Impaired Daytime Urinary Sodium Excretion Impacts Nighttime Blood Pressure and Nocturnal Dipping at Older Ages in the General Population
The circadian rhythm of urinary sodium excretion is related to the diurnal blood pressure regulation (BP) and the nocturnal dipping pattern. The renal sodium excretion expressed as daytime/nighttime ratio impacts BP, but a limited number of studies have investigated this topic to date. In this cross...
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doaj-a2bd47fabb3f4317a6bca045acf4f14a2020-11-25T03:07:14ZengMDPI AGNutrients2072-66432020-07-01122013201310.3390/nu12072013Impaired Daytime Urinary Sodium Excretion Impacts Nighttime Blood Pressure and Nocturnal Dipping at Older Ages in the General PopulationRosaria Del Giorno0Chiara Troiani1Sofia Gabutti2Kevyn Stefanelli3Sandro Puggelli4Luca Gabutti5Department of Internal Medicine, Clinical Research Unit, Regional Hospital of Bellinzona and Valli, Ente Ospedaliero Cantonale, 6500 Bellinzona, SwitzerlandDepartment of Internal Medicine, Clinical Research Unit, Regional Hospital of Bellinzona and Valli, Ente Ospedaliero Cantonale, 6500 Bellinzona, SwitzerlandDepartment of Internal Medicine, Clinical Research Unit, Regional Hospital of Bellinzona and Valli, Ente Ospedaliero Cantonale, 6500 Bellinzona, SwitzerlandDepartment of Social Sciences and Economics; Sapienza University of Rome, 00185 Rome, ItalyDepartment of Internal Medicine, Clinical Research Unit, Regional Hospital of Bellinzona and Valli, Ente Ospedaliero Cantonale, 6500 Bellinzona, SwitzerlandDepartment of Internal Medicine, Clinical Research Unit, Regional Hospital of Bellinzona and Valli, Ente Ospedaliero Cantonale, 6500 Bellinzona, SwitzerlandThe circadian rhythm of urinary sodium excretion is related to the diurnal blood pressure regulation (BP) and the nocturnal dipping pattern. The renal sodium excretion expressed as daytime/nighttime ratio impacts BP, but a limited number of studies have investigated this topic to date. In this cross-sectional study, we aimed to investigate the impact of different daily patterns of sodium excretion (comparing low with high ratios) on BP and nocturnal dipping and to explore the relationship with age. Twenty-four-hour ambulatory BP monitoring and daytime and nighttime urinary sodium collections were used to assess 1062 subjects in Switzerland. Analyses were performed according to the day/night urinary sodium excretion ratio quartiles (Q1–Q4) and by age group (≤50 and ≥50 years). Subjects in Q1 can be considered low excretors of sodium during the daytime since the rate of sodium excretion during the daytime was 40% lower than that of subjects in Q4. Quartiles of the day/night urinary sodium excretion ratio showed that subjects in Q1 were 7 years older and had respectively 6 and 5 mmHg higher nighttime systolic and diastolic BP and a higher nocturnal dipping compared with subjects in Q4 (<i>p</i>-value ≤0.001). Associations found were significant only for subjects older than 50 years (all <i>p</i> < 0.05). The present results suggest that a decreased capacity to excrete sodium during daytime is more prevalent as age increases and that it impacts nighttime blood pressure and nocturnal dipping in older subjects.https://www.mdpi.com/2072-6643/12/7/2013urinary sodium excretionnighttime urinary sodium excretiondaytime urinary sodium excretion24-h blood pressurenocturnal dipping |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rosaria Del Giorno Chiara Troiani Sofia Gabutti Kevyn Stefanelli Sandro Puggelli Luca Gabutti |
spellingShingle |
Rosaria Del Giorno Chiara Troiani Sofia Gabutti Kevyn Stefanelli Sandro Puggelli Luca Gabutti Impaired Daytime Urinary Sodium Excretion Impacts Nighttime Blood Pressure and Nocturnal Dipping at Older Ages in the General Population Nutrients urinary sodium excretion nighttime urinary sodium excretion daytime urinary sodium excretion 24-h blood pressure nocturnal dipping |
author_facet |
Rosaria Del Giorno Chiara Troiani Sofia Gabutti Kevyn Stefanelli Sandro Puggelli Luca Gabutti |
author_sort |
Rosaria Del Giorno |
title |
Impaired Daytime Urinary Sodium Excretion Impacts Nighttime Blood Pressure and Nocturnal Dipping at Older Ages in the General Population |
title_short |
Impaired Daytime Urinary Sodium Excretion Impacts Nighttime Blood Pressure and Nocturnal Dipping at Older Ages in the General Population |
title_full |
Impaired Daytime Urinary Sodium Excretion Impacts Nighttime Blood Pressure and Nocturnal Dipping at Older Ages in the General Population |
title_fullStr |
Impaired Daytime Urinary Sodium Excretion Impacts Nighttime Blood Pressure and Nocturnal Dipping at Older Ages in the General Population |
title_full_unstemmed |
Impaired Daytime Urinary Sodium Excretion Impacts Nighttime Blood Pressure and Nocturnal Dipping at Older Ages in the General Population |
title_sort |
impaired daytime urinary sodium excretion impacts nighttime blood pressure and nocturnal dipping at older ages in the general population |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2020-07-01 |
description |
The circadian rhythm of urinary sodium excretion is related to the diurnal blood pressure regulation (BP) and the nocturnal dipping pattern. The renal sodium excretion expressed as daytime/nighttime ratio impacts BP, but a limited number of studies have investigated this topic to date. In this cross-sectional study, we aimed to investigate the impact of different daily patterns of sodium excretion (comparing low with high ratios) on BP and nocturnal dipping and to explore the relationship with age. Twenty-four-hour ambulatory BP monitoring and daytime and nighttime urinary sodium collections were used to assess 1062 subjects in Switzerland. Analyses were performed according to the day/night urinary sodium excretion ratio quartiles (Q1–Q4) and by age group (≤50 and ≥50 years). Subjects in Q1 can be considered low excretors of sodium during the daytime since the rate of sodium excretion during the daytime was 40% lower than that of subjects in Q4. Quartiles of the day/night urinary sodium excretion ratio showed that subjects in Q1 were 7 years older and had respectively 6 and 5 mmHg higher nighttime systolic and diastolic BP and a higher nocturnal dipping compared with subjects in Q4 (<i>p</i>-value ≤0.001). Associations found were significant only for subjects older than 50 years (all <i>p</i> < 0.05). The present results suggest that a decreased capacity to excrete sodium during daytime is more prevalent as age increases and that it impacts nighttime blood pressure and nocturnal dipping in older subjects. |
topic |
urinary sodium excretion nighttime urinary sodium excretion daytime urinary sodium excretion 24-h blood pressure nocturnal dipping |
url |
https://www.mdpi.com/2072-6643/12/7/2013 |
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