The Effects of Salt and Water Loading on Kidney Function in Healthy Undergraduates

J. E. Peter, J. B. Christopher, B. Brittany, A. Robert, Ogilvie Anna, J. Paul, P. Laura, F. Gary
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Abstract

Rutgers University juniors and seniors enrolled in Systems Physiology Laboratory (01:146:356) Spring, 2019. One-hundred forty-five students volunteered to test the effects of salt and water loading on kidney function. Students were investigated beginning at 8:40 a.m., 1:40 p.m., and 6:40 p.m. They were approximately evenly distributed between male and female genders and were of multiple cultural/ethnic backgrounds. Upon entering the laboratory baseline data were collected. Approximately half of the volunteers then consumed 200 mL of a 2.0% NaCl solution (n=77). The others directly consumed 1.0 L of tap water (n=68). Upon entering the laboratory baseline data were collected. The others directly consumed 1.0 L of tap water. Kidney function was monitored each 30 minutes for the next 90 minutes. Under baseline conditions, urine osmolality was elevated in all students (≥ 280 mOsm/kg) but was significantly (P<0.05) greater in the 8:40 a.m. group than in either of the p.m. groups. Urine specific gravity and sodium excretion were also elevated in the 8:40 a.m. group compared to the others. Urine flow rate was least in the 8:40 group and greatest in the 1:40 p.m. group. We conclude that in these students renal function was influenced by a diurnal pattern. We also conclude that without compelling incentives (e.g. financial, grade-influencing) it was virtually impossible to get students to comply with pre-experimental instructions (e.g. no salt-laden meals after 6:00 p.m. before the day of experimentation).
盐和水负荷对健康大学生肾功能的影响
2019年春季,罗格斯大学大三和大四的学生注册了系统生理学实验室(01:146:356)。145名学生自愿测试盐和水负荷对肾功能的影响。学生们在上午8点40分、下午1点40分和下午6点40分开始接受调查。他们大致均匀地分布在男性和女性之间,具有多种文化/种族背景。进入实验室后,收集基线数据。大约一半的志愿者随后饮用了200毫升2.0% NaCl溶液(n=77)。其余直接饮用自来水1.0 L (n=68)。进入实验室后,收集基线数据。其他人则直接饮用1.0升自来水。在接下来的90分钟里,每30分钟监测一次肾功能。在基线条件下,所有学生的尿液渗透压均升高(≥280 mOsm/kg),但上午8:40组的渗透压明显高于下午两组(P<0.05)。与其他组相比,8:40组的尿液比重和钠排泄量也有所增加。8点40分尿流率最小,下午1点40分尿流率最大。我们的结论是,这些学生的肾功能受到昼夜模式的影响。我们还得出结论,如果没有令人信服的激励措施(例如经济、影响成绩),几乎不可能让学生遵守实验前的指示(例如,在实验前一天下午6点之后不吃含盐的食物)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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