A number of investigators have reported that individuals with hypertension or high blood pressure (HBP) tend to have diminished taste perception of salt (sodium chloride) as measured by taste recognition threshold. [1][2][3] However, it is not entirely clear whether this relationship is causal. Incidentally, some studies [4][5] have demonstrated that children with higher taste recognition threshold (relative taste insensitivity) for salt tend to have higher blood pressure readings, thus suggesting that the alteration in taste function could exist prior to the development of HBP.We have also observed that reduced ability to perceive salt taste is common in different populations of Nigerian teenagers. [6][7] In one community-based study involving adolescents and examining any possible link between taste sensitivity to salt and blood pressure, 8 we observed that about 14% of the variations in systolic blood pressure (SBP) was due to differences in sensitivity to salt taste. The significance of this finding, it was thought, could become clearer if such subjects were segregated on the basis of a family history of hypertension, which is a documented risk factor for the development of hypertension.9-10 Further, many studies indicate a link between diabetes mellitus and hypertension, which suggests a common pathogenesis.11-14 Consequently, in an attempt to examine further the influence of different salt taste sensitivities on the pathogenesis of hypertension, taste recognition threshold to sodium chloride (NaCL) and blood pressure were measured in normotensive offspring of hypertensives and diabetics, and the results were compared with similar data from the offspring of normotensive parents.
Subjects and MethodsThe subjects were mainly the teenage offspring of the following categories of individuals: 1) hospitalized adults with complications of hypertension, e.g., stroke and or stigmata of long-standing hypertension 15 ; 2) outpatient diabetic adults on hypoglycemic drugs for at least six months, with BP readings persistently below 130/85 mm Hg 16 on three different occasions at monthly intervals. In addition, the other parent had to be available for BP measurements and had to have values not greater than 130/85 mm Hg on three different occasions at monthly intervals; and 3) Normotensive individuals hospitalized for conditions unrelated to either DM, HBP or cardiovascular disorders, or those whose BP and that of the other parent met the BP criteria as defined in 2) above.Subjects meeting these criteria were approached to volunteer after a detailed explanation of the procedures involved and the time commitment that was required. The safety and innocuous nature of solutions used were explained to participants and their parents where applicable. Thereafter, a written informed consent was obtained from each participant. Subjects were all Nigerians from the Yoruba ethnic group, except for seven in the hypertensive group who were Efik (2) and Ijaw (5).
Measurement of NaCl Taste Recognition ThresholdThe method and solutions us...