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Clinical Trials/NCT04229680
NCT04229680CompletedNot Applicable

The Salty Gut: Effects of High Dietary Salt Intake on the Gut Microbiota

University of Delaware2 sites in 1 country31 target enrollmentStarted: April 16, 2019Last updated:
Conditions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
31
Locations
2
Primary Endpoint
Gut microbiota diversity

Study Overview

Brief Summary

Gut microbiota has a role in cardiovascular disease and recent findings in rodents show dietary salt can negatively alter gut microbiota composition. High salt intake is a risk factor for cardiovascular disease. Americans consume dietary salt in excess of Dietary Guidelines and American Heart Association recommendations. The objective of this project is to investigate the influence of high dietary salt consumption on the gut microbiota composition in men and women.

Detailed Description

Gut microbiota composition and function has an important role in host physiology. In general, gut microbial diversity is positively correlated with health status. Recent evidence confirms the role of gut dysbiosis in cardiovascular disease. Americans consume 50% more salt than the amount recommended by the Dietary Guidelines and 130% more than recommended by the American Heart Association. Excess salt intake is considered a modifiable risk factor for cardiovascular disease. Changes in the gut microbiota composition followed by immune system activation is reported with high salt intake in animals. In particular, abundance of proinflammatory T helper 17 (Th17) cells increases with excess salt consumption. In contrast, T regulatory (Treg) cells oppose Th17 cell action and may aid in reducing inflammation associated with high salt intake, a hypothesis that has not yet been tested in humans. Only one preliminary study assessed changes in gut bacterial composition with high salt intake in humans, when only men were recruited. The study also found an increase in Th17 cell abundance. Thus, the objective of this study is to investigate the influence of high salt intake on the gut microbiota diversity and Th17 and Treg cell abundance in men and women.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Crossover
Primary Purpose
Other
Masking
Single (Participant)

Masking Description

Single-blinded

Eligibility Criteria

Ages
18 Years to 45 Years (Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • normal blood pressure

Exclusion Criteria

  • hypertension
  • cardiovascular disease
  • renal disease
  • current use of anti-inflammatory agents, glucocorticoids or other immune regulating medications, or certain anti-depressants
  • history of intestinal surgery
  • inflammatory bowel disease, celiac disease, lactose intolerance, chronic pancreatitis or other malabsorption disorder
  • antibiotic use in the past 3 months
  • prebiotic, probiotic, or antioxidant supplementation in the past 3 months
  • ≥10 lbs weight gain or loss in the past 6 months
  • use of tobacco products
  • highly trained endurance athletes
  • current pregnancy or lactation

Outcomes

Primary Outcomes

Gut microbiota diversity

Time Frame: On day 10

The difference in gut microbiota diversity between the two arms.

T cell profile

Time Frame: On day 10

The difference in T regulatory and T helper 17 cells between each arm.

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (2)

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