The addition of sweetness reduces aversion to high salt concentrations in patients with chronic kidney disease

Abstract Reducing salt intake is crucial for managing hypertension. While efforts to reduce salt intake are based on the assumption that people have a preference for salt, it is also important to acknowledge that there is an aversion to high levels of salt. A recent study has highlighted that not on...

Full description

Saved in:
Bibliographic Details
Main Authors: Natsuko Okuno-Ozeki, Yusuke Kohama, Hiromu Taguchi, Yuka Kawate, Keiichi Tamagaki, Takuya Taniguchi, Takashi Hirao, Satoaki Matoba, Tetsuro Kusaba
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-09602-x
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849234662381060096
author Natsuko Okuno-Ozeki
Yusuke Kohama
Hiromu Taguchi
Yuka Kawate
Keiichi Tamagaki
Takuya Taniguchi
Takashi Hirao
Satoaki Matoba
Tetsuro Kusaba
author_facet Natsuko Okuno-Ozeki
Yusuke Kohama
Hiromu Taguchi
Yuka Kawate
Keiichi Tamagaki
Takuya Taniguchi
Takashi Hirao
Satoaki Matoba
Tetsuro Kusaba
author_sort Natsuko Okuno-Ozeki
collection DOAJ
description Abstract Reducing salt intake is crucial for managing hypertension. While efforts to reduce salt intake are based on the assumption that people have a preference for salt, it is also important to acknowledge that there is an aversion to high levels of salt. A recent study has highlighted that not only the taste recognition but also the aversion to high salt were altered in CKD patients. However, the effect of combining various tastes on this aversion is still unclear. This study examined how adding sweetness affects salt aversion in CKD patients. A taste test was conducted on 100 healthy volunteers and 66 CKD patients using filter paper impregnated with varying concentrations of NaCl, sucrose, tartaric acid, and quinine hydrochloride. The aversion threshold was defined as the lowest concentration perceived as unpleasant. We measured aversion thresholds for combinations of sweet with salty, sour, and bitter tastes. Aversion to salt, sour, and bitter tastes increased with concentration. However, 44% of healthy subjects and 79% of CKD patients showed no aversion to high salt. Adding sweetness significantly reduced salt aversion, with 52% of healthy subjects and 92.4% of CKD patients showing no aversion to high salt. Sweetness slightly reduced aversion to sour tastes but had no effect on bitter taste in either group. Sweetness reduces aversion to high salt in both healthy individuals and CKD patients. To limit salt intake, not only should salt content be reduced, but excessive sweetness should also be avoided, as it lowers salt aversion.
format Article
id doaj-art-fe59d3d7be1d4a1081106133a8fa0177
institution Kabale University
issn 2045-2322
language English
publishDate 2025-07-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj-art-fe59d3d7be1d4a1081106133a8fa01772025-08-20T04:03:03ZengNature PortfolioScientific Reports2045-23222025-07-0115111110.1038/s41598-025-09602-xThe addition of sweetness reduces aversion to high salt concentrations in patients with chronic kidney diseaseNatsuko Okuno-Ozeki0Yusuke Kohama1Hiromu Taguchi2Yuka Kawate3Keiichi Tamagaki4Takuya Taniguchi5Takashi Hirao6Satoaki Matoba7Tetsuro Kusaba8Department of Nephrology, Graduate School of Medical Science, Kyoto Prefectural University of MedicineResearch and Development Headquarters, House Foods Group Inc.Research and Development Headquarters, House Foods Group Inc.Department of Food Sciences and Nutrition, School of Food Sciences and Nutrition, Mukogawa Women’s UniversityDepartment of Nephrology, Graduate School of Medical Science, Kyoto Prefectural University of MedicineDepartment of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto Prefectural University of MedicineResearch and Development Headquarters, House Foods Group Inc.Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto Prefectural University of MedicineDepartment of Nephrology, Graduate School of Medical Science, Kyoto Prefectural University of MedicineAbstract Reducing salt intake is crucial for managing hypertension. While efforts to reduce salt intake are based on the assumption that people have a preference for salt, it is also important to acknowledge that there is an aversion to high levels of salt. A recent study has highlighted that not only the taste recognition but also the aversion to high salt were altered in CKD patients. However, the effect of combining various tastes on this aversion is still unclear. This study examined how adding sweetness affects salt aversion in CKD patients. A taste test was conducted on 100 healthy volunteers and 66 CKD patients using filter paper impregnated with varying concentrations of NaCl, sucrose, tartaric acid, and quinine hydrochloride. The aversion threshold was defined as the lowest concentration perceived as unpleasant. We measured aversion thresholds for combinations of sweet with salty, sour, and bitter tastes. Aversion to salt, sour, and bitter tastes increased with concentration. However, 44% of healthy subjects and 79% of CKD patients showed no aversion to high salt. Adding sweetness significantly reduced salt aversion, with 52% of healthy subjects and 92.4% of CKD patients showing no aversion to high salt. Sweetness slightly reduced aversion to sour tastes but had no effect on bitter taste in either group. Sweetness reduces aversion to high salt in both healthy individuals and CKD patients. To limit salt intake, not only should salt content be reduced, but excessive sweetness should also be avoided, as it lowers salt aversion.https://doi.org/10.1038/s41598-025-09602-xTaste interactionsTaste testSalt tasteSweet tasteAversion thresholdChronic kidney disease
spellingShingle Natsuko Okuno-Ozeki
Yusuke Kohama
Hiromu Taguchi
Yuka Kawate
Keiichi Tamagaki
Takuya Taniguchi
Takashi Hirao
Satoaki Matoba
Tetsuro Kusaba
The addition of sweetness reduces aversion to high salt concentrations in patients with chronic kidney disease
Scientific Reports
Taste interactions
Taste test
Salt taste
Sweet taste
Aversion threshold
Chronic kidney disease
title The addition of sweetness reduces aversion to high salt concentrations in patients with chronic kidney disease
title_full The addition of sweetness reduces aversion to high salt concentrations in patients with chronic kidney disease
title_fullStr The addition of sweetness reduces aversion to high salt concentrations in patients with chronic kidney disease
title_full_unstemmed The addition of sweetness reduces aversion to high salt concentrations in patients with chronic kidney disease
title_short The addition of sweetness reduces aversion to high salt concentrations in patients with chronic kidney disease
title_sort addition of sweetness reduces aversion to high salt concentrations in patients with chronic kidney disease
topic Taste interactions
Taste test
Salt taste
Sweet taste
Aversion threshold
Chronic kidney disease
url https://doi.org/10.1038/s41598-025-09602-x
work_keys_str_mv AT natsukookunoozeki theadditionofsweetnessreducesaversiontohighsaltconcentrationsinpatientswithchronickidneydisease
AT yusukekohama theadditionofsweetnessreducesaversiontohighsaltconcentrationsinpatientswithchronickidneydisease
AT hiromutaguchi theadditionofsweetnessreducesaversiontohighsaltconcentrationsinpatientswithchronickidneydisease
AT yukakawate theadditionofsweetnessreducesaversiontohighsaltconcentrationsinpatientswithchronickidneydisease
AT keiichitamagaki theadditionofsweetnessreducesaversiontohighsaltconcentrationsinpatientswithchronickidneydisease
AT takuyataniguchi theadditionofsweetnessreducesaversiontohighsaltconcentrationsinpatientswithchronickidneydisease
AT takashihirao theadditionofsweetnessreducesaversiontohighsaltconcentrationsinpatientswithchronickidneydisease
AT satoakimatoba theadditionofsweetnessreducesaversiontohighsaltconcentrationsinpatientswithchronickidneydisease
AT tetsurokusaba theadditionofsweetnessreducesaversiontohighsaltconcentrationsinpatientswithchronickidneydisease
AT natsukookunoozeki additionofsweetnessreducesaversiontohighsaltconcentrationsinpatientswithchronickidneydisease
AT yusukekohama additionofsweetnessreducesaversiontohighsaltconcentrationsinpatientswithchronickidneydisease
AT hiromutaguchi additionofsweetnessreducesaversiontohighsaltconcentrationsinpatientswithchronickidneydisease
AT yukakawate additionofsweetnessreducesaversiontohighsaltconcentrationsinpatientswithchronickidneydisease
AT keiichitamagaki additionofsweetnessreducesaversiontohighsaltconcentrationsinpatientswithchronickidneydisease
AT takuyataniguchi additionofsweetnessreducesaversiontohighsaltconcentrationsinpatientswithchronickidneydisease
AT takashihirao additionofsweetnessreducesaversiontohighsaltconcentrationsinpatientswithchronickidneydisease
AT satoakimatoba additionofsweetnessreducesaversiontohighsaltconcentrationsinpatientswithchronickidneydisease
AT tetsurokusaba additionofsweetnessreducesaversiontohighsaltconcentrationsinpatientswithchronickidneydisease