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High sodium diets impair vascular function, which may influence the work of the heart. This investigation is designed to determine if this change in vascular function results in a greater workload in the heart and if people who regularly exercise are protected from these effects.
Excess dietary sodium is associated with cardiac hypertrophy independent of changes in blood pressure. Importantly, increased arterial pulsatile load predicts left ventricular hypertrophy, and thus presents a potential mechanism through which high dietary sodium augments cardiovascular disease risk.
While high sodium diets impair vascular function via an increase in oxidative stress, how high sodium influences central pulsatile hemodynamics is not known. This project aims to a) determine how impaired vascular function affects pulsatile hemodynamics and thus influences the work of the heart during periods of high sodium consumption and b) examine whether regular aerobic exercise and/or fitness protects against the deleterious effects of excess sodium.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High Sodium | Experimental | Consumption of an extra 3900 mg of dietary sodium per day. |
|
| Placebo | Placebo Comparator | Control Condition |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| High Sodium | Dietary Supplement | 10 days of 3900 mg of sodium/day in excess of normal dietary intake delivered via enteric capsules filled with table salt. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Reflected Pulse Wave Amplitude | Aortic pressure-flow relations will be assessed non-invasively using echocardiography and peripheral artery applanation tonometry. Wave separation analysis will be used to calculate reflected pulse wave amplitude. | On the 10th day of each arm. |
| Conduit artery endothelium-dependent dilation | Brachial artery flow mediated dilation (FMD) will be assessed by duplex ultrasound as an index of conduit artery endothelial function. | On the 10th day of each arm. |
| Arterial Stiffness | Carotid-femoral pulse wave velocity (cf-PWV) will be assessed via applanation tonometry as an index of aortic stiffness. cf-PWV will be calculated as the difference in timing of of pulse waves at the carotid and femoral arteries divided by the distance between measurements. | On the 10th day of each arm. |
| Measure | Description | Time Frame |
|---|---|---|
| Wave reflection timing | Aortic pressure-flow relations will be assessed non-invasively using echocardiography and peripheral artery applanation tonometry. Wave separation analysis will be used to calculate reflected wave transit time. | On the 10th day of each arm. |
| Forward Pulse Wave Amplitude |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| David G Edwards, PhD | Contact | 302-831-3363 | dge@udel.edu | |
| Jordan C Patik, PhD | Contact | 512-820-6387 | jpatik@udel.edu |
| Name | Affiliation | Role |
|---|---|---|
| David G Edwards, PhD | University of Delaware | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Kinesiology and Applied Physiology, University of Delaware | Recruiting | Newark | Delaware | 19713 | United States |
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| ID | Term |
|---|---|
| D006955 | Hypernatremia |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D014883 | Water-Electrolyte Imbalance |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D001519 | Behavior |
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| Placebo | Other | 10 days of enteric capsules filled with dextrose. |
|
Aortic pressure-flow relations will be assessed non-invasively using echocardiography and peripheral artery applanation tonometry. Wave separation analysis will be used to the amplitude of the forward traveling pulse wave. |
| On the 10th day of each arm. |
| 24 Hour Blood Pressure | 24 hour blood pressure monitoring will be performed using an ambulatory blood pressure monitor device. Average day and nighttime systolic, diastolic, and mean blood pressures will be determined. | The morning of day 9 through the morning of day 10 for each arm. |