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Nutrition, Vitamins & Supplements for Seniors

Low Sodium Makes it Difficult for Older Adults to Think, Focus, Maintain Balance

Clinical trial seeks older patients to test medicine's impact on cognitive abilities - more news on low sodium

June 13, 2008 - Low sodium in the blood can make it harder to think and focus, and it is common in older adults. Simple things such as forgetting your golf score, struggling with crossword puzzles, or having a loss of balance, could be a sign of low sodium. A new clinical trial is seeking some older Americans to test a drug that may help seniors whose brain function is impaired by low sodium.

 

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Many of us go through our day without thinking about water or sodium (salt) and the important role they play in our health. Both of these are keys to how well our body functions and to what happens to our body. Our body naturally controls its sodium and water levels. When the level of sodium in the blood drops too low, hyponatremia (low blood sodium) can develop.

(Read more news on low sodium below this story.)

Unless you are a marathon runner, you’ve probably never heard of the condition. Marathon runners are at risk for developing hyponatremia if they don’t properly hydrate themselves during a race.

Low blood sodium is also linked with other conditions such as chronic heart failure, lung disease, liver disease, and cancer. In addition, a person’s sodium level naturally drops as they age. Signs of the condition can range from a headache to seizures depending on the person’s sodium level.

Little is known about how low sodium affects brain function or how to treat it.

“Studies suggest that people with low sodium experience difficulty thinking and concentrating compared with those who have normal sodium levels,” said Dr. Joseph Verbalis, Chief, Division of Endocrinology and Metabolism at Georgetown University Hospital and a key researcher of the effects of hyponatremia.

“Mild hyponatremia often goes untreated or undiagnosed because many patients believe the symptoms are part of the normal aging process.”

Verbalis and Dr. Miguel Franco of Memorial Clinical Associates are Principal Investigators on the INSIGHT study involving tolvaptan, an investigational drug being tested to determine if it may help improve thinking, walking, and balance in older adults with low sodium.

Men and women over the age of 50 who have been diagnosed with mild hyponatremia are eligible to participate in the INSIGHT study. Your doctor may need to do a simple blood test to see if you can join.

If you would like to learn more about the INSIGHT study, visit www.insightsaltstudy.com or call 713-407-3076.

More news on low sodium

Serum sodium predicts mortality 10 times higher in PAH patients

June 13, 2008 - Patients with pulmonary arterial hypertension (PAH) - chronically high blood pressure in the blood vessels of the lungs - whose serum (body fluid) sodium levels are low (called hyponatremia, or HN) have a very poor chance of survival and a high rate of right-heart failure (RHF), according to new research from the University of Pennsylvania.

Low blood sodium is already known to indicate advanced left heart failure but has never been demonstrated to be linked to right heart failure before, such as that seen in patients with PAH. The research appears in the second issue for June of the American Thoracic Society's American Journal of Respiratory and Critical Care Medicine.

"This is the first study to show the powerful prognostic significance of low blood sodium in these patients," said the study's lead author, Paul R. Forfia, M.D., a cardiologist in the Heart Failure/Transplant program and medical director of the Pulmonary Hypertension Program at the Hospital of the University of Pennsylvania.

New study casts further doubt on risk of death from higher salt intake

May 15, 2008 – Contrary to long-held assumptions, high-salt diets may not increase the risk of death, according to investigators from the Albert Einstein College of Medicine of Yeshiva University. They reached their conclusion after examining dietary intake among a nationally representative sample of adults in the U.S.

The Einstein researchers actually observed a significantly increased risk of death from cardiovascular disease (CVD) associated with lower sodium diets. They reported their findings in the advance online edition of the Journal of General Internal Medicine.

The researchers analyzed data from the Third National Health and Nutrition Examination Survey (NHANES III), which was conducted by the federal government among a nationally representative sample of U.S. adults. These data were then compared against death records that had been collected by the government through the year 2000. The sample of approximately 8,700 represented American adults who were over 30 years of age at the time of the baseline survey (1988-1994) and were not on a special low-salt diet.

After adjusting for known CVD risk factors, such as smoking, diabetes and blood pressure, the one-fourth of the sample who reported consuming the lowest amount of sodium were found to be 80% more likely to die from CVD compared to the one-fourth of the sample consuming the highest level of sodium. The risk for death from any cause appeared 24% greater for those consuming lower salt, but this latter difference was not quite large enough to dismiss the role of chance.

 

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