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A high salt meal does not impair cerebrovascular reactivity in healthy young adults.


ABSTRACT: A high sodium (Na+ ) meal impairs peripheral vascular function. In rodents, chronic high dietary Na+ impairs cerebral vascular function, and in humans, habitual high dietary Na+ is associated with increased stroke risk. However, the effects of acute high dietary Na+ on the cerebral vasculature in humans are unknown. The purpose of this study was to determine if acute high dietary Na+ impairs cerebrovascular reactivity in healthy adults. Thirty-seven participants (20F/17M; 25 ± 5 years; blood pressure [BP]: 107 ± 9/61 ± 6 mm Hg) participated in this randomized, cross-over study. Participants were given a low Na+ meal (LSM; 138 mg Na+ ) and a high Na+ meal (HSM; 1,495 mg Na+ ) separated by ? one week. Serum Na+ , beat-to-beat BP, middle cerebral artery velocity (transcranial Doppler), and end-tidal carbon dioxide (PET CO2 ) were measured pre- (baseline) and 60 min post-prandial. Cerebrovascular reactivity was assessed by determining the percent change in middle cerebral artery velocity to hypercapnia (via 8% CO2 , 21% oxygen, balance nitrogen) and hypocapnia (via mild hyperventilation). Peripheral vascular function was measured using brachial artery flow-mediated dilation (FMD). Changes in serum Na+ were greater following the HSM (HSM: ?1.6 ± 1.2 mmol/L vs. LSM: ?0.7 ± 1.2 mmol/L, p < .01). Cerebrovascular reactivity to hypercapnia (meal effect: p = .41) and to hypocapnia (meal effect: p = .65) were not affected by the HSM. Contrary with previous findings, FMD was not reduced following the HSM (meal effect: p = .74). These data suggest that a single high Na+ meal does not acutely impair cerebrovascular reactivity, and suggests that despite prior findings, a single high Na+ meal does not impair peripheral vascular function in healthy adults.

SUBMITTER: Migdal KU 

PROVIDER: S-EPMC7547584 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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A high salt meal does not impair cerebrovascular reactivity in healthy young adults.

Migdal Kamila U KU   Robinson Austin T AT   Watso Joseph C JC   Babcock Matthew C MC   Lennon Shannon L SL   Martens Christopher R CR   Serrador Jorge M JM   Farquhar William B WB  

Physiological reports 20201001 19


A high sodium (Na<sup>+</sup> ) meal impairs peripheral vascular function. In rodents, chronic high dietary Na<sup>+</sup> impairs cerebral vascular function, and in humans, habitual high dietary Na<sup>+</sup> is associated with increased stroke risk. However, the effects of acute high dietary Na<sup>+</sup> on the cerebral vasculature in humans are unknown. The purpose of this study was to determine if acute high dietary Na<sup>+</sup> impairs cerebrovascular reactivity in healthy adults. Thir  ...[more]

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