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Updated: Oct 21, 2026

An Alternative to the Traditional Cold Pressor Test: The Cold Pressor Arm Wrap
Published on: January 16, 2014
[Blood pressure responses to cold pressor stress and its relation to sodium metabolism in salt-sensitive children]
Insights
Children with salt-sensitivity exhibit heightened blood pressure responses to cold pressor stress, linked to abnormal sodium metabolism. This suggests a critical connection between salt intake and cardiovascular reactivity in pediatric populations.
Area of Science:
- Pediatric Cardiology
- Renal Physiology
- Autonomic Nervous System Function
Context:
- Salt sensitivity is a risk factor for hypertension.
- Pediatric hypertension is a growing concern.
- Understanding the mechanisms of salt sensitivity in children is crucial for early intervention.
Purpose:
- To examine blood pressure reactivity to cold pressor stress in salt-sensitive children.
- To explore the relationship between sodium metabolism and blood pressure response to cold pressor stress in children.
Summary:
- 268 children (10.6 ± 1.1 years) were assessed for salt sensitivity using oral saline load and furosemide tests.
- Salt-sensitive children (25%) showed significantly higher blood pressure increases and recovery times during cold pressor stress compared to non-salt-sensitive children.
- Elevated blood pressure response and recovery time correlated positively with red-cell sodium content and negatively with urinary sodium excretion.
Impact:
- Identifies salt sensitivity as a key factor in exaggerated blood pressure response to sympathetic stress in children.
- Highlights the role of abnormal sodium metabolism in this heightened cardiovascular reactivity.
- Provides insights for potential early detection and management strategies for hypertension risk in children.
Objective:
To investigate the blood pressure responses to cold pressor stress and its relation to sodium metabolism in salt-sensitive children.
Method:
268 children aged 10.6 +/- 1.1 years were detected salt-sensitivity with the tests of oral saline load and furosemde sodium-volume depletion. Cold pressor stress test, sodium metabolism, and the related factors were measured.
Results:
25% of the children were detected to be salt-sensitive. The increased extent of blood pressure and its recovery time from peak to baseline in salt-sensitive children were significantly higher than those in non-salt-sensitive children during the cold pressor stress test (t = 5.14, 3.94, P < 0.01 and t = 2.16, P < 0.05). The increased extent of blood pressure and its recovery time during cold pressor test were correlated positively with red-cell sodium content, and were correlated negatively with 2 hour urinary sodium excreation during the oral saline load test.
Conclusion:
Children with salt-sensitivity have a remarkably increased blood pressure responses to cold pressor stress (sympathetic activity), which is related with abnormal sodium metabolism.
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