Circadian Urinary Excretion of Water, and Not Salt, Is Affected by the White Coat Effect.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_94D1A0E88E4D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Circadian Urinary Excretion of Water, and Not Salt, Is Affected by the White Coat Effect.
Journal
Journal of clinical medicine
Author(s)
Moretti F., Gianini J., Del Giorno R., Gabutti L.
ISSN
2077-0383 (Print)
ISSN-L
2077-0383
Publication state
Published
Issued date
02/09/2023
Peer-reviewed
Oui
Volume
12
Number
17
Pages
5725
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Hypertension is an important morbidity factor. The prognostic consequences of the white-coat effect have been studied extensively. The repercussion on the circadian rhythm of urinary water and salt excretion in the same subgroup remain, conversely, among the open topics. Postulating an impaired diurnal sodium and volume excretion we decided to investigate both, in subjects with or without a white-coat effect, in the general population. A sample of 1023 subjects, has been considered. We collected 24-h urine samples, divided in day and night, and we measured the blood pressure with an Ambulatory Blood Pressure Monitoring (ABPM). ABPM values were then compared with physician collected in-office values to assign subjects to the group with or without the white-coat effect. Concerning the circadian pattern of urinary sodium excretion, we found no significant differences between the groups. There was instead in the white-coat effect group a higher night/day ratio of urinary water excretion. The white-coat effect, has been considered a potential hypertension precursor, and its consequent handling could be prospectively relevant in hypertension prevention. The absence of repercussions on the urinary circadian sodium excretion pattern and on the potentially related risk factors in subjects with a white coat effect is reassuring. The clinical significance of the impact on the night/day ratio of water excretion needs to be further investigated.
Keywords
circadian pattern, circadian rhythm, hypertension, salt, sodium, sodium excretion, water excretion, white coat effect, white coat hypertension
Pubmed
Web of science
Open Access
Yes
Create date
25/09/2023 15:57
Last modification date
25/01/2024 8:40
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