Abstract
We recently showed that cardiovascular morbidity was higher in sodium sensitive type of essential hypertension than in the non-sodium sensitive type. It was examined whether sodium sensitivity was associated with insulin resistance, an important atherosclerotic cardiovascular risk factor in essential hypertension. Fifty-three patients with essential hypertension, who had normal (n = 12) and impaired (n = 41) glucose tolerance, were placed on high (12–15 g NaCl/day) and low (1–3 g) sodium diets for 1 week each to determine sodium sensitivity. Fasting plasma glucose and insulin concentrations were measured on a regular sodium diet. The homeostasis model assessment insulin resistance index (fasting glucose [mmol/L] × fasting insulin [mU/L]/22.5) was 1.40 ± 0.10 and 1.47 ± 0.14 in non-sodium sensitive and sodium sensitive groups. The insulin resistance index was positively correlated with the sodium sensitivity index, while was negatively correlated with fractional excretion of sodium (FENa) obtained during a high sodium diet. In addition, the insulin resistance index had a positive relationship with overall creatinine clearance. Sodium sensitivity index was also negatively correlated with FENa obtained during a high sodium diet. These results showed that insulin resistance might participate in the genesis of sodium sensitivity in essential hypertension by enhancing tubular sodium reabsorption, as reflected in decreased FENa and augmented creatinine clearance. Insulin resistance seemed elevated in sodium sensitive state of essential hypertension, leading to future cardiovascular events.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 digital issues and online access to articles
$119.00 per year
only $9.92 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kuroda, S., Uzu, T., Fujii, T. et al. Role of insulin resistance in the genesis of sodium sensitivity in essential hypertension. J Hum Hypertens 13, 257–262 (1999). https://doi.org/10.1038/sj.jhh.1000800
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.jhh.1000800
Keywords
This article is cited by
-
Efficacy of salt reduction for managing overactive bladder symptoms: a prospective study in patients with excessive daily salt intake
Scientific Reports (2021)
-
The association between urinary sodium excretion and blood pressure in a community-based population: the Yamagata (Takahata) study
Clinical and Experimental Nephrology (2019)
-
Salt sensitivity and circadian rhythm of blood pressure: the keys to connect CKD with cardiovasucular events
Hypertension Research (2010)
-
Metabolic syndrome and blood pressure: the salty connection
Journal of Human Hypertension (2007)