Circadian rhythms of the renin-angiotensin\x=req-\ aldosterone (R-A-A) system and electrolytes were evaluated in young healthy Fukuokan (Japan) and Minnesotan (USA) women. A similar protocol was used and each group remained on its usual diet. Blood was taken for 24 h at 4 h intervals from 8 a.m. during which time urine samples were also collected. The determinations in both groups were made in a laboratory in Japan. Plasma renin activity, plasma aldosterone concentration and aldosterone excretion rate showed similar circadian rhythms in both groups. However, those values at each sampling time and each span were always significantly higher in the Americans while the urinary Na and Cl excretions and blood pressure were higher in Japanese. The significant differences in the R-A-A system and blood pressure levels between these two groups may be due to the large amount of salt consumed by the Japanese.It has recently been reported that the Yanomamo Indians, a 'no-salt' culture, showed strikingly high levels of the renin-angiotensin-aldosterone (R-A-A) system (Oliver et al. 1975). The differing dietary habits of Japanese and North Americans may lead to differences in the R-A-A system as daily con¬ sumption of salt per person in Japan is habitually higher than in North America (Dahl 1972).A collaborative study between the Universities of Kyushu (Fukuoka, Japan) and Minnesota (Minnea¬ polis, USA) has already demonstrated remarkable differences in the rhythm-adjusted mean (mesor) and the circadian rhythm of plasma prolactin ) and plasma renin activity, analy¬ zed by means of the cosinor method ). In the present study, an identical proto¬ col was used for young adult Fukuokan and Minnesotan women and all chemical determinations were performed in the same laboratory. Differences in the means and the circadian rhythms of the R-A-A system and electrolytes in urine between the two groups, studied in the same season and in a com¬ parable fashion, are reported herein.
Materials and Methods
SubjectsTwenty young Japanese women between 20 and 21 years of age and 16 young American women, Caucasians of mixed ethnic origin, between 18 and 24 years of age were accepted for the study after a complete history and physical examination, which showed evidence of neither endocrine nor circulatory disorders and no active disea¬ ses of any nature. Subjects from Minnesota were signifi¬ cantly taller and heavier than those from Fukuoka, but did not differ in body mass index. The distribution of menstrual stage of the two groups did not differ.