BREAKING THE SILENCE, 2014 Breaking The Silence | Page 12

EFFECT OF VITAMIN C (ASCORBIC ACID) ON BLOOD PRESSURE IN RESPONSE TO SALT LOAD IN HUMANS IDOWU, ABIODUN BENJAMIN, 400L PHYSIOLOGY WINNER, 1st AMSUL Prize For Excellence in Research INTRODUCTION Hypertension is defined as a systolic blood pressure of ≥140mmHg, or a diastolic of ≥ 90mmHg, or taking antihypertensive medication (1) STATEMENT OF PROBLEM The number of people with hypertension rose from 600million in 1980 to nearly one billion in 2008,(2) this raised the global prevalence of hypertension to 40% (2) and it has been predicted that by 2025, the prevalence of hypertension will increase by 24% in developed countries and alarmingly by 80% in developing countries.(3) OBJECTIVE OF STUDY General Objectives To study the effect of vitamin C (Ascorbic Acid) ingestion on blood pressure in response to dietary salt loading in human subjects. Specific Objectives · To determine the effect of a high salt intake on blood pressure · To determine the effect of vitamin C on blood pressure in response to salt load HYPERTENSION AND SALT INTAKE High salt intake has been associated with high blood pressureas shown by experimental studies in Sprague Dawley rats (4) and Dogs (5). Epidemiological report has also shown that communities that ingest high salt in AMSUL Digest 2014 their diet (e.g. Northern Japan) have a high incidence of hypertension (6) while communities that consume little or no salt in their diet (Eskimos, Kalahari tribesmen of South Africa and Yanomamo Indians in Brazil) have very low incidence of hypertension(6). Some of the pathophysiological mechanisms that have been implicated in salt induced hypertension are; increased venous tone,(5) increased oxidative stress,(8), (9) increased sympathetic activity and increased vascular resistance.(7) METHODOLOGY 12 normotensive undergraduate male students (18 – 25 years) of College of Medicine, University of Lagos participated in this study. Participants followed their regular diet pattern and are not on any medication. They were randomly divided into 2 groups;  SALT ONLY GROUP: participants (n=6) were placed on placebo for 14 days, and were later administered orally with 200mmol/L of dietary salt solution each day for next 5 days. SALT + VITAMIN C GROUP: participants (n=6) took 500mg vitamin C daily orally for 14 days and were afterwards administered orally with 200mmol/L of dietary salt solution alongside 500mg vitamin C for next 5 days. Blood pressures, serum electrolytes, urine electrolytes measured both before and after salt loading were analysed using SPSS version 16.0. Statistical analysis was done using student t-test. 