• 제목/요약/키워드: Sodium balance

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체액의 수분 및 나트륨 균형 (Water and Sodium Balance of Body Fluid)

  • 김지홍
    • Childhood Kidney Diseases
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    • 제14권2호
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    • pp.111-119
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    • 2010
  • 1. 나트륨은 세포외액의 유효삼투압을 형성하는 가장 중요한 용질이며, 수분 밸런스의 이상은 혈중 삼투압의 변화와 혈중 나트륨농도의 이상(hyponatremia, hypernatremia)으로 발현된다. 2. 수분의 출입의 조절에 의하여 체액의 농도변화에 대처하는 과정을 수분 밸런스(water balance) 혹은 수분 대사(water metabolism)라 하며, 세포외 액량 특히 유효혈장량의 변화에 대처하여 체내 총 나트륨량의 출입을 조절하는 과정을 나트륨 밸런스($Na^+$ balance) 혹은 나트륨 대사($Na^+$ metabolism)라 하고 그 차이점을 정리하면 Table 1과 같다. 3. 수분 밸런스의 가장 중요한 두가지 요소는 갈증반응에 의한 수분섭취와 항이뇨호르몬(AVP)에 의한 소변으로의 수분 배출이며, AVP의 분비의 강력한 자극은 삼투압의 변화와 유효혈장량의 변화이다. 4. 나트륨 밸런스는 나트륨 섭취욕구에 의해서는 큰 영향을 받지 못하며, 주로 신장에 의한 염분배출조절에 의하며 이루어지고, 사구체 여과율과 알도스테론 분비가 신장의 나트륨 배설량을 결정하는 가장 중요한 인자이다.

Sodium and Potassium Balance and Their Relation to Nutrient Intakes in Young Adult Men and Women

  • Kim, Eun-Young;Choi, Mi-Kyeong
    • Preventive Nutrition and Food Science
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    • 제15권1호
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    • pp.24-29
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    • 2010
  • This study was conducted to investigate sodium and potassium balances, as well as correlations among the relating factors in adult males and females. We collected blood, urine and feces samples as well as a dietary intake survey from 50 subjects. Then, we analyzed the sodium and potassium contents in blood, urine and feces, and evaluated their state of balance. The average ages of the study targets were 24.7 years old for males and 22.8 years old for females. The daily energy intake by the males was 1733.4 kcal and by the females was 1570.3 kcal. Sodium intakes were 138.3 mEq and 127.5 mEq for males and females, respectively. Potassium intakes were 43.1 mEq and 49.3 mEq, respectively. The daily excretions of sodium through urine were 136.6 mEq by males and 97.0 mEq by females and the excretions through feces were 2.2 mEq and 2.0 mEq, respectively. The daily excretions of potassium through urine were 20.2 mEq and 16.5 mEq by males and females respectively, and the excretions through feces were 7.7 mEq and 7.5 mEq male to female. The retention rates of sodium were 11.7% and 14.1% male to female, respectively, and the apparent absorption rates were 98.5% and 97.8%. Additionally, the retention rates of potassium were 32.9% and 39.8% and the apparent absorptions were 81.9% and 81.3%, both male and female. It was noted that, overall, the sodium intake of adult males and females is still higher than the recommended daily sodium intake, while the potassium intakes and excretions were found to be lower. Based on the results of this study, nutritional guidance and education is recommended to encourage decreased sodium intake and increased potassium intake, according to recommended standards.

