The INTERSALT study: an addition to the evidence on salt and blood pressure, and some implications.

Abstract:

:The balance of evidence from animal studies, clinical observations, human experimental studies, and epidemiological studies favours a causal association between sodium and blood pressure. INTERSALT is the largest and most comprehensive study yet published on the sodium-blood pressure relationship, and its significant findings in individuals gives further support to a judgment of causality, although it is likely that the size of the relationship is underestimated. Trials of sodium restriction in individuals have generally shown an effect on blood pressure similar to that predicted from population studies. The effect seems to be more marked at older ages, at higher blood pressures and with more severe sodium restriction. In treated hypertensive patients, sodium restriction (either alone or in combination with weight loss and moderation of alcohol intake) can reduce the amount of medication required to control blood pressure, and in some cases blood pressure may be controlled by dietary measures alone, particularly in those whose hypertension is 'mild' (i.e., uncomplicated and with less marked elevations of pressure). The Portuguese salt trial showed that intervention at the community level can be successful in lowering both sodium intake and blood pressure, although this was not achieved in a community trial in Belgium. In the light of the evidence on sodium and blood pressure, recommendations on sodium intake are made with respect both to the individual, and to the population as a whole.

journal_name

J Hum Hypertens

authors

Elliott P

subject

Has Abstract

pub_date

1989-10-01 00:00:00

pages

289-98

issue

5

eissn

0950-9240

issn

1476-5527

journal_volume

3

pub_type

杂志文章,评审
  • Monitoring population sodium intake using spot urine samples: validation in a New Zealand population.

    abstract::Although 24-h urine collection is widely considered the 'gold standard' for estimation of population sodium intake, spot urine collection is increasingly used as a convenient and affordable alternative. We used four published formulae to convert spot urine sodium into estimates of 24-h sodium excretion in order to est...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2014.10

    authors: McLean R,Williams S,Mann J

    更新日期:2014-11-01 00:00:00

  • Strategies for prevention of adult hypertension and cardiovascular risk behaviour in childhood. An Australian perspective.

    abstract::This paper addresses approaches to evaluating the importance of different childhood behaviours on subsequent risk of high blood pressure and related cardiovascular risk factors and outlines results of a randomised controlled trial of nutrition and exercise interventions in schoolchildren. Clustering of cardiovascular ...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Beilin L,Burke V,Milligan R

    更新日期:1996-02-01 00:00:00

  • Valsartan and hydrochlorothiazide in patients with essential hypertension. A multiple dose, double-blind, placebo controlled trial comparing combination therapy with monotherapy.

    abstract:OBJECTIVE:This study compares the antihypertensive efficacy and tolerability of valsartan, a novel angiotensin II antagonist, given with hydrochlorothiazide (HCTZ) vs placebo or vs valsartan or HCTZ alone. DESIGN:871 adult out-patients with essential hypertension participated in this double-blind study. Patients were ...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1038/sj.jhh.1000718

    authors: Benz JR,Black HR,Graff A,Reed A,Fitzsimmons S,Shi Y

    更新日期:1998-12-01 00:00:00

  • Insertion/deletion polymorphism of the angiotensin-converting enzyme gene and loss of the insertion allele in aldosterone-producing adenoma.

    abstract::The genetic mechanisms responsible for the formation of adrenocortical adenomas which autonomously produce aldosterone are largely unknown. The adrenal renin-angiotensin system has been implicated in the pathophysiology of these tumours. Angiotensin-converting enzyme (ACE) catalyses the generation of angiotensin II, a...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Tunny TJ,Xu L,Richardson KA,Stowasser M,Gartside M,Gordon RD

    更新日期:1996-12-01 00:00:00

  • Difference in carotid artery elasticity in subjects with different brachial artery kinetic of vasodilatation.

    abstract::Increased carotid stiffness and impaired brachial artery flow-mediated dilatation (FMD) associate with cardiovascular events. We have previously reported three FMD patterns based on the time of maximal dilatation. The aim of the present study was to verify whether different FMD patterns associate with carotid artery s...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2015.109

    authors: Tripolino C,Gnasso A,Carallo C,Scavelli FB,Irace C

    更新日期:2016-08-01 00:00:00

  • Antihypertensive and renoprotective effects of trandolapril/verapamil combination: a meta-analysis of randomized controlled trials.

    abstract::Both trandolapril and verapamil are effective and widely used antihypertensive agents. The aim of this study was to estimate the efficacy and tolerability of trandolapril/verapamil (Tr/Ve) combination for blood pressure control and renoprotection. PubMed, EMBASE and Cochrane Library were searched for relevant studies....

