DOI QR코드

DOI QR Code

Correlation between Blood Pressure and Serum Mineral Concentrations in Hypertension Patients with Dehydration

고혈압 환자의 탈수 여부에 따른 혈압과 혈청 무기질과의 관련성

  • Yun, Mi-Jung (Dept. of Food & Nutrition, Chungnam National University) ;
  • Yun, Mi-Eun (Dept. of Food and Nutrition, Sahmyook University) ;
  • Kim, Mee-Ree (Dept. of Food & Nutrition, Chungnam National University)
  • 윤미정 (충남대학교 식품영양학과) ;
  • 윤미은 (삼육대학교 식품영양학과) ;
  • 김미리 (충남대학교 식품영양학과)
  • Received : 2017.05.10
  • Accepted : 2017.08.31
  • Published : 2017.08.31

Abstract

The objective of this study was to analyze the relationship between blood pressure and serum mineral concentration in hypertension patients subjected to dehydration. The data were collected and analyzed for 7,109 patients who visited a hospital for their health checkup from 2011 till 2015. Respondents were classified into four groups depending upon their state of hypertension and dehydration: control group (no hypertension and no dehydrated), dehydrated group, hypertension group, and dehydrated with hypertension group. Hypertension group was found to have higher levels of serum sodium, calcium, and uric acid than the normal group, whereas the dehydrated group was found to have higher levels of serum sodium and potassium than the normal group. In effect, no significant correlation was directly observed between the hypertension group and dehydration group. However, there were significant negative correlations between dehydration of the old-aged group and their serum mineral concentrations, which are reportedly related to hypertension. Thus, dehydration prevention measures in the elderly over 65 could mitigate hypertension problems.

