Sodium: The Keeper of Water

         Sodium (Na)

         Water keeper.
          
    Sodium is a vital intercellular and intracellular element that in the human body participates in creating necessary blood buffering, regulating blood pressure, and water exchange (sodium ions promote the swelling of tissue colloids that retain water in the body and facilitate its accumulation), activating digestive enzymes, and nourishing nerve and muscle tissue. By accumulating water in the body, sodium prevents dehydration (when water is insufficient, cells cease to perform their functions, and waste products accumulate in the body). It is also essential for the heart muscle.

 

     The daily requirement for the human body is about 1 g.
    The physiological need for sodium is mainly met by a regular diet without the addition of table salt (0.8 g of natural sodium per day). The majority of sodium – about 80% – is obtained by the body through the consumption of foods with added table salt.
    The need for sodium significantly increases with heavy sweating in hot climates or during intense physical exertion.

 
    The sodium content in the body of an adult human is 0.08% (55–60 g per 70 kg of body weight).
 
    Sodium is distributed throughout the body: in the blood, muscles, bones, internal organs, and skin. About 40% of sodium is found in bone tissue, primarily in extracellular fluid.
 

    Sodium ions are rapidly and completely absorbed in all sections of the gastrointestinal tract and at sites of parenteral injections. Sodium ions also easily penetrate through the skin and pulmonary epithelium.
    Sodium is excreted from the body mainly through urine (95%), feces, and sweat. Maximum sodium excretion occurs with urine between 9 AM and 12 PM, while the minimum occurs at night.
    Sodium exchange is primarily regulated by aldosterone.

 

    Biological role in the human body. Sodium is an electrolyte that plays a key role in regulating fluid exchange. Sodium in the form of the cation Na+ participates in maintaining homeostasis (ionic balance, osmotic pressure in body fluids). It plays an important role in regulating osmotic pressure and water exchange, with disturbances leading to thirst, dryness of mucous membranes, and skin swelling. Sodium also significantly influences protein metabolism.
    Sodium exchange is controlled by the thyroid gland. In cases of hypothyroidism, sodium retention occurs in tissues. In hyperthyroidism, the amount of sodium in the skin decreases, while its excretion from the body increases.
    In the human body, sodium performs “extracellular” functions: maintaining osmotic pressure and pH of the environment, forming action potentials through exchange with potassium ions, transporting carbon dioxide, hydrating proteins, and solubilizing organic acids.
    Inside cells, sodium is necessary for maintaining neuromuscular excitability and the operation of the Na+–K+–pump, which regulates the cellular exchange of various metabolites. Sodium is crucial for the transport of amino acids, sugars, inorganic and organic anions across cell membranes.
    Sodium also participates in the formation of gastric juice, regulates the excretion of many metabolic products by the kidneys, activates a number of enzymes in the salivary glands and pancreas, and provides more than 30% of the alkaline reserves of blood plasma.

 

    Synergists and antagonists of sodium. Sodium has antagonistic properties towards potassium and can displace it from tissues. In cases of dietary deficiency of sodium and potassium, the content of lithium in the body increases.
    The absorption of sodium is facilitated by vitamins D and K, while a deficiency of potassium and chlorine in the body hinders sodium intake.

 

    Sodium deficiency is associated with shortness of breath, fatigue, insomnia, and low blood sugar.
    Signs of sodium deficiency: abdominal muscle cramps, lack of appetite (anorexia), nausea, vomiting, loss of orientation, impaired coordination of movements, dehydration, depression, dizziness, fatigue, hallucinations, headache, rapid heartbeat, decreased taste threshold, drowsiness, low blood pressure, memory impairment, muscle weakness, recurrent infections, weight loss.

 

    Sodium excess leads to the development of hypertension. Moreover, excessive sodium intake overloads the heart and kidneys (when forming urine, they process blood with an increased sodium content), resulting in swelling of the legs and face. This is why, in cases of kidney and heart diseases, it is recommended to sharply limit the intake of table salt.

 

    Toxicity of table salt for humans, established by the minimum lethal dose, is 8.2 g/kg of body weight when administered orally. The mechanism of toxic action of sodium chloride at the injection sites is primarily due to high osmotic pressure. As a result, there is intense influx of water from surrounding tissues, leading to their dehydration and impaired cell functions. Excessive influx of Na+ ions causes overload of the corresponding homeostatic systems and disruption of metabolic processes. In the epithelium of the gastrointestinal tract and renal tubules, inflammation develops, often leading to tissue necrosis.
    A constant excess of sodium and potassium in the diet is accompanied by a certain increase in insulin levels in the blood. Other hormonal disorders are also noted. The introduction of a large amount of sodium chloride causes protein breakdown and significant weight loss. With parenteral administration of isotonic solution, body temperature may rise, which is more frequently observed in children.
    People with excess sodium are usually easily excitable, sensitive, hyperactive, and experience thirst and sweating, with increased frequency of urination.
    Main manifestations of sodium excess – fatigue, excitement; neuroses; adrenal dysfunction, impaired kidney function; formation of kidney stones; thirst, edema; hypertension, osteoporosis.
   
     Sodium is necessary: during heavy physical labor, high external temperatures, excessive sweating (the sodium intake norm increases almost 2 times), sports activities on hot days or in hot climates, work in hot workshops, during vomiting, diarrhea, as well as when consuming potassium-rich foods (sodium is an antagonist of potassium).

 

    Dietary sources of sodium: almost all food contains a certain amount of sodium (15–80 mg%). Foods relatively rich in sodium include carrots, celery, beets, green beans, parsley greens, celery greens, garlic greens, dill, wild and garden berries, and brown algae laminaria (seaweed). Nuts and whole grains are also excellent sources of sodium.
    The primary source of sodium is table salt. The daily human requirement is 5–7 g of table salt. However, in reality, consumption is higher, as salt is naturally present in meat, fish, and vegetables. For seasoning dishes, it is preferable to use pure sea salt, as it promotes less water retention in the body.   

   

 

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