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

Not Applicable

Completed

• Conditions: Cardiovascular Risk Factor
• Interventions: Other: High Salt; Other: Recommended Salt

• Registration Number: NCT04229680
• Lead Sponsor: University of Delaware

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 Timeline

• Study Start: 2019-04-16
• Study First Submitted: 2020-01-13
• Study First Submitted QC: 2020-01-13
• Study First Posted: 2020-01-18
• Primary Completion: 2021-02-24
• Study Completion: 2021-02-24
• Status Verified: 2023-09
• Last Update Submitted: 2023-09-28
• Last Update Posted: 2023-10-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 31

Inclusion Criteria

• healthy
• normal blood pressure

Exclusion Criteria

• hypertension
• cardiovascular disease
• renal disease
• diabetes
• cancer
• 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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
High Salt	High Salt	Subjects will be counseled to consume a diet with 2,300 mg/d sodium which they will supplement with pills containing salt to achieve an intake of 6,900 mg/d sodium.
Recommended Salt	Recommended Salt	Subjects will be counseled to consume a diet with 2,300 mg/d sodium which they will supplement with placebo pills.

Primary Outcome Measures

Name	Time	Method
T cell profile	On day 10	The difference in T regulatory and T helper 17 cells between each arm.
Gut microbiota diversity	On day 10	The difference in gut microbiota diversity between the two arms.

Trial Locations

Locations (1)

University of Delaware; 🇺🇸 Newark, Delaware, United States