ClinicalTrials.gg
RecruitingNCT04233957Updated Nov 29, 2023

Dietary Sodium, Oxidative Stress, and Pulsatile Hemodynamics

An interventional study of High Sodium and Placebo in Sodium Excess, sponsored by University of Delaware. Recruiting at 1 site in United States. Open to participants aged 21 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-11-29.

Sponsored by University of Delaware · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Primary completion was expected by Jun 2024, 2 years 4 months ago, but the record still lists the study as recruiting.
  • Started Jan 2020; still recruiting 6 years 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
21 Years to 45 Years
Sex
All
01

Study summary

High sodium diets impair vascular function, which may influence the work of the heart. This investigation is designed to determine if this change in vascular function results in a greater workload in the heart and if people who regularly exercise are protected from these effects.

Read the detailed description

Excess dietary sodium is associated with cardiac hypertrophy independent of changes in blood pressure. Importantly, increased arterial pulsatile load predicts left ventricular hypertrophy, and thus presents a potential mechanism through which high dietary sodium augments cardiovascular disease risk.

While high sodium diets impair vascular function via an increase in oxidative stress, how high sodium influences central pulsatile hemodynamics is not known. This project aims to a) determine how impaired vascular function affects pulsatile hemodynamics and thus influences the work of the heart during periods of high sodium consumption and b) examine whether regular aerobic exercise and/or fitness protects against the deleterious effects of excess sodium.

02

Conditions studied

  • Sodium Excess

Keywords

  • endothelium
  • oxidative stress
  • physical activity
  • ventricular-vascular coupling
  • pulsatile load
03

In context

Hypernatremia

49 studies on the registry are indexed under Hypernatremia; 8 are open to participants now.

This study's planned enrollment of 50 is below the median of 64 across 32 interventional studies indexed under Hypernatremia.

Browse Hypernatremia studies →

Lead sponsor

University of Delaware is the lead sponsor of 128 studies on the registry; 22 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Healthy individuals (age 21-45) who are either sedentary (1 or less days of exercise per week during past year) or habitually active (4 or more days of aerobic exercise per week for a minimum of 1 year)

Exclusion criteria

Exclusion Criteria:

  • \<18 or >35
  • Systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90
  • Blood donation within past 8 weeks,
  • Glucose 6 phosphate dehydrogenase (G6PD) deficiency
  • A history of cancer, diabetes, or any other chronic disease
  • A history of any heart disease
  • A history of hormone therapy
  • Use of nicotine products
  • Pregnancy
  • Nursing mothers
  • Participation in regular physical activity greater than 1 day/week- but less than 4 days/week
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    High Sodium

    Consumption of an extra 3900 mg of dietary sodium per day.

    Dietary Supplement: High Sodium

  • Placebo comparator
    Placebo

    Control Condition

    Other: Placebo

Interventions

  • Dietary supplementHigh Sodium

    10 days of 3900 mg of sodium/day in excess of normal dietary intake delivered via enteric capsules filled with table salt.

  • OtherPlacebo

    10 days of enteric capsules filled with dextrose.

06

What researchers measure

Primary outcomes

  1. Reflected Pulse Wave Amplitude

    Aortic pressure-flow relations will be assessed non-invasively using echocardiography and peripheral artery applanation tonometry. Wave separation analysis will be used to calculate reflected pulse wave amplitude.

    Time frame: On the 10th day of each arm.

  2. Conduit artery endothelium-dependent dilation

    Brachial artery flow mediated dilation (FMD) will be assessed by duplex ultrasound as an index of conduit artery endothelial function.

    Time frame: On the 10th day of each arm.

  3. Arterial Stiffness

    Carotid-femoral pulse wave velocity (cf-PWV) will be assessed via applanation tonometry as an index of aortic stiffness. cf-PWV will be calculated as the difference in timing of of pulse waves at the carotid and femoral arteries divided by the distance between measurements.

    Time frame: On the 10th day of each arm.

Secondary outcomes

  1. Wave reflection timing

    Aortic pressure-flow relations will be assessed non-invasively using echocardiography and peripheral artery applanation tonometry. Wave separation analysis will be used to calculate reflected wave transit time.

    Time frame: On the 10th day of each arm.

  2. Forward Pulse Wave Amplitude

    Aortic pressure-flow relations will be assessed non-invasively using echocardiography and peripheral artery applanation tonometry. Wave separation analysis will be used to the amplitude of the forward traveling pulse wave.

    Time frame: On the 10th day of each arm.

  3. 24 Hour Blood Pressure

    24 hour blood pressure monitoring will be performed using an ambulatory blood pressure monitor device. Average day and nighttime systolic, diastolic, and mean blood pressures will be determined.

    Time frame: The morning of day 9 through the morning of day 10 for each arm.

07

Study locations

1 of 1 sites recruiting
  • Department of Kinesiology and Applied Physiology, University of Delaware
    Newark, Delaware 19713, United States
    Recruiting
    • David Edwards, PhD · Contactdge@udel.edu
    • Jordan Patik, PhD · Contactjpatik@udel.edu
    • David Edwards, PhD · Principal investigator
    • Jordan Patik, PhD · Principal investigator
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 29, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04233957
Responsible party
Sponsor
First posted
Jan 18, 2020
Start date
Jan 1, 2020
Primary completion
Jun 30, 2024 (estimated)
Completion
Dec 31, 2024 (estimated)
Last update
Nov 29, 2023

Study contacts

David G Edwards, PhD
Contact
dge@udel.edu
302-831-3363
Jordan C Patik, PhD
Contact
jpatik@udel.edu
512-820-6387
David G Edwards, PhD
principal investigator · University of Delaware

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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