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Updated: May 17, 2026

A Methodological Approach to Non-invasive Assessments of Vascular Function and Morphology
Published on: February 7, 2015
Sodium and potassium intake present a J-shaped relationship with arterial stiffness and carotid intima-media
Luis García-Ortiz1, José I Recio-Rodríguez, Emiliano Rodríguez-Sánchez
1Primary care Research unit, La Alamedilla, Sacyl. IBSAL, REDIAPP, Salamanca, Spain. Lgarciao@usal.es
Insights
This study found that both sodium and potassium intake follow a J-shaped curve in relation to vascular health. Optimal intake levels are crucial for maintaining vascular structure and function, impacting cardiovascular risk.
Area of Science:
- Cardiovascular Research
- Nutritional Science
- Vascular Biology
Background:
- Dietary intake of sodium and potassium significantly influences cardiovascular health.
- Understanding the dose-response relationship between these electrolytes and vascular parameters is essential for public health guidelines.
Purpose of the Study:
- To analyze the relationship between sodium and potassium intake and vascular structure and function.
- To determine if this relationship follows a J-shaped curve pattern.
Main Methods:
- Cross-sectional study of 351 primary care subjects (age 30-80).
- Assessed sodium and potassium intake via food frequency questionnaire.
- Evaluated arterial stiffness (PWV, AASI, AIx) and carotid intima-media thickness (C-IMT).
Main Results:
- Higher sodium intake correlated with increased C-IMT, CAIx, AASI, and AASI_BPVR.
- Sodium intake showed negative correlations with C-IMT, PWV, AASI, and AASI_BPVR.
- Potassium intake positively correlated with Cornell VDP, CAIx, and PAIx.
- Both sodium and potassium intake demonstrated a J-shaped relationship with arterial stiffness and C-IMT after adjustment.
Conclusions:
- The relationship between sodium/potassium intake and vascular parameters (C-IMT, PWV, AASI, AIx) resembles a J-shaped curve.
- This finding aligns with previous observations regarding cardiovascular morbimortality.
- Optimal dietary intake is critical for vascular health.
Objectives:
The purpose of this study was to analyse the relationship between sodium and potassium intake and vascular structure and function and to ascertain whether said relationship follows the pattern of a J-shaped curve.
Methods:
A cross-sectional study was carried out in a primary care setting. Three hundred fifty-one subjects from the Vasorisk study were included and ranged in age from 30 to 80 years (mean 54.8, SD 11.7); 219 (62.4%) were females. Sodium and potassium intake were evaluated by means of a food frequency questionnaire. Arterial stiffness was assessed according to pulse wave velocity (PWV), ambulatory arterial stiffness index (AASI, AASI_BPVR), and central and peripheral augmentation index (AIx). Carotid intima-media thickness (C-IMT) was evaluated by ultrasonography.
Results:
Age was lower in the quartiles with the highest sodium intake (p < 0.05), and no difference was observed between the sexes. Mean C-IMT, CAIx, AASI and AASI_BPVR were higher in the quartiles with higher sodium intake (p < 0.05 for both AASI and AASI_BPVR). Sodium intake was negatively correlated with C-IMT (r = -0.121, p < 0.05), PWV (r = -0.114, p < 0.05), AASI and AASI_BPVR (r = -0.155, p < 0.01). Potassium intake was positively correlated with Cornell VDP (r = 0.119, p < 0.05), CAIx (r = 0.178, p < 0.01) and PAIx (r = 0.202, p < 0.01). After adjustment, the morphology of the relationship between arterial stiffness parameters and C-IMT with quartiles of sodium intake resembles a J-shaped curve. The relationship between central and peripheral AIx and C-IMT and potassium intake resembles a J-shaped curve.
Conclusion:
The relationship of sodium and potassium intake with vascular structure and function, as evaluated with C-IMT, PWV, AASI and peripheral and central AIx, resembles a J-shaped curve, which is similar to what has been proposed in the case of cardiovascular morbimortality.
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