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,meta分析

    doi:10.1038/jhh.2010.60

    authors: Zou Z,Xu FY,Wang L,An MM,Zhang H,Shi XY

    更新日期:2011-03-01 00:00:00

  • Exercise blood pressure correlates with the maximum heart rate corrected QT interval in hypertension.

    abstract::Submaximal exercise systolic blood pressure (ExSBP) is a recognised predictor of cardiac mortality. This study examined the possibility that this might be related to increased QT dispersion or prolonged maximum QT(c) interval (QTcmax). Twenty-nine untreated hypertensive subjects were assessed. Each subject underwent a...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001158

    authors: Lim PO,Rana BS,Struthers AD,MacDonald TM

    更新日期:2001-03-01 00:00:00

  • Influence of the presence of doctors-in-training on the blood pressure of patients: a randomised controlled trial in 22 teaching practices.

    abstract::Until now, no information is available about the effect of the presence of a doctor-in-training on a patient's blood pressure. We tested the hypothesis that the presence of a last year medical student might increase the blood pressure of the patient, in addition to the possible pressor response to the doctor-trainer. ...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1038/sj.jhh.1001744

    authors: Matthys J,De Meyere M,Mervielde I,Knottnerus JA,Den Hond E,Staessen JA,Duprez D,De Maeseneer J

    更新日期:2004-11-01 00:00:00

  • The association between antihypertensive drug therapies and plasma lipid levels in the general population.

    abstract:OBJECTIVE:To assess the association between different antihypertensive drug regimens and plasma lipid levels in the general population. METHODS:The Monitoring Project on Cardiovascular Risk Factors was conducted from 1987 to 1991 as a cross-sectional study in The Netherlands. Antihypertensive drug-users and untreated ...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章

    doi:10.1038/sj.jhh.1001197

    authors: Maitland-van der Zee AH,Klungel OH,Kloosterman JM,Seidell JC,Leufkens HG,de Boer A

    更新日期:2001-10-01 00:00:00

  • Lack of association between angiotensinogen polymorphism (M235T) and cerebrovascular disease and carotid atheroma.

    abstract::Genetic influences in cerebrovascular disease (CVD) may act either independently or by predisposing to, or modulating, the effect of risk factors such as hypertension. Factors involved in the pathogenesis of atherosclerosis, thrombosis and vasoconstriction are important in CVD. The angiotensinogen gene has recently be...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Barley J,Markus H,Brown M,Carter N

    更新日期:1995-08-01 00:00:00

  • Increased nighttime blood pressure or nondipping profile for prediction of cardiovascular outcomes.

    abstract::At present, clinic blood pressure (BP) evaluation is being increasingly complemented by ambulatory BP measurements for the evaluation of haemodynamic patterns during daily activities and sleep. Nondipping pattern, a measure of decreased attenuation of nighttime over daytime BP, has been correlated with enhanced target...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:10.1038/jhh.2010.113

    authors: Tsioufis C,Andrikou I,Thomopoulos C,Syrseloudis D,Stergiou G,Stefanadis C

    更新日期:2011-05-01 00:00:00

  • Developmental abnormalities, blood pressure variability and renal disease in Riley Day syndrome.

    abstract::Riley Day syndrome, commonly referred to as familial dysautonomia (FD), is a genetic disease with extremely labile blood pressure owing to baroreflex deafferenation. Chronic renal disease is very frequent in these patients and was attributed to recurrent arterial hypotension and renal hypoperfusion. Aggressive treatme...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2011.107

    authors: Norcliffe-Kaufmann L,Axelrod FB,Kaufmann H

    更新日期:2013-01-01 00:00:00

  • Blood pressure during siesta: effect on 24-h ambulatory blood pressure profiles analysis.

    abstract::Blood pressure (BP) during siesta declines to levels similar to those of night time sleep. The objective of the study was to assess the effect of siesta on 24-h ambulatory BP (ABP) data. Two different approaches were employed for the definition of day and night periods: (1) actual patient reported day and night interv...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000383

    authors: Stergiou GS,Malakos JS,Zourbaki AS,Achimastos AD,Mountokalakis TD

    更新日期:1997-02-01 00:00:00

  • Particle numbers of lipoprotein subclasses and arterial stiffness among middle-aged men from the ERA JUMP study.

    abstract::We examined the association between serum lipoprotein subclasses and the three measures of arterial stiffness, that is, (i) carotid-femoral pulse wave velocity (cfPWV), which is a gold standard measure of central arterial stiffness, (ii) brachial-ankle PWV (baPWV), which is emerging as a combined measure of central an...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,多中心研究

    doi:10.1038/jhh.2013.60

    authors: Vishnu A,Choo J,Masaki KH,Mackey RH,Barinas-Mitchell E,Shin C,Willcox BJ,El-Saed A,Seto TB,Fujiyoshi A,Miura K,Lee S,Sutton-Tyrrell K,Kuller LH,Ueshima H,Sekikawa A,ERA JUMP Study Group.

