Sodium: The Keeper of Water
Sodium (Na)
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 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.
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.
The absorption of sodium is facilitated by vitamins D and K, while a deficiency of potassium and chlorine in the body hinders sodium intake.
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.
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.
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.