Pregledni rad
DIETARY SALT INTAKE IN PREGNANCY AND HYPERTENSIVE PREGNANCY DISORDERS – NARRATIVE REVIEW
Živka Dika
; Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation; University Clinical Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Josip Juras
; Department of Gynaecology and Obstetrics, University Clinical Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Ivan Vukoja
; Gastroenterology and Nephrology Department, General County Hospital Požega, Požega, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Boris Lovrić
; Department of Gynaecology and Obstetrics, General Hospital Nova Gradiška, Nova Gradiška, Croatia
William Migo
; School of Medicine, University of Zagreb, Zagreb, Croatia
Sažetak
Salt is crucial for human health, but it`s excess is associated with the development of many diseases including arterial hypertension which is a major feature of hypertensive pregnancy disorders (HPDs). Maternal nutrition during pregnancy can affect cardiometabolic disease development during pregnancy and later in life, but it can also affect fetal growth and disease development in adulthood. Recent studies suggest that excessive salt intake often combined with low potassium intake throughout pregnancy, can suppress renin-angiotensin-aldosterone system (RAAS) with adverse effects on fetoplacental development and can increase the risk of HPDs. Although salt restriction has been considered potentially harmful in the non-pharmacological treatment of arterial hypertension in pregnancy and current guidelines do not recommend it during pregnancy to prevent HPDs, especially gestational hypertension and the development of preeclampsia, its role should be reconsidered in light of the recent evidence. However, one key question remains: How much salt, upper and lower limit of daily intake, in a balanced diet is not harmful in uncomplicated pregnancies as well as HPDs in general?
Ključne riječi
hypertension; pregnancy; hypertensive pregnancy disorders; preeclampsia; salt
Hrčak ID:
269619
URI
Datum izdavanja:
29.12.2021.
Posjeta: 540 *