Cited by 152Sodium Intake and HealthBlood Pressure and Hypertension StudiesRenin-Angiotensin System Studies

Renal Dysfunction, Rather Than Nonrenal Vascular Dysfunction, Mediates Salt-Induced Hypertension

Open access
Hall, John E.·2016·Circulation

Abstract

L ong-term high salt intake increases the risk for hyper- tension and associated cardiovascular and kidney disease, whereas modest reductions in salt intake significantly decrease blood pressure (BP) in many hypertensive subjects.[1][2][3] However, the mechanisms of salt-induced changes in BP continue to be the subject of considerable interest and controversy.

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Crossref · 10.1161/circulationaha.115.018526

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  • Individuals who gain excess adiposity maintain sodium balance at higher blood pressures than when they were lean, indicating impaired renal-pressure natriuresis.

    “individuals who gain excess adiposity maintain sodium balance at higher BPs than when they were lean, indicating impaired renal-pressure natriuresis16,51.”
  • Mild elevations in angiotensin II levels in obesity are driven largely by increased renal renin secretion due to sympathetic nervous system activation, kidney compression, and other factors such as adipokines.

    “Current evidence suggests that mild elevations in AngII levels in obesity are driven largely by increased renal renin secretion due to SNS activation, kidney compression and perhaps other factors such as adipokines51,60.”

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  1. [12]Guyton AC Arterial pressure and hypertension Circulatory Physiology III 1980 1 564 WB Saunders Philadelphia

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Authors
Hall, J. E.
Affiliations
University of Mississippi Medical Center (US)
Corresponding author
Hall, John E.
Venue
Circulation
Published
2016-03
Volume
133
Issue
9
Pages
894-906
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2289208127
Cited by
152
References
103
Citations by year
2026: 5 · 2025: 11 · 2024: 7 · 2023: 27 · 2022: 11 · 2021: 16 · 2020: 20 · 2019: 15 · 2018: 12 · 2017: 19 · 2016: 9
FWCI
19.00
Type
journal article
Language
en
Open access
Locations
  • Circulation (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (GM104357, HL-51971)
  • National Heart, Lung, and Blood Institute (HL‐51971, P01HL051971, GM104357)
  • National Institute of General Medical Sciences (GM104357, HL51971, P20GM104357)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Renin-Angiotensin System Studies
Keywords
salt-induced hypertension, renal dysfunction, high-salt diet, blood pressure regulation, sodium intake, kidney disease, cardiovascular risk
MeSH terms
Animals, Humans, Hypertension, Kidney Diseases, Vasodilation, Sodium Chloride, Dietary

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