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饮食中钠对血压盐敏感性患者心率变异性的影响。

Dietary sodium effects on heart rate variability in salt sensitivity of blood pressure.

作者信息

McNeely Jessica D, Windham B Gwen, Anderson David E

机构信息

Laboratory of Cardiovascular Science, National Institute on Aging, National Institutes of Health, Baltimore, Maryland, USA.

出版信息

Psychophysiology. 2008 May;45(3):405-11. doi: 10.1111/j.1469-8986.2007.00629.x. Epub 2007 Nov 28.

Abstract

High dietary sodium intake is a risk factor for hypertension, and heart rate variability (HRV) is decreased in hypertension. Effects of dietary sodium intake on HRV of normotensive persons have not, however, been investigated to date. The present study examined effects of low and high sodium diets on blood pressure, heart rate, and HRV in 36 healthy, normotensive women, ages 40-70. Each was placed on a low sodium diet for 6 days followed by a high sodium diet for 6 days. The high salt diet increased mean systolic blood pressure, decreased heart rate, and increased high frequency HRV (HF). Cardiac vagal tone, estimated at baseline from heart period and a time domain estimate of respiratory sinus arrhythmia, was higher in salt-sensitive than salt-insensitive subjects. The finding of increased vagal tone in normotensive persons on high salt intake indicates that dietary sodium status should be considered in behavioral studies of HRV.

摘要

高钠饮食是高血压的一个风险因素,而高血压患者的心率变异性(HRV)会降低。然而,迄今为止尚未研究饮食钠摄入量对血压正常者HRV的影响。本研究检测了低钠饮食和高钠饮食对36名年龄在40至70岁之间的健康血压正常女性的血压、心率和HRV的影响。每位女性先进行6天的低钠饮食,随后进行6天的高钠饮食。高盐饮食会使平均收缩压升高、心率降低,并增加高频HRV(HF)。根据心动周期和呼吸性窦性心律不齐的时域估计在基线时估算的心脏迷走神经张力,盐敏感者高于盐不敏感者。高盐摄入的血压正常者迷走神经张力增加这一发现表明,在HRV的行为研究中应考虑饮食钠状态。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f29/2399901/f677c96d8a0d/nihms49733f1.jpg

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