Keywords

References

  1. Appel LJ, Brands MW, Daniels SR, Karanja N, Elmer PJ, Sacks FM (2006) Dietary approaches to prevent and treat hypertension a scientific statement from the American Heart Association. Hypertension 47: 296-308. https://doi.org/10.1161/01.HYP.0000202568.01167.B6
  2. Ayachi S (1979) Increased dietary calcium lowers blood pressure in the spontaneously hypertensive rat. Metabolism 28: 1234-1238. https://doi.org/10.1016/0026-0495(79)90136-7
  3. Bennett JA (2000) Dehydration harzard and benefits. Geriatric Nures. 21(2): 84-83. https://doi.org/10.1067/mgn.2000.107135
  4. Bennett JA, Thamas V, Riegel B (2004) Unrecognized chronic dehydration in older adults. Journal of Gerontological Nursing. 30(11): 22-28. https://doi.org/10.3928/0098-9134-20041101-09
  5. Birmingham K (2008) Australia. Nurs Older People 20(7): 6.
  6. Cho WK (1995) Effets of macrominerals on hypertension. Kyungki College. Collection of Learned Papers 23: 89-103.
  7. Choi MK, Lee WY, Park JD (2005) Relation among mineral (Ca, P, Fe, Na, K, Zn) intakes, blood pressure, and blood lipids in Korean adults. Korean J Nutr 38(10): 827-835.
  8. Crary MA, Humphrey JL, Carnaby-Mann G, Sambandam R, Miller L, Silliman S (2013) Dysphagia, nutrition, and hydration in ischemic stroke patients at admission and discharge from acute care. Dysphagia 28(1): 69-76. https://doi.org/10.1007/s00455-012-9414-0
  9. Eliopoulos C (2005) Gerontological Nurse(8th Ed). Lippincott Willians & Wikin.
  10. George J, Rockwood K (2004) Dehydration and delilium-not a simple relationship. Journal of Gerontology, Series A, Biological Science and Medical Science 59(8): 811-812. https://doi.org/10.1093/gerona/59.8.M811
  11. Gillman MW, Oliversia SA, Moore LL, Ellison C (1992) Inverse association of dietary calcium with systolic blood pressure in young children. JAMA 267: 2340-2343. https://doi.org/10.1001/jama.1992.03480170066030
  12. Grady JR, Ddrow J, McCarron DA (1983) Urinary calcium excretion and cAMP response of the spontaneously hypertansive rat to $Ca^{2+}$ deprivation. Clic Res 31: 330A.
  13. Gross CR, Lindquist RD, Woolley AC, Granierl R, Allard K, Webster B (1992) Clinical indication of dehydration severity in elderly patients. Journal of Emergency Medicine 10: 274-278.
  14. Han GS, Cho WK (2011) Study of dietary behaviors and snack intake patterns of high school students in Seoul, Incheon, and Gyeonggi-do. J Korean Soc Food Culture 26(5): 490-500.
  15. Hooper L, Bunn D, Jimoh FO, Fairweather-Tait SJ (2014) Water-loss dehydration and aging. Mech Ageing Dev 136-137: 50-58. https://doi.org/10.1016/j.mad.2013.11.009
  16. Im JH, Yoon JS (1993) A comparative study on the dietary Na, Ca intake and urinary excretion of Na, Ca in normotensive and hypertensive free-living adults. J East Asian Soc Dietary Life 3(2): 41-50.
  17. Jang HJ (2008) Study on the dehydrated elderly inpatients in the emergency room. Ph D Dissertation Hallym University.
  18. Jun SS, Hwang JH (2004) A study on health behaviors and the risk factors of blood pressure of adult women in a rural area. Health Education and Promotion 21(3): 117-131.
  19. Jung EJ (2008) The effect of salt reduction education program combined with DASH(Dietary Approaches to Stop Hypertension) on blood pressure and salt intake of adults. MS Thesis Catholic University, Seoul.
  20. Kim SH, Yun ME, Yoo JH, Chun SS (2017) Correlation of dehydration with body mass index and blood lipid levels. J Korean Diet Assoc. 23(1): 27-38. https://doi.org/10.14373/JKDA.2017.23.1.27
  21. Karppanen H, Mervaala E (2006) Sodium intake and hypertension. Prog Cardiovasc Dis 49(2): 59-75. https://doi.org/10.1016/j.pcad.2006.07.001
  22. Kim SY, Yun ME (2002) Nutrition in Aging. Kyoyookbook, Korea. pp 35-36, 91-92.
  23. Kim YO (2006) Moderate alcohol consumption does not prevent the hypertension among Korean: The 2001 Korean national health and nutrition examination survey. Korean J Community Nutrition 11(6): 707-713.
  24. Korea Centers for Disease Control & Prevention (2015) 2014 Korea National Health and Nutrition Examination Surveys Report. MOHW http://www.mohw.go.kr, https://knhanes.cdc.go.kr
  25. Kurtz TW, AI-Bander HA, Morris RC (1987) "Salt-sensitive" essential hypertension in men. Is the sodium ion alone important. N Eng J Med 317: 1043-1048. https://doi.org/10.1056/NEJM198710223171702
  26. Lee HJ, Lee HS, Lee Y, Jang YA, Moon JJ, Kim C (2007) Nutritional environment influences hypertension in the middle-aged Korean adults - Based on 1998 & 2001 National Health and Nutrition Survey. Korean J Community Nutr 12(3): 272-283.
  27. Lee JH (1994) A study on dietary risk factors of the hypertensive. Ph D Dissertation Ewha Women's University, Seoul.
  28. Lee SS, Jung JE, Kang MH, Shin DS, Jung HK, Jang MJ, Kim YH, Kin HY, Kin WK (2008) Nutritional Sciences. Jigu Publishing Co. pp 539-540.
