对高盐味的厌恶在患有CKD的患者中受到干扰
Natsuko Okuno-Ozeki1, Yusuke Kohama2, Hiromu Taguchi2
1Department of Nephrology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Kidney international reports
|May 6, 2024
概括
人类自然避免高盐味,但这种厌恶在慢性病 (CKD) 患者中受损. 这表明CKD患者可能对高盐摄入量抵抗力降低,影响高血压管理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 人体生理学 人体生理学
- 感官科学 感官科学
背景情况:
- 减少盐的摄入对于管理高血压至关重要.
- 人类对盐的偏好受味觉的影响,平衡对低盐的吸引力和对高盐的厌恶.
- 在健康个体和慢性病 (CKD) 患者中缺乏对高盐味道厌恶的定量研究.
研究的目的:
- 量化研究健康人和CKD患者的盐味和厌恶值.
- 评估CKD对高度盐的感知和厌恶的影响.
主要方法:
- 对盐的味觉和厌恶值被评估使用受刺激剂浸的试验条.
- 对健康受试者和被诊断患有CKD的患者进行了测试.
主要成果:
- 在健康人群中,对盐的厌恶度随度的增加而增加,其中47.2%的人表现出对10%NaCl的厌恶.
- 10%的CKD患者甚至在20%的NaCl下也无法感知盐味,这表明味觉受损.
- 只有15.7%的CKD患者有正常的盐厌恶,而78.6%的患者完全失去厌恶.
结论:
- 在人类中证实了高盐味道厌恶反应.
- 这种厌恶反应在患有CKD的患者中显著受损.
- 慢性病患者的盐厌恶障碍表明对高盐摄入量的抵抗性降低,这对饮食建议有影响.
相关概念视频
Antihypertensive Drugs: Potassium-Sparing Diuretics
524
Liddle syndrome is a genetically inherited form of hypertension characterized by the overactivity of epithelial sodium channels in the nephron, the functional unit of the kidney. This heightened activity leads to increased sodium reabsorption and excessive excretion of potassium. To counteract this, potassium-sparing diuretics such as amiloride are used. They function by blocking these sodium channels, thereby reducing the influx of sodium into the epithelial cells and minimizing the loss of...
524
Heart Failure Drugs: Diuretics
367
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
367
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
422
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
422
Conditioned Taste Aversion
134
Conditioned taste aversion, also known as sauce béarnaise syndrome, is a phenomenon in which an individual develops an aversion to a certain food taste following a negative experience, typically illness. This form of aversion is a type of classical conditioning in which the taste of the food (conditioned stimulus, CS) is associated with the experience of illness (unconditioned stimulus, UCS).
A notable characteristic of conditioned taste aversion is that it often requires only a single...
A notable characteristic of conditioned taste aversion is that it often requires only a single...
134
Antihypertensive Drugs: Action of Diuretics
672
Diuretics are antihypertensive drugs used to treat hypertension resulting from sodium and water retention. Sodium, vital for fluid balance and nerve or muscle function, is regulated by the kidneys through millions of nephrons. Blood enters nephrons via afferent arterioles, which branch into capillaries called glomeruli. These filter blood plasma, allowing water and solutes, like sodium ions, to pass through capillary walls into Bowman's capsule. The filtrate then flows through various...
672
Renal Tubule and Collecting Duct
941
The renal tubule is divided into three parts: the proximal convoluted tubule (PCT), the Loop of Henle (LOH), and the distal convoluted tubule (DCT).
Proximal Convoluted Tubule (PCT):
The PCT is the initial segment of the renal tubule, extending from the Bowman's capsule that encloses the glomerulus. Its convoluted structure and microvilli-lined cells increase the surface area for reabsorption. The PCT reabsorbs glucose, amino acids, sodium, and water from the filtrate, ensuring essential...
Proximal Convoluted Tubule (PCT):
The PCT is the initial segment of the renal tubule, extending from the Bowman's capsule that encloses the glomerulus. Its convoluted structure and microvilli-lined cells increase the surface area for reabsorption. The PCT reabsorbs glucose, amino acids, sodium, and water from the filtrate, ensuring essential...
941