    更新日期:2014-02-01 00:00:00

  • Improvement of cardiovascular risk profile in an elderly population of low social level: the ICON (Improving Cardiovascular risk profile in Older Neapolitans) study.

    abstract::Older age and low socio-economic conditions are associated with poor control of cardiovascular risk factors (RFs). We assessed the prevalence and awareness of cardiovascular RFs in 503 elderly outpatients of low social status attending two public Internal Medicine clinics in Naples, and studied the interaction of educ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1002098

    authors: Marotta T,Viola S,Ferrara F,Ferrara LA

    更新日期:2007-01-01 00:00:00

  • Hypertension precursors in inner city minority females.

    abstract::Screening for precursors and objective evidence for hypertension was done in an inner city family planning clinic. Prior history of high blood pressure occurred in 4 of 41 young black females (10%) and pressures greater than 124/80 mmHg occurred in 2 of 41 (5%). A family history of heart disease occurred in 7 of 41 (1...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Haywood LJ,Haywood JA,Luster-Gunn J,Norwood MZ,de Quattro V

    更新日期:1990-04-01 00:00:00

  • Circadian rhythm of blood pressure and life style: a study of clinically healthy subjects living in rural and industrialized countries.

    abstract::The aim of this study is to investigate how the blood pressure (BP) circadian rhythm (CR) is influenced by life style. Two groups of subjects were recruited from Nepal and Japan because of the extremely different occupational routines of these countries. The Nepalese represent a rural culture, while the Japanese refle...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Kawasaki T,Cugini P,Itoh K,Uezono K,Ogaki T,Yoshimizu Y,Cornélissen G

    更新日期:1996-05-01 00:00:00

  • The association between longitudinal trends of thyroid hormones levels and incident hypertension in a euthyroid population.

    abstract::Thyroid hormones, including free triiodothyronine (FT3), free thyroxine (FT4), have well-recognized effects on the cardiovascular system. However, the evidence is lacking regarding the relationship between repeated FT3, FT4, and thyroid-stimulating hormone (TSH) measurements and incident hypertension. The aim of this ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/s41371-020-00474-4

    authors: Wang Y,Gu Y,Zhang Q,Liu L,Meng G,Wu H,Zhang S,Zhang T,Wang X,Sun S,Wang X,Zhou M,Jia Q,Song K,Niu K

    更新日期:2021-01-18 00:00:00

  • Coronary microcirculation into different models of left ventricular hypertrophy-hypertensive and athlete's heart: a contrast echocardiographic study.

    abstract::The study was carried out in two different models of left ventricular hypertrophy: athlete's heart and essential arterial hypertension. Three groups of strictly age-matched males were studied: one group of 10 young adult untreated essential hypertensive patients (H), a second group of 10 athletes (A), and a group of 1...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001547

    authors: Di Bello V,Giorgi D,Pedrinelli R,Talini E,Palagi C,Nardi C,Dell'Omo G,Delle Donne MG,Paterni M,Mariani M

    更新日期:2003-04-01 00:00:00

  • Epithelioid sarcoma of soft tissues: a case of extrarenal renin-secreting tumour.

    abstract::The case of a young woman presenting with a renin-secreting soft tissue sarcoma is described. The primary extrarenal tumour as well as metastatic disease were associated with severe hypertension and both required surgical treatment. The location of these rare malignant tumours and their association with renin-dependen...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Chauveau D,Julien J,Pagny JY,Jeunemaitre X,Bruneval P,Guyenne TT,Le Chevalier T,Plouin PF,Corvol P

    更新日期:1988-12-01 00:00:00

  • Interested in developing a national programme to reduce dietary salt?

    abstract::High dietary salt is a major contributor to increased blood pressure, the leading risk for death worldwide. In several countries, national programmes to reduce dietary salt have been implemented with leadership and involvement of hypertension experts. Other hypertension experts may be interested in assisting or leadin...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:10.1038/jhh.2011.25

    authors: Campbell NR,Neal BC,MacGregor GA

    更新日期:2011-12-01 00:00:00

  • Losartan decreased premature ventricular contractions in patients with hypertension.