  29. Lindeman RD, Romero LJ, Liang HC, Baumgartner RN, Koehler KM, Garry PJ (2000) Do elderly person need to be encouraged to drink more fluids? Journals of Gerontology: Medical Science. 55A: M381-M385.
  30. Maulin K (2014) Hypernatremia in the geriatric population. Clin Interv Aging 9: 1987-1992.
  31. McCarron D (1997) Role of adequate dietary calcium intake in the prevention and management of salt-sensitive hypertension. Am J Clin Nutr 65: 712s-716s. https://doi.org/10.1093/ajcn/65.2.712S
  32. McCarron DA, Yung NN, Ugoretz BA, Krutzik S (1981) Disturbances of calcium metabolism in the spontaneously hypertensive rat. Hypertension 3: 1162.
  33. Mentes J (2006) Oral hydration in older adults: Greater awareness is needed in preventing, recognizing, and treating dehydration. Am J Nurs 106(6): 40-49.
  34. Mentes J (2008) Oral hydration in older adults: Examining prevalence rate and risk factors. AJN 108(8): 40-49.
  35. Metheny NM (2011) Fluid and Electrolyte Balance. 5th ed. Jones & Bartlett Learing. Sudbury, MA. 3-5.
  36. Moon HK, Park JH (2007) Comparative analysis and evaluation of dietary intake between with and without hypertension using 2001 Korea National Health and Nutrition Examination Survey (KNHANES). Korean J Nutr 40(4): 347-361.
  37. Morikawa Y, Nakagawa H, Okayama A, Mikawa K, Sakata K, Miura K, Jshizaki M, Yoshita K, Naruse Y, Kagamimori S, Hashimoto T, Ueshima H (2002) A cross-sectional study on association of calcium intake with blood pressure in Japanese population. J Hum Hypertens 16(2): 105-110. https://doi.org/10.1038/sj.jhh.1001314
  38. Payne RB, Little AJ, Evans RT (1990) Albumin-adjusted calcium concentration in serum increases during normal pregnancy. Clin Chem 36(1): 142-144.
  39. Reljic D, Hassler E, Jost J, Friedmann-Bette B (2013) Rapid weight loss and the body fluid balance and hemoglobin mass of elite amateur boxers. J Athl Train 48(1): 109-117. https://doi.org/10.4085/1062-6050-48.1.05
  40. Riccardi A, Chiarbonello B, Minuto P, Guiddo G, Corti L, Lerza R (2013) Identification of the hydration state in emergency patients: Correlation between caval index and BUN/ creatinine ratio. Eur Rev Med Pharmacol Sci 17(13): 1800-1803.
  41. Sawka MN, Cheuvront SN, Kenefick RW (2015) Hypohydration and human performance: Impact of environment and physiological mechanisms. Sports Med 45 Suppl 1: S51-S60. https://doi.org/10.1007/s40279-015-0395-7
  42. Silver AJ, Morley JE, Ishimaru-Tseng TV, Morley PM (1993) Angiotensin II and fluid ingestion in old rats. Neurobiol Aging 14(6): 519-522. https://doi.org/10.1016/0197-4580(93)90033-8
  43. Simin L, Julie EB, Howard DS, Eric BR, Walther CW, JoAnn EM (2002) A prospective study of dietary fiber intake and risk of cardiovascular disease among women. J Am Coll Cardiol 39(1): 49-56. https://doi.org/10.1016/S0735-1097(01)01695-3
  44. Simmons SF, Aessi C, Schnelle JF (2001) An intervension to increase fluid intake in nursing home residents. Journal of the American Geriatrics Society 49: 928-933.
  45. Son SM, Huh GY, Lee HS (2005) Development and evaluation of validity of Dish Frequency Questionnaire (DFQ) and short DFQ using Na index for estimation of habitual sodium intake. Korean J Community Nutr 10(5): 677-692.
  46. Song JH, Jang MW, Yoo HJ, Kim CH (2006) Clinical usefulness of serum uric acid in gastroenteritis patients with dehydration. J Pediatr Gastroenterol Nutr 9(1): 23-30.
  47. Vargas CM, Obisesan T, Gillum RF (1998) Association of serum albumin concentration, serum ionized calcium concentration, and blood pressure in the Third National Health Examination Survey. J Clin Epidemiol 51(9): 739-746. https://doi.org/10.1016/S0895-4356(98)00047-X
  48. Vaskonen T (2003) Dietary minerals and modification of cardiovascular risk factors. J Nutr Biochem 14: 492-506. https://doi.org/10.1016/S0955-2863(03)00074-3
  49. WHO (2010) Global status report on noncommunicable diseases.
  50. WHO (2013) WHO global status report on road safety 2013: supporting a decade of action & global action plan for the prevention and control of noncommunicable diseases 2013-2020.
  51. Wu SJ, Wang HH, Yeh SH, Wang YH, Yang YM (2011) Hydration status of nursing home residents in Taiwan: A cross-sectional study. J Adv Nurs 67(3): 583-590. https://doi.org/10.1111/j.1365-2648.2010.05514.x
  52. Yoon OH, Lee YS, Lee KJ, Choi KS, Lee JS (2016) Diet Therapy. Gyomoonsa. pp 116.
  53. Yoon YH (2000) The comparative study of Ca, Mg, Zn, Cu and Mn contents in diet, serum, urine, hair and nail of Korean female college students. MS Thesis Sookmyung Women's University, Seoul.
  54. Yun ME (2004) Effects of exercise and soy isoflavone supplementation on bone mineral densities and bone metabolism markers in postmenopausal women. Ph D Dissertation Sookmyung Women's University, Seoul.