pressure. It was suggested that a moderate increase of calcium and potassium intake in children with salt sensitivity, through interaction with sodium, can promote urinary sodium excretion and may play contribute to the prevention of hypertension.

摘要

对钠敏感儿童补充钙和钾后血压的降低作用以及尿钠排泄增加情况进行了调查。共有261名学童完成了一项为期2年的补充钙和钾的双盲、安慰剂对照试验,测定了盐敏感性,并采用了盐量扩张和收缩方案。结果显示,在盐敏感儿童中,补充组的血压升高比安慰剂组低4.3/4.8 mmHg(P<0.05),而在非盐敏感儿童中,补充组和安慰剂组之间未发现显著变化。补充钙和钾后,盐敏感儿童的夜间尿钠排泄显著增加(P<0.01),且与血压升高呈负相关。研究表明,盐敏感儿童适度增加钙和钾的摄入量,通过与钠的相互作用,可促进尿钠排泄,可能有助于预防高血压。

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