• Journal of Nutrition and Health
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• 제35권7호
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• pp.754-762
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• 2002

This study was performed to investigate the effect of sodium intake on blood pressure and blood parameters. 20 young adult women were fed the diets containing 290.5 mEq (high-Na diet) and 51.3 mEq (low-Na diet) Na for 6 days, respectively. BMI, DBP, and MBP were significantly lower in low-Na diet than those in high-Na diet. 20 subjects were divided into 3 groups according to the salt-sensitivity. In salt-sensitive group, decreases in SBP, DBP, and MBP by low-Na diet were shown. And there were not significant difference in blood pressure of salt-resistant group between high- and low-Na diet. In count-reactive group, MBP in low-Na diet was significantly higher than that in high-Na diet. Hemoglobin, creatinine, uric acid, and haptoglobin levels in serum were significantly higher in low-Na diet than those in high-Na diet. Among groups with different salt-sensitivity, increments of haptoglobin by low-Na diet were shown in salt-sensitive and counter-reactive groups. Actually, low sodium diet affects not only the blood pressure, but other biochemical parameters which in turn affect an individual overall health. Also salt-sensitivity should be considered as an important determinant. Therefore, for the patients who need restricted Na diet, it would be suggested that various biochemical changes and individual salt-sensitivity should be carefully considered along with dietary Na manipulation.

• Journal of Nutrition and Health
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• 제32권6호
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• pp.661-670
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• 1999

Effects of Ca supplementation on blood pressure(BP) response to dietary Na level were studied in 15 normotensive healthy college women with family history of hypertension. All subjects, randomly divided into 3 groups, ate low Na diet(1816mg/day) prepared in the laboratory during the first 2 weeks and normal Na diet(4064mg/day) of their own home for the next 8 weeks. The one group received daily 1g Ca supplement at both low and normal Na diet periods, the second group took daily 1g Ca supplement only at normal a diet period, and the last group took placebo during both periods. Average Ca and energy intakes at the basal of and during the trial ranged 450-600mg and 1735-1878kcal, respectively. Systolic/diastolic BP was decreased by 9.2-9.8/4.4-4.5 mmHg during low Na diet period and was increased again during next normal Na diet period. However simultaneous Ca supplementation during both low and normal Na diet period suppressed the elevation of systolic/diastolic BP occurred at normal Na diet period. Ca supplementation only at normal Na diet peroid did not affect the BP elevation. The increase of serum Ca and Ca/Mg ratio and the decrease of serum Na and Na/K ratio might be related to the BP lowering effects of Ca supplementation. In conclusion, Ca supplement could attenuate BP elevation induced by increasing Na intake. The BP lowering effect of Ca supplementation was not appeared at low Na intake. Further studies were needed to make it certain. Low Na intake was also confirmed as an effective diet control for lowering blood pressure.

• Journal of Nutrition and Health
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• 제37권2호
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• pp.108-114
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• 2004

This study was performed to determine the effect of dietary Na levels on plasma amino acid levels. Plasma amino acid levels were compared in 20 adult healthy women subjects who were given high Na diet (290.48 mEq/day : NaCl 17g) or low Na diet (51.26 mEq/day : NaCl 3g) for subsequent 6 days. Plasma essential amino acids levels were significantly decreased (36%) while plasma non-essential amino acids levels were significantly increased (22%) when subjects were given low Na diet (p＜0.001). Among essential amino acids, threonine was decreased (74%) significantly when subjects were given low Na diet (p＜0.01). Among nonessential amino acids, serine (49%), proline (20%) and aspartic acid (14%) were increased (p＜0.01), while arginine (48%) and glutamic acid (27%) were decreased (p＜0.001). In conclusion, dietary Na contents seemed to be an important factor to affect plasma amino acid levels. It would be appropriate to decrease the dietary Na intakes level considering the various clinical effects of dietary Na on the body fluid. For the patients who need low Na diet, it would be suggested that the level of dietary proteins should be carefully considered along with dietary Na manipulation. (Korean J Nutrition 37(2) : 108-114, 2004)

• Journal of Nutrition and Health
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• 제33권4호
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• pp.403-410
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• 2000

The effects of dietary Ca and Na levels on lipid metabolism in hyper lipidemic/hypercholesterolemic rats were examined. In Expt. 1, normal rats were divided into six groups and fed high fat(15%, w/w)/cholesterol(1%, w/w) diet containing two levels of Na, low (0.05) or high(1.5%) and three levels of Ca, low(0.1%), normal (0.5%), or high(1.5%) for 8 weeks. In Expt. 2, hyperlipidemia / hypercholesterolemia rats were induced by feeding high fat / cholesterol diet for 4 weeks. They were divided into four groups and fed the high fat / cholesterol diet, containing two levels of Na, low or high and two levels of Ca, low or high for 4 weeks. In Expt. 1, total lipid and total cholesterol contents in serum and liver were significantly lower in rats fed high Ca diet than in rats fed normal or low Ca diet regardless of dietary Na levels. Serum TG was the highest in rats fed low Ca and low Na diet. In Expt. 2, Serum total lipid, TG, and total cholesterol levels decreased by 24, 35, 26% respectively in rats fed high Ca diet regardless of dietary Na levels. Serum total lipid level tended to increased in rats fed low Na diet. The total lipid and TG contents in liver slightly decreased in rats fed high Ca diet. Another observation was that high Ca intake significantly faciliated the fecal lipid and cholesterol excretion regardless of dietary Na levels. There results suggest that the hypolipidemidc/hypocholesterolemic effects of high Ca diet could be partly due to increase in lipid and cholesterol excretion and these effects may be independent of dietary Na levels.

• 한국식품영양과학회지
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• 제31권6호
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• pp.1035-1042
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• 2002

본 연구는 나트륨 섭취수준이 혈중 지질과 혈당에 미치는 영향을 규명해보기 위하여 정상 성인 여성 20명을 대상으로 고나트륨식과 저나트륨식을 각각 6일씩 공급한 후 혈중 지질, 혈당 및 기타 혈액성상의 변화를 비교분석하였다. 그 결과를 요약하면 다음과 같다. 연구대상자들의 평균연령은 22.9$\pm$2.5세였으며 평균 체중과 신장은 54.7$\pm$6.6kg과 160.0$\pm$4.8cm였고 수축기/이완기 혈압은 110.3$\pm$7.7/67.5$\pm$9.7 mm Hg로 정상범위에 속하였다. 나트륨 섭치수준에 따른 평균 체중의 변화는 고나트륨식이 54.7$\pm$6.4 kg으로 저나트륨식의 53.8$\pm$6.2 kg보다 유의하게 높았다(p<0.001). 평균 신장은 고나트륨식과 저나트륨식간에 유의한 차이가 없었으나, 이완기혈압은 고나트륨식(65.5$\pm$8.3 mmHg)보다 저나트륨식(60.8$\pm$8.6 mmHg) 이후 유의하게 감소하였다(p<0.05). 혈청 콜레스테롤,LDL-콜레스테롤,HDL-콜레스테롤 함량은 나트륨 섭취 수준에 따라 유의적인 차이를 보이지 않았으나 중성지질은 고나트륨식의 89.4$\pm$27.3 mg/dL보다 저나트륨식이시 73.8$\pm$12.5mg/dL로 유의하게 감소하였다(p<0.05). 혈청 아포 A-I은 고나트륨식의 183.7$\pm$32.7 mg/dL보다 저나트륨식에서 167.5$\pm$22.8 mg/dL로 유의적으로 감소하였으나(p<0.001), 아포 B는 고나트륨식의 83.3$\pm$13.9 mg/dL보다 저나트륨식에서 90.8$\pm$12.9 mg/dL로 유의하게 증가하였다(p<0.001). 아포 A-I/B는 저나트륨식이 1.9$\pm$0.2로 2.2$\pm$0.3을 보인 고나트륨식보다 유의하게 낮았으나(p<0.001),AI(atherogenic index)는 나트륨 섭취수준에 의한 영향을 받지 않았다 혈액 응고시간으로 thrombin time과 Prothrombin time은 저나트륨식이 각각 9.6$\pm$1.1초, 11.6$\pm$0.7초로 나타나 고나트륨식의 11.3$\pm$1.3초, 12.0$\pm$0.4초보다 유의하게 빠른 것으로 나타났다(p<0.001, p<0.05). 나트륨 섭취수준에 따른 혈당 농도는 고나트륨식과 저나트륨식 간에 유의한 차이가 없었으나, 인슐린 함량은 저나트륨식이 10.3$\pm$5.0 $\mu$IU/mL로 고나트륨식의 6.0$\pm$2.6$\mu$IU/mL보다 유의하게 높았다.(P<0.01). 이상의 결과를 종합할 때 저나트륨식에서 이완기 혈압, 혈청 중성지질, 아포A-1, 혈액 응고시간은 감소되었으나, 혈청 아포 B와 인슐린함량은 유의하게 증가되어 지속적인 저나트륨식 처방시 지질과 당질대사의 변화를 초래할 가능성이 있는 것으로 보여진다. 따라서 혈압 저하를 목적으로 하는 나트륨 제한식의 실시는 다양한 체내의 생화학적 변화를 고려해서 이루어져야 할 것이며, 앞으로 이에 대한 보다 다각적인 연구가 요구된다.

• Journal of Nutrition and Health
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• 제25권1호
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• pp.22-31
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• 1992

병원식 중 고혈압 환자를 위한 저염식 내의 고혈압에 영향을 끼치는 식이성 요인인 Na, K, Mg, Ca, Mg을 측정하고, 식이 성분표를 이용하여 무기성분을 계산한 다른보고와 비교하여 실제 함량을 파악하고, 저염식과 일반식을 비교하여 공급량의 실태를 조사 하였다. 이러한 연구는 고혈압 환자를 위한 저염식 식단 작성시의 기준을 구하고 기존 자료의 실제 활용면에 기초가 되며, 고혈압 환자의 치료와 예방에 도움이 되고자 한다. 대구직할시 C종합병원에서 1990년 6월 26일에서 28일 사이에 일반식과 저염식 각각 3일분을 채취하여 식이내 Na, K, Mg, Ca, Mg의 함량을 측정하였으며 그결과는 다음과 같다. 1) 1일 열량 섭취랑은 일반식과 저염식 모두 2300kcal를 기준으로 하였다. 2) NA의 1일 섭취량은 일반식은 3580.3mg, 저염식은 2510.0mg이다. 3) K의 1일 섭취량은 일반식은 676.1mg, 저염식은 2510.0mg이다. 3) K의 1일 섭취량은 일반식은 676.1mg, 저염식은 1132.9mg이다. 일반식과 저염식 모두 미국인 정상인을 위한 최저요구량에 미달되었고, Na/K의 섭취비도 1에 가깝게 낮춰야 하므로 K의 섭취를 증가시켜야 고혈압 환자의 치료와 예방에 효과가 클 것으로 사료된다. 4) Ca의 1일 섭취량은 일반식은 662.9mg, 저염식은 605.4mg이다. 일반식과 저염식 모두 정상인을 위한 권장량에 가깝고 고혈압에는 Ca섭취를 증가시켜야 하므로 유제품의 섭취가 증가되어야 할것이다. 5) Mg의 1일 섭취량은 일반식은 443.1mg, 저염식은 278.7mg이다. 일반식은 미국인 권장량 보다 높고 저염식은 권장량에 가깝다. 고혈압에는 Mg의 섭취를 증가시키는 것이 더욱 바람직하다.

• Asian-Australasian Journal of Animal Sciences
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• 제25권4호
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• pp.552-558
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• 2012

A $2{\times}2$ factorial experiment was conducted to study the effect of dietary calcium and non-phytate phosphorus (nPP) imbalance on calbindin and NaPi-IIb mRNA levels in the small intestine and tibia parameters of broiler chicks. One hundred and forty four 1-d-old Arbor Acres male broiler chicks were divided into four treatments consisted of six replicates with six chicks each. The two dietary calcium levels were 1.10% and 0.60%, and two dietary nPP levels were 0.50% and 0.27%. Results showed that a high Ca/nPP ratio diet (4.07:1) significantly depressed feed intake and weight gain of broilers (p<0.05), but a lower Ca:nPP ratio (1.2:1) had no influence (p>0.05). Low-Ca with low-P diet resulted in low tibia minerals and tibia breaking strength of broilers, and all the tibia parameters were further decreased when the dietary ratio of Ca to P was relative higher. Low dietary Ca or P up-regulated the calbindin and NaPi-IIb mRNA expression levels. Low Ca with normal P diet up-regulated duodenal calbindin mRNA expression level to the greatest extent. Low P with a normal Ca diet significantly enhanced NaPi-IIb mRNA expression level to the highest extent. These results suggest that the calbindin and NaPi-IIb mRNA expression were enhanced by the imbalance between dietary Ca and nPP, and their expression were not only influenced by Ca or nPP level, but also the ratio of Ca:nPP.

• 동아시아식생활학회지
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• 제4권1호
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• pp.71-77
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• 1994

Although Korean people like Kimchi very much, Kimchi is generally limited in sodium restricted diet of hospital food service operation. The use of Kimchi in sodium restricted diet can improve appetite and nutritional status of patients. In this study, four kinds of Kimchi(Kwail-Nabakji, susan-Nabakji, suk-Gakduki, Oi-Gakduki) were Prepared and analyzed for their Sodium contents. the preference of Kwail-Nabakji and susan-Nabakji was compared with low sodium Juciy kimchi provided in the hospital in 25 patients who were restricted in sodium intake. The result were as follows: 1. In 2 kinds of low sodium juicy Kimchi that salt not added sodium contents of kwail-Nabakji(fruti-juicy Kimchi) and susan-nabakji(ginseng-Kimchi) were 17.8 mg/100g a 11.0 mg/100g, respectively. 2. The otehr 2 kimchies were prepared by adding dilute salted shrimp broth. suk-Gakd uki(boild radish-Kimchi) and Oi-Gakduki(cumcuber-Kimchi) had 89.8 mg/100g and 111.6 mg/100g sodium, respectively. 3. Na/k ratios of 4 kinds of low sodium kimchi were in the range of 0.34-0.62 which were lower than that of general Kimchies. 4. The patients preferred kwil-nabakji and susan-nabakji to low sodium juicy Kimchi provided in the hospital, and most liked Kwai-Nabakju. Therefore low sodium Kimchies can be recommended in sodium restricted diet because they have lower sodium contents then general Kimchies.

• The Korean Journal of Physiology
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• 제25권1호
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• pp.69-79
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• 1991

To evaluate the acute and chronic effects of potassium on aldosterone response to different amounts of sodium intake, two series of experiments were conducted. In the first series of experiments, when the plasma K level was increased acutely by KCI infusion $(20\;{\mu}g/kg/min\;for\;20 min)$, plasma aldosterone concentration increased in both low Na and high Na groups. However, the aldosterone response to K infusion was significantly greater in the low Na than in the high Na groups. In the second series of experiments, rats fed a high K diet chronically showed a significantly higher plasma K level than those fed a low K diet. However, plasma Na level was maintained relatively constant independent of the Na intake. Both the plasma renin activity (PRA) and aldosterone levels were inversely related to the Na intake. There was a highly positive correlation between aldosterone level and PRA over a wide range of sodium intakes. However, the slope of the correlation line was distinctly steeper in the K-repleted than in the K-depleted rats. The above results indicate that the adrenotropic action of acute K load was augmented in the presence of high plasma renin levels. However, when plasna K level was elevated chronically by a high-K diet, aldosterone secretion was markedly stimulated, although the plasma lenin levels were suppressed.

• Asian-Australasian Journal of Animal Sciences
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• 제25권10호
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• pp.1457-1465
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• 2012

Intestinal phosphate (Pi) absorption across the apical membrane of small intestinal epithelial cells is mainly mediated by the type IIb Na-coupled phosphate co-transporter (NaPi-IIb), but its expression and regulation in the chicken remain unclear. In the present study, we investigated the mRNA and protein levels of NaPi-IIb in three regions of chicken small intestine, and related their expression levels to the rate of net phosphate absorption. Our results showed that maximal phosphate absorption occurs in the jejunum, however the highest expression levels of NaPi-IIb mRNA and protein occurs in the duodenum. In response to a low-Pi diet (TP 0.2%), there is an adaptive response restricted to the duodenum, with increased brush border membrane (BBM) Na-Pi transport activity and NaPi-IIb protein and mRNA abundance. However, when switched from a low-(TP 0.2%) to a normal diet (TP 0.6%) for 4 h, there is an increase in BBM NaPi-IIb protein abundance in the jejunum, but no changes in BBM NaPi-IIb mRNA. Therefore, our study indicates that Na-Pi transport activity and NaPi-IIb protein expression are differentially regulated in the duodenum vs the jejunum in the chicken.