    abstract::Losartan, enalapril and amlodipine reduced the number of premature ventricular contractions (PVCs) in patients with essential hypertension as well as blood pressure. The effect of losartan was the most prominent among the three drugs. ...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,信件

    doi:10.1038/jhh.2008.122

    authors: Shiraishi H,Shirayama T,Sakamoto T,Kuroyanagi A,Matsubara H

    更新日期:2009-04-01 00:00:00

  • Increased central arterial stiffness and altered cerebrovascular haemodynamic properties in South Asian older adults.

    abstract::South Asians (SA) suffer from a higher burden of heart disease and stroke compared with White Caucasians (CA). We hypothesized that increased arterial stiffness in older adults of SA origin would be associated with greater cerebrovascular pulsatile pressure and flow characteristics compared with CA older adults. Forty...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2015.76

    authors: Brar I,Robertson AD,Hughson RL

    更新日期:2016-05-01 00:00:00

  • Diagnosis of primary aldosteronism in the hypertension specialist centers in Italy: a national survey.

    abstract::Primary aldosteronism (PA) is the most common endocrine cause of resistant hypertension. Individuals with PA are at increased cardiovascular risk, and an appropriate management and treatment would ideally reduce such risk. Screening and diagnosis of PA requires a specific diagnostic test which is considered time- and ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/s41371-018-0094-6

    authors: Pucci G,Monticone S,Agabiti Rosei C,Balbi G,Bertacchini F,Ragazzo F,Saladini F,Pengo MF,Young Investigator Group of the Italian Hypertension Society (Società Italiana dell’Ipertensione Arteriosa).

    更新日期:2018-11-01 00:00:00

  • Relation between the angiotensin-converting enzyme insertion/deletion polymorphism and blood pressure in Japanese male subjects.

    abstract::Inconsistent results have been reported regarding the association of the angiotensin-converting enzyme (ACE) insertion/deletion (I/D) polymorphism and hypertension. Recent studies of population-based samples of three different areas in Japan presented conflicting results regarding this association. We, thus, investiga...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001601

    authors: Todoroki M,Minami J,Ishimitsu T,Ohrui M,Matsuoka H

    更新日期:2003-10-01 00:00:00

  • A comparison of the tolerability of the direct renin inhibitor aliskiren and lisinopril in patients with severe hypertension.

    abstract::Patients with severe hypertension (>180/110 mm Hg) require large blood pressure (BP) reductions to reach recommended treatment goals (<140/90 mm Hg) and usually require combination therapy to do so. This 8-week, multicenter, randomized, double-blind, parallel-group study compared the tolerability and antihypertensive ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1038/sj.jhh.1002220

    authors: Strasser RH,Puig JG,Farsang C,Croket M,Li J,van Ingen H

    更新日期:2007-10-01 00:00:00

  • Abnormalities of rheology and coagulation in hypertension.

    abstract::While the arterial tree is exposed to increased pressure flow, paradoxically the complications of hypertension are mainly thrombotic rather than haemorrhage. Improved techniques have allowed the identification of haemorrheological indices, coagulation factors and markers of arteriolar endothelial and platelet dysfunct...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:

    authors: Lip GY,Beevers DG

    更新日期:1994-09-01 00:00:00

  • Physiopharmacological approach to mechanical factors of hypertension in the atherosclerotic process.

    abstract::Hypertension may influence the atherosclerotic process of large arteries via pressure and shear forces. The pressure force dilates and stiffens arteries because of the non-linear elastic behaviour of arterial walls. This partly explains the increased diameter and decreased compliance of the brachial artery in hyperten...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:

    authors: Simon AC,Pithois-Merli I,Levenson J

    更新日期:1991-08-01 00:00:00

  • Arterial compliance: is it reduced in antiphospholipid syndrome?

    abstract::To assess vascular compliance in patients with antiphospholipid syndrome (APS), or antiphospholipid antibodies (aPLs) positivity in comparison to healthy people and diabetes mellitus patients. Twenty-five patients with APS or aPLs, 33 healthy people (HP), 28 patients with diabetes mellitus (DM) underwent pulse wave an...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1002020

    authors: Reitblat T,Polishchuk I,Zamir D,Isakov I,Oren S

    更新日期:2006-07-01 00:00:00

  • Can heart rate predict blood pressure response to anti-hypertensive drug therapy?

    abstract::The use of heart rate in clinical practice is limited by its variability under measurement situations. The mean heart rate on ambulatory monitoring provides a more robust statistic for clinical use. We examined the relationship between mean heart rate on initial referral ambulatory blood pressure monitoring (ABPM) to ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000586

    authors: Owens PE,Lyons S,O'Brien E

    更新日期:1998-04-01 00:00:00