한국 성인 여자에 있어서, 나트륨 섭취 수준이 체내 칼슘대사에 미치는 영향 (The Effect of Dietary Sodium on Calcium Metabolism in Healthy Young Adult Women)

  • 김양애
    • Journal of Nutrition and Health
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    • 제20권4호
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    • pp.246-257
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    • 1987
  • The present study was conducted to examine the effect of an increased level of dietary sodium on calcium excretion in 8 health young adult Korean women on a controlled diet. After adaptation period of 2 days, each subject received 2811.8$\pm$68.1 mgNa(day during the initial period of 5 days (low sodium period) and 6417.1$\pm$248.6mgNa(day during the following period of 5 days (high sodium period). Calcium intake was 593.7$\pm$15.7 mg Ca/day during the low sodium period of 596.1$\pm$25.1 Ca/day duing the high sodium period. When the low sodium period is compared with the high soidum period, the results were as following. 1) Mean urinary sodium excretion was significantly higher during the high sodium period (5760.1$\pm$156.5mg0 than during the low sodium period (2272.2$\pm$108.6mg)(P<0.001). Fecal sodium excretion of the high sodium period was also significantly higher than that of the low sodium period(P<0.001). Mean value of sodium balance during the high sodium period was higher than that of the low sodium period . However, the difference was not significant. 2) Mean urinary calcium excretion was significantly higher during the high sodium period than during the low sodium period ; mean value of the low sodium period was 124.7$\pm$11.3mg and that of the high sodium period was 202.6$\pm$17.2mg)P<0.001). Fecal calcium excretion was higher during the high sodium period (284.9$\pm$31.0mg) than during the low sodium period (253.9$\pm$15.3mg0, but there was no significance. Mean value of calcium balance during the high sodium period was significantly lower than that of the low sodium period(P<0.001). The above results show that high sodium intake increases calcium excretion as well as sodium excretion.

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식이섬유의 종류가 자연적 고혈압 유발 백서의 혈압 변화 및 Na 흡수에 미치는 영향 (Effect of Dietary Fibers on Changes of Blood Pressure and Na Balance in Sponteneous Hypertensive Rats)

  • 최면;태원찬;김종대
    • Journal of Nutrition and Health
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    • 제24권1호
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    • pp.40-47
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    • 1991
  • 1) 체중증가량, 식이섭취량은 모든 군에서 차이가 거의 없었다. 2) 혈압은 대조군에 비해 건조사과군, 건조당근군, 건조미역군, 건조파래군 모두에게서 유의적인 감소를 보였다. 3) Na balance는 건조당근군, 건조파래군, 건조미역군에서 negative value를 나타내었으며 유의적 이었다. 4) 소변중의 Na배설은 대변중의 Na배설에 변화없이 미역, 파래, 당근을 섭취시킨 군이 다른 군에 비해 보다 높은 수치를 나타내었다. 5) Pectin첨가군 및 algin첨가군은 대조군에 비교하여 혈청내 total cholesterol은 감소시키는 경향을 보였으나 triglyceride는 유의적 차이가 없었다.

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칼슘보충이 여대생의 나트륨, 칼륨 대사 및 혈압에 미치는 영향 (The effect of Ca Supplementatin on the Metabolism of Sodium and Potassium and Blood Pressure in College Women)

  • 김희선
    • Journal of Nutrition and Health
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    • 제30권1호
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    • pp.32-39
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    • 1997
  • This study was desiged to investigate the effects of calcium supplementation on the metabolism of sodium and potassium and blood pressure in seven healthy college women, aged from 19 to 21 years old. For this purpose, metabolic studies were conducted for two weeks. During the first week, the subjects ate experimental diet of which nutrients composition was similar to their usual intake. And during the consecutive second week, they ate the same experimental diet supplemented with 500mg or calcium daily. The results were summarized as follows : 1) Urinary excretion of sodium was significantly increased(p<0.05), but fecal excretion and retention of it was not affected by supplementary intake of calcium. 2) Potassium balance was not changed after additional intake of calcium. 3) Serum sodium and potassium level decreased significantly(p<0.05), but aldosterone and renin levels in serum were not changed by additional intake of calcium. 4) Systolic blood pressure(SBP) was not affected, but diastolic blood pressure (DBP) was significantly decreased (p<0.05) by supplementation of calcium. The above results showed that daily supplementary intake of calcium can be effective to decrease diastolic blood pressure through inducing the change of sodium metabolism in young women eating usual Korean diets.

