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高盐的隐匿影响:高血压之外的风险及身体对高盐的适应

Silent Effects of High Salt: Risks Beyond Hypertension and Body's Adaptation to High Salt.

作者信息

Kazi Raisa Nazir Ahmed

机构信息

Department Respiratory Therapy, College of Applied Medical Sciences, King Faisal University, Al-Ahsa 37912, Saudi Arabia.

出版信息

Biomedicines. 2025 Mar 18;13(3):746. doi: 10.3390/biomedicines13030746.

Abstract

Hypertension is a major contributor to heart disease, renal failure, and stroke. High salt is one of the significant risk factors associated with the onset and persistence of hypertension. Experimental and observational studies have confirmed cardiovascular and non-cardiovascular detrimental effects associated with chronic intake of high salt. Because of convenience and present urban lifestyles, consumption of fast food has led to daily salt intake above the recommended level by the World Health Organization. This study provides an understanding of the body regulatory mechanisms that maintain sodium homeostasis under conditions of high salt intake, without health consequences, and how these mechanisms adapt to chronic high salt load, leading to adverse cardiovascular, renal, and non-cardiovascular outcomes. Recent research has identified several mechanisms through which high sodium intake contributes to hypertension. Of them, heightened renin-angiotensin-aldosterone and sympathetic activity associated with impaired pressure diuresis and natriuresis and decreased renal excretory response are reported. Additionally, there is the possibility of endothelial and nitric oxide dysfunction leading to vascular remodeling. These changes raise cardiac output and peripheral vascular resistance. Knowing how these collective mechanisms adapt to chronic intakes of high salt helps develop effective therapeutic policies to fight salt-induced hypertension.

摘要

高血压是导致心脏病、肾衰竭和中风的主要因素。高盐是与高血压的发生和持续存在相关的重要风险因素之一。实验和观察性研究已证实,长期摄入高盐会对心血管和非心血管系统产生有害影响。由于便利性和当前的城市生活方式,快餐消费导致每日盐摄入量超过了世界卫生组织建议的水平。本研究旨在了解在高盐摄入且无健康后果的情况下,维持钠稳态的身体调节机制,以及这些机制如何适应慢性高盐负荷,从而导致不良的心血管、肾脏和非心血管后果。最近的研究已经确定了几种高钠摄入导致高血压的机制。其中,据报道肾素 - 血管紧张素 - 醛固酮系统和交感神经活动增强,伴有压力利尿和利钠功能受损以及肾脏排泄反应降低。此外,还存在内皮功能和一氧化氮功能障碍导致血管重塑的可能性。这些变化会增加心输出量和外周血管阻力。了解这些共同机制如何适应慢性高盐摄入,有助于制定有效的治疗策略来对抗盐诱导的高血压。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13db/11940015/2892a7104ab9/biomedicines-13-00746-g002.jpg

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