首页   按字顺浏览 期刊浏览 卷期浏览 Systemic and Renal Vascular Responses to Dietary Calcium and Vitamin D
Systemic and Renal Vascular Responses to Dietary Calcium and Vitamin D

 

作者: EDWARD ZAWADA,   JULIE TERWEE,   DANIEL MCCLUNG,  

 

期刊: Hypertension  (OVID Available online 1986)
卷期: Volume 8, issue 11  

页码: 975-982

 

ISSN:0194-911X

 

年代: 1986

 

出版商: OVID

 

关键词: dietary calcium;hemodynamics;vitamin D

 

数据来源: OVID

 

摘要:

To assess the consequences of hypercalcemia on systemic and renal bemodynamics, vasoactive hormones, and water and electrolyte excretion in intact, conscious mongrel dogs, measurements in 10 dogs receiving 100 mg/kg calcium gluconate and 10,000 U/kg vitamin D daily for 2 weeks were compared with measurements made in 10 tune-control dogs not receiving calcium or vitamin D. Hypercalcemia induced by dietary supplementation with calcium and vitamin D resulted in profoundly reduced glomerular filtration rate (40 vs 78 ml/min in controls;p< 0.005), estimated renal plasma flow (145 vs 267 ml/min in controls;p< 0.005), and renal blood flow (254 vs 441 ml/min in controls;p< 0.005). Renal resistance was significantly increased in the hypercalcemic dogs (0.57 ± 0.07 vs 0.28 ± 0.01 mm Hg/ml/min;p< 0.005). Hypercalcemia also resulted in increased fractional excretion of water (4.8 vs 1.4% in controls;p< 0.005), sodium (1.4 vs 0.6% in controls;p< 0.005), calcium (1.7 vs 0.7% in controls;p< 0.01), and magnesium (10.2 vs 4.1% in controls;p< 0.005). Systolic blood pressure (160 vs 172 mm Hg in controls;p< 0.05) and stroke volume were lower (0.024 vs 0.036 L/beat in controls;p< 0.005) in hypercalcemic dogs, presumably because of the diuresis, while total peripheral resistance was higher (36 vs 31 mm Hg/L/min;p< 0.05) in controls. Magnesium levels were significantly lower in the experimental group (1.3 vs 1.7 mg/dl in controls;p< 0.0005). Aldosterone levels, plasma renin activity, and urinary prostaglandin excretion were not significantly affected. These results suggest that hypercalcemia induced by chronic dietary supplementation increases total peripheral resistance and renal vascular resistance, which may be due to the direct effects of increased calcium ions or to indirect effects on other vasoactive humoral systems including reductions in magnesium ions.

 

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