Literature DB >> 26009166

Validation of the Spot Urine in Evaluating 24-Hour Sodium Excretion in Chinese Hypertension Patients.

Weizhong Han1, Ningling Sun2, Yuanyuan Chen3, Hongyi Wang3, Yang Xi3, Zhiyi Ma3.   

Abstract

BACKGROUND: The spot urine method as an alternative approach in estimating daily urine sodium excretion has been proposed for many years. Kawasaki has created an equation to predict daily urinary sodium excretion using second morning urine (SMU) samples which was obtained before breakfast after initial voiding upon arising. Tanaka has developed another equation by examining spot urine samples submitted at random times during the day. A newly published study proposed that the "PM sample," collected in the late afternoon or early evening before dinner, showed a stronger relationship with actual sodium excretion. We aimed to verify the effectiveness of these methods in evaluating 24-hour urinary sodium in Chinese hypertensive patients.
METHODS: A total of 334 hypertensive participants were eligible to participate in this study. A total of 222 patients provided qualified SMU samples, Post Meridiem (PM) samples, and complete 24-hour urine collections.
RESULTS: Biases using the Kawasaki formula were 2.1 mmol/day for the SMU specimens; for the Tanaka equation, biases of SMU and PM samples were 21.1 and 30.1 mmol/day, respectively. The highest intraclass correlation coefficient (ICC) was 0.64 when the Kawasaki formula was used in PM specimens, with the lowest ICC 0.17 when it is used in SMUs.
CONCLUSIONS: Spot urine method is acceptable for estimating 24-hour urinary sodium excretion in hypertensive individuals. Kawasaki's formula is useful for estimating population mean levels of sodium excretion from SMU, although it is not suitable for estimating individual sodium excretion. © American Journal of Hypertension, Ltd 2015. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Entities:  

Keywords:  24-hour collection; blood pressure; estimation; hypertension; spot urine; urinary sodium excretion; validation.

Mesh:

Substances:

Year:  2015        PMID: 26009166     DOI: 10.1093/ajh/hpv037

Source DB:  PubMed          Journal:  Am J Hypertens        ISSN: 0895-7061            Impact factor:   2.689


  22 in total

1.  Relationships between urinary electrolytes excretion and central hemodynamics, and arterial stiffness in hypertensive patients.

Authors:  Weizhong Han; Xiao Han; Ningling Sun; Yunchao Chen; Shiliang Jiang; Min Li
