Key result
High-salt and low-water intake drives kidney and vascular maladaptation, fueling hypertension and CKD.
Our knowledge on sodium and water homeostasis and regulation continues to evolve. A considerable amount of new information in this area has emerged in recent years. This review summarizes existing and new literature and discusses complex multi-organ effects of high-salt and low-water intake and role of arginine vasopressin in this process, as well as the potential clinical significance of non-osmotic sodium storage pool and rhythmicity of urine sodium excretion. It has become clear that sodium and water dysregulation can exert profound effects on kidney and vascular health, far greater than previously recognized. Maladaptation to a combined high-salt and low-water intake can be linked to the growing epidemic of hypertension and chronic kidney disease.
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Qi Qian (2018) conducted a review in Hypertension and chronic kidney disease. High-salt and low-water intake was evaluated. Maladaptation to combined high-salt and low-water intake exerts profound effects on kidney and vascular health, contributing to the epidemic of hypertension and chronic kidney disease.
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