盐和水负荷对健康大学生肾功能的影响

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

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