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Sodium-not harmful?
Pediatric Nephrology ( IF 3 ) Pub Date : 2020-05-21 , DOI: 10.1007/s00467-019-04356-x
Georges Deschênes 1
Affiliation  

BACKGROUND The temporality between the mandated reduction of salt in processed food and the decrease of death from stroke and ischemic heart disease, the association of hypertension, and cardiovascular disease led many public health organizations to recommend reducing dietary sodium to a maximum of 2300 mg per day. It turns out that some nuances can be brought about to this universally shared belief. METHODS & RESULTS Indeed, consideration of health outcomes instead of only blood pressure as a surrogate marker of cardiovascular disease and prognosis gave contradictory results whereas low sodium intake is associated to an excess of death and cardiovascular events. CONCLUSIONS Accordingly, sodium intake should be adapted to individual risk factors, and evidence is still clearly lacking to support indiscriminate recommendations in healthy people. By contrast, a restricted sodium diet is certainly useful in patients with chronic kidney disease exposed to salt retention, and by reciprocity, low sodium diet must be absolutely avoided in all patients presenting renal or extra renal sodium wasting where sodium depletion is a life-threatening condition.

中文翻译:

钠无害吗?

背景技术强制减少加工食品中的盐与中风和局部缺血性心脏病死亡,高血压和心血管疾病的死亡之间的暂时性,导致许多公共卫生组织建议每天将饮食中的钠减少至最大2300 mg 。事实证明,这种普遍认同的信念可以带来一些细微差别。方法与结果确实,考虑健康结果而不是仅以血压作为心血管疾病和预后的替代标志,结果却相矛盾,而低钠摄入量则与死亡和心血管事件过多有关。结论因此,钠摄入量应适应个体危险因素,并且显然仍然缺乏证据支持健康人不加区分的建议。相比之下,限制钠盐饮食肯定对患有长期肾脏疾病而暴露于盐分滞留的患者有用,并且通过互惠,必须绝对避免在所有钠盐消耗严重威胁肾脏或肾脏过度消耗的肾病患者中使用低钠盐饮食健康)状况。
更新日期:2020-05-21
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