Evidence map›Paper›PMID 40129273›Full record

Trial reportPhysiological reports2025

The impact of dietary sodium and fructose on renal sodium handling and blood pressure in healthy adults.

Ronald K McMillan, Joseph M Stock, Nathan T Romberger, Megan M Wenner, Sheau C Chai, William B Farquhar

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Physiological reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ronald K McMillanDepartment of Medicine, Division of Clinical Pharmacology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0002-8363-8805
Joseph M StockDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, Delaware, USA.
Nathan T RombergerDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, Delaware, USA.ORCID https://orcid.org/0000-0002-8470-4069
Megan M WennerDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, Delaware, USA.
Sheau C ChaiDepartment of Health Behavior and Nutrition Sciences, University of Delaware, Newark, Delaware, USA.
William B FarquharDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, Delaware, USA.ORCID https://orcid.org/0000-0003-0176-4486

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Increased dietary sodium is linked to hypertension, but most young adults display "sodium-resistant" blood pressure (BP), meaning BP is not elevated with sodium loading. In sodium-resistant rodents, fructose induces salt-sensitive BP via increased renal sodium reabsorption. Therefore, we tested the impact of fructose and sodium on renal sodium handling and BP in healthy adults, hypothesizing that their combination would impair sodium excretion and increase BP. Thirty-six participants enrolled in a randomized, double-blind, crossover trial involving three diets varying in fructose and sodium. On day 7, participants wore ambulatory BP monitors and collected 24-h urine. Although high sodium increased urinary sodium excretion, excretion was 15% lower with high fructose plus high salt versus high salt alone (235.1 ± 85.0 vs. 277.9 ± 121.2 mmol/24 h, p = 0.05). Compared to the recommended diet, high salt alone did not significantly change 24 h. MAP; however, high fructose plus high salt modestly raised 24 h MAP (81 ± 6 vs. 84 ± 7 mmHg, p = 0.03). High fructose and high salt increased serum interleukin-6 concentrations compared to the recommended diet (0.31 ± 0.2 vs. 0.24 ± 0.19 pg/mL, p = 0.04). These findings suggest that increased sodium and fructose alter renal sodium handling and BP in young adults.

Indexed as

Blood PressureFructoseKidneySodiumSodium Chloride, DietarySodium, DietaryAdultCross-Over StudiesDouble-Blind MethodFemaleHumansMaleYoung AdultFructoseSodiumSodium Chloride, DietarySodium, DietaryBlood PressureFructoseRenal FunctionSalt

Identifiers

PMID40129273
PMCPMC11933718

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.