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일부 한국인 아동의 나트륨과 칼슘 섭취 및 배설에 관한 연구 (A Study on Intake/excretion of Sodium and Calcium in Korean Children)

  • 이경화
    • Journal of Nutrition and Health
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    • 제28권8호
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    • pp.749-758
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    • 1995
  • In this study, the food intake, feces and urine of 16 primary school age boys and girls were collected and intake and excretion of sodium and calcium were measured. The boys and girls were 8-12 years old and measurement continued for four weeks during which they maintained their normal living pattern and body weight. Each boy's and girl's daily intake and excretion of sodium and calcium were measured and apparent digestibility and balance were also studied. The results were as follows. 1) Mean daily intake of sodium was 8.52$\pm$0.38g for the boys and 7.31$\pm$0.44g for the girls. The mean value in males was significantly higher than that in females(p<0.05). Mean daily in take of calcium was 411.0$\pm$16.0mg for the boys and 356.5$\pm$15.4mg for the girls. The mean value in males was significantly higher than that in females(p<0.01). 2) Mean daily fecal loss and apparent digestibility of sodium was 0.32$\pm$0.04g and 96% for the boys and 0.52$\pm$0.07g and 93% for the girls. The fecal loss mean value in males was significantly lower than that in females(p<0.05). Mean daily fecal loss and apparent digestibility of calcium was 299.8$\pm$8.3mg and 29% for the boys and 194.1$\pm$14.3mg and 46% for the girls. The fecal loss mean value in males was significantly higer than that in females(p<0.01). 3) Mean daily urinary loss of sodium was 6.55$\pm$0.50g and showed the positive balance of 1.65g for the boys and 5.67$\pm$0.20g and showed the positive balance of 1.12g for the girls. The urinary loss mean values of the two groups were not significantly different. Mean daily urinary loss of calcium was 42.8$\pm$5.1mg and showed the positive balance of 79.4mg for the boys and 25.0$\pm$1.64mg and showed the positive balance of 137.4mg for the girls. The urinary loss mean value in males was significantly higer than that in females(p<0.01).

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수분 대사 장애 질환의 병태 생리와 치료 (Pathophysiology and management of disorders in water metabolism)

  • 김동언
    • Clinical and Experimental Pediatrics
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    • 제50권5호
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    • pp.430-435
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    • 2007
  • Even though we drink and excrete water without recognition, the amount and the composition of body fluid remain constant everyday. Maintenance of a normal osmolality is under the control of water balance which is regulated by vasopressin despite sodium concentration is the dominant determinant of plasma osmolality. The increased plasma osmolality (hypernatremia) can be normalized by the concentration of urine, which is the other way of gaining free water than drinking water, while the low plasma osmolality (hyponatremia) can be normalized by the dilution of urine which is the only regulated way of free water excretion. On the other hand, volume status depends on the control of sodium balance which is regulated mainly by renin-angiotensin-aldosterone system, through which volume depletion can be restored by enhancing sodium retention and concomitant water reabsorption. This review focuses on the urine concentration and dilution mechanism mediated by vasopressin and the associated disorders; diabetes insipidus and syndrome of inappropriate antidiuretic hormone secretion.

導赤散이 白鼠 腎臟機能에 미치는 影響 (Effects of Dojuksan on the Renal Function in Rats)

  • 윤현자;윤용갑;강순수
    • 한방안이비인후피부과학회지
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    • 제12권2호
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    • pp.53-66
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    • 1999
  • This study has been carried out to investigate the effects of Dojuksan on the renal functions and internal secretion system, as water balance, urine volume, urinary excretion of sodium and potassium, free water clearance, urinary excretion of creatinine, plasma levels of artrial natriuretic peptide (ANP), plasma levels of aldosterone and plasma renin activity, comparing experimental group which Dojuksan water extract were administrated with control group. Sprague-Dawley rats, about 200-250 g, were used for this experiment. The results of this study were as follows: 1. Water balance decreased significantly after the administration of Dojuksan water extract. 2. Urine volume increased significantly after the administration of $100{\mu}l$ Dojuksan water extract per 100g rat. 3. Urinary excretion of sodium increased significantly but urinary excretion of potassium did not change after the administration of Dojuksan water extract. 4. Free water clearance decreased significantly after the administration of Dojuksan water extract 5. Urinary excretion of creatinine increased significantly after the administration of Dojuksan water extract 6. Plasma renin activity did not change after the administration of Dojuksan water extract 7. Plasma levels of artrial natriuretic peptide (ANP) did not change after the administration of Dojuksan water extract 8. Plasma levels of aldosterone decreased significantly after the administration of 200 ${\mu}Dojuksan water extract per l00g rat The results suggest that Dojuksan increase the urinary excretion of sodium. and thus reduce the water balance, which resulted from suppression of sodium reabsorption into renal tubule by increasing glomerular filtration rate and decreasing aldosterone.

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An ultra-long-life small safe fast reactor core concept having heterogeneous driver-blanket fuel assemblies

  • Choi, Kyu Jung;Jo, Yeonguk;Hong, Ser Gi
    • Nuclear Engineering and Technology
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    • 제53권11호
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    • pp.3517-3527
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    • 2021
  • New 80-MW (electric) ultra-long-life sodium cooled fast reactor core having inherent safety characteristics is designed with heterogeneous fuel assemblies comprised of driver and blanket fuel rods. Several options using upper sodium plenum and SSFZ (Special Sodium Flowing Zone) for reducing sodium void reactivity are neutronically analyzed in this core concept in order to improve the inherent safety of the core. The SSFZ allowing the coolant flow from the peripheral fuel assemblies increases the neutron leakage under coolant expansion or voiding. The Monte Carlo calculations were used to design the cores and analyze their physics characteristics with heterogeneous models. The results of the design and analyses show that the final core design option has a small burnup reactivity swing of 618 pcm over ~54 EFPYs cycle length and a very small sodium void worth of ~35pcm at EOC (End of Cycle), which leads to the satisfaction of all the conditions for inherent safety with large margin based on the quasi-static reactivity balance analysis under ATWS (Anticipated Transient Without Scram).

Influence of Varying Level of Sodium Bicarbonate on Milk Yield and Its Composition in Early Lactating Nili Ravi Buffaloes

  • Sarwar, M.;Shahzad, M. Aasif;Nisa, Marhr-un
    • Asian-Australasian Journal of Animal Sciences
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    • 제20권12호
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    • pp.1858-1864
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    • 2007
  • Influence of varying level of sodium bicarbonate (SB) supplementation on milk yield and its composition was examined in a randomized complete block design in early lactating Nili Ravi buffaloes during summer. Four iso-nitrogenous and iso-caloric diets were formulated. The diet 0B contained 0 while LB, MB and HB diets contained 0.50, 1.0 and 1.50% SB levels, respectively. The diets were randomly allotted to twenty buffaloes, five in each group. A linear increase in nutrient and water intake was recorded with increasing SB level. Buffaloes fed MB and HB diets showed higher nitrogen balance than those fed 0B and LB diets. A significant increase in blood pH and serum bicarbonate was noticed with increasing SB level. Urine pH increased significantly with increased SB level. A linear increase in milk yield was also noticed with increasing SB level. Milk fat% increased significantly in buffaloes fed MB and HB diets compared with those fed 0B and LB diets. Buffaloes fed HB diet had higher conception rate and less services per conception than those fed 0B diet. This study indicated that a high SB diet not only increased dry matter and water intake, milk yield, milk fat% but also increased conception rate in early lactating buffaloes during summer.