Effects of Acute Dietary Sodium on Cerebrovascular Reactivity and Blood Pressure Reactivity

NCT ID: NCT03564262

Last Updated: 2020-09-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

37 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-05-01

Study Completion Date

2020-06-01

Brief Summary

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Americans eat more salt than is recommended by the American Heart Association. This is important because consuming a high-salt diet is associated with an increased risk of cardiovascular events, like strokes and heart attacks. In fact, consuming one high-salt meal temporarily reduces blood vessel function and it is not uncommon for Americans to consume high-salt meals. Therefore, our laboratory is interested in determining if a single high-salt meal affects 1) brain blood vessel function at rest and 2) blood pressure responses during exercise.

Detailed Description

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Excess dietary salt increases the risk of cardiovascular events like strokes and heart attacks, independent of resting blood pressure. Recent data found that consuming one high-salt meal temporarily reduces endothelial function in the periphery. This decrease in endothelial function can lead to an exaggerated blood pressure response during exercise and may also attenuate cerebrovascular reactivity at rest. This is essential, because an exaggerated cardiovascular response to exercise and a decrease in brain blood vessel function at rest are risk factors for future cardiovascular events. The long-term goal is to determine how dietary salt adversely affects BP and cerebrovascular regulation. The objective of this proposal is to evaluate the impact of an acute dietary salt meal on BP response during exercise and cerebrovascular reactivity at rest. The investigators have 2 specific aims: 1) Aim 1 will test the hypothesis that high dietary salt will reduce cerebrovascular reactivity, 2) Aim 2 will test the hypothesis that high dietary salt will augment blood pressure reactivity during exercise. The findings of this project will shed light on how acute dietary salt affects the risk of cardiovascular events during a bout of exercise and long-term risk for cardiovascular disease and stroke.

Conditions

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Blood Pressure Cerebrovascular Reactivity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Investigators

Study Groups

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Cerebrovascular Reactivity

Cerebrovascular reactivity (CVR) will be assessed using transcranial Doppler ultrasound with carbon dioxide as the vasoactive stimuli.

The intervention is to provide subjects with either a low sodium meal (138 mg sodium) and high sodium meal (1,495 mg sodium), in a randomized order. The CVR test will be performed prior to soup consumption as well as after soup consumption.

Group Type EXPERIMENTAL

Low Sodium Meal (138 mg sodium)

Intervention Type OTHER

One Low Sodium Meal

High Sodium Meal (1,495 mg sodium)

Intervention Type OTHER

One High Sodium Meal

Blood Pressure Reactivity

Blood pressure responses during dynamic exercise will be assessed. The intervention is to provide subjects with either a low sodium meal (138 mg sodium) and high sodium meal (1,495 mg sodium), in a randomized order. Blood pressure reactivity during dynamic exercise will be assessed after soup consumption.

Group Type EXPERIMENTAL

Low Sodium Meal (138 mg sodium)

Intervention Type OTHER

One Low Sodium Meal

High Sodium Meal (1,495 mg sodium)

Intervention Type OTHER

One High Sodium Meal

Interventions

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Low Sodium Meal (138 mg sodium)

One Low Sodium Meal

Intervention Type OTHER

High Sodium Meal (1,495 mg sodium)

One High Sodium Meal

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* normal blood pressure
* males, females, minorities

Exclusion Criteria

* high blood pressure
* body mass index (BMI \> 30 kg/m2)
* smokers or nicotine users
* those who are pregnant or planning to become pregnant
* allergy to the tomato soup
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Delaware

OTHER

Sponsor Role lead

Responsible Party

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William Farquhar

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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William B Farquhar, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Delaware

Kamila U Migdal, BS

Role: PRINCIPAL_INVESTIGATOR

University of Delaware

Locations

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William B Farquhar

Newark, Delaware, United States

Site Status

Countries

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United States

References

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Migdal KU, Robinson AT, Watso JC, Babcock MC, Serrador JM, Farquhar WB. A high-salt meal does not augment blood pressure responses during maximal exercise. Appl Physiol Nutr Metab. 2020 Feb;45(2):123-128. doi: 10.1139/apnm-2019-0217. Epub 2019 Jun 25.

Reference Type RESULT
PMID: 31238011 (View on PubMed)

Other Identifiers

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1178955-1

Identifier Type: -

Identifier Source: org_study_id

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