Efeitos da suplementação de potássio via sal de cozinha sobre a pressão arterial e a resistência à insulina em pacientes obesos hipertensos em uso de diuréticos

Pereira, Marco Antonio Haddad; Galvão, Roberto; Zanella, Maria Teresa

doi:10.1590/s1415-52732005000100001

Cited by 7 publications

(1 citation statement)

References 26 publications

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“…Referring to potassium, it is considered a necessary mineral for the metabolism of carbohydrates and its dietary supplementation can be performed from a diet rich in foods with high content of potassium, in addition to being associated with reduction of cardiovascular condition (PEREIRA et al, 2005). Due to that, consumption of foods with a high content of potassium is important; thus, noodles prepared with dry leaves flour would be more suitable, since it presents a higher content of potassium (14.30 g Kg -1 ) when compared to traditional noodles (1.79 g Kg -1 ).…”

Section: Mineralsmentioning

confidence: 99%

Nutritional analysis of noodles with and without the additional of Pereskia aculeata

Zem

Helm

Koehler³

et al. 2019

R. Eletr. Cient. da Uergs

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Pereskia aculeata Mill. is a cactaceous, popularly known as ora-pro-nobis, considered a native and non-endemic vegetables besides being rich in protein, fiber, iron and calcium, among others. This work aimed to study the chemical composition of noodles prepared with the incorporation of dry leaves flour, stems and fresh leaves of Pereskia aculeata, to identify and quantify the nutrients and minerals present. Four recipes were tested: traditional noodles with flour; noodles with incorporating flour from dried leaves; noodles with leaves flour incorporation + stem; noodles with incorporation of fresh leaves. The following analyzes were carried out in a completely randomized design with three replications, and data expressed in percentage in wet and dry basis (g 100g-1): moisture, ash, protein, fiber, lipids, total carbohydrates, total caloric value and minerals. Among the tested recipes, it was concluded that the noodles with incorporating flour dried leaves of Pereskia aculeata showed the best moisture, ash, lipids, proteins, fibers and lower total caloric values. Furthermore, it showed the best results for all analyzed minerals, thus the better nutritional quality.

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Section: Mineralsmentioning

confidence: 99%

Nutritional analysis of noodles with and without the additional of Pereskia aculeata

Zem

Helm

Koehler³

et al. 2019

R. Eletr. Cient. da Uergs

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Replacing salt with low-sodium salt substitutes (LSSS) for cardiovascular health in adults, children and pregnant women

Brand

Visser

Schoonees

et al. 2022

Cochrane Database of Systematic Reviews

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Background Elevated blood pressure, or hypertension, is the leading cause of preventable deaths globally. Diets high in sodium (predominantly sodium chloride) and low in potassium contribute to elevated blood pressure. The WHO recommends decreasing mean population sodium intake through effective and safe strategies to reduce hypertension and its associated disease burden. Incorporating low‐sodium salt substitutes (LSSS) into population strategies has increasingly been recognised as a possible sodium reduction strategy, particularly in populations where a substantial proportion of overall sodium intake comes from discretionary salt. The LSSS contain lower concentrations of sodium through its displacement with potassium predominantly, or other minerals. Potassium‐containing LSSS can potentially simultaneously decrease sodium intake and increase potassium intake. Benefits of LSSS include their potential blood pressure‐lowering effect and relatively low cost. However, there are concerns about potential adverse effects of LSSS, such as hyperkalaemia, particularly in people at risk, for example, those with chronic kidney disease (CKD) or taking medications that impair potassium excretion. Objectives To assess the effects and safety of replacing salt with LSSS to reduce sodium intake on cardiovascular health in adults, pregnant women and children. Search methods We searched MEDLINE (PubMed), Embase (Ovid), Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science Core Collection (Clarivate Analytics), Cumulative Index to Nursing and Allied Health Literature (CINAHL, EBSCOhost), ClinicalTrials.gov and WHO International Clinical Trials Registry Platform (ICTRP) up to 18 August 2021, and screened reference lists of included trials and relevant systematic reviews. No language or publication restrictions were applied. Selection criteria We included randomised controlled trials (RCTs) and prospective analytical cohort studies in participants of any age in the general population, from any setting in any country. This included participants with non‐communicable diseases and those taking medications that impair potassium excretion. Studies had to compare any type and method of implementation of LSSS with the use of regular salt, or no active intervention, at an individual, household or community level, for any duration. Data collection and analysis Two review authors independently screened titles, abstracts and full‐text articles to determine eligibility; and extracted data, assessed risk of bias (RoB) using the Cochrane RoB tool, and assessed the certainty of the evidence using GRADE. We stratified analyses by adults, children (≤ 18 years) and pregnant women. Primary effectiveness outcomes were change in diastolic and systolic blood pressure (DBP and SBP), hypertension and blood pressure control; cardiovascular events and cardiovascular mortality were additional...

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The hypotensive effect of salt substitutes in stage 2 hypertension: a systematic review and meta-analysis

Jafarnejad

Mirzaei

Clark

et al. 2020

BMC Cardiovasc Disord

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Background: Hypertension (HTN) is a ubiquitous risk factor for numerous non-communicable diseases, including cardiovascular disease and stroke. There are currently no wholly effective pharmacological therapies for subjects with HTN. However, salt substitutes have emerged as a potential therapy for the treatment of HTN. The aim of the present study was to assess the effect of salt substitutes on reducing systolic blood pressure (SBP) and diastolic BP (DBP), following a meta-analysis of randomized controlled trials. Methods: Studies were found via systematic searches of the Pubmed/Medline, Scopus, Ovid, Google Scholar and Cochrane library. Ten studies, comprised of 11 trials and 1119 participants, were included in the meta-analysis. Results: Pooled weighted mean differences showed significant reductions of SBP (WMD − 8.87 mmHg; 95% CI − 11.19, − 6.55, p < 0.001) and DBP (WMD − 4.04 mmHg; 95% CI − 5.70, − 2.39) with no statistically significant heterogeneity between the 11 included comparisons of SBPs and DBPs. The stratified analysis of trials based on the mean age of participants showed a significant reduction in the mean difference of SBP in both adults (< 65 years old) and elderly (≥65 years old). However, the DBP-lowering effect of salt substitutes was only observed in adult patients (WMD − 4.22 mmHg; 95% CI − 7.85, − 0.58), but not in the elderly subjects. Conclusions: These findings suggest that salt-substitution strategies could be used for lowering SBP and DBP in patients with stage 2 HTN; providing a nutritional platform for the treatment, amelioration, and prevention of HTN.

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Efeitos da suplementação de potássio via sal de cozinha sobre a pressão arterial e a resistência à insulina em pacientes obesos hipertensos em uso de diuréticos

Cited by 7 publications

References 26 publications

Nutritional analysis of noodles with and without the additional of Pereskia aculeata

Nutritional analysis of noodles with and without the additional of Pereskia aculeata

Replacing salt with low-sodium salt substitutes (LSSS) for cardiovascular health in adults, children and pregnant women

The hypotensive effect of salt substitutes in stage 2 hypertension: a systematic review and meta-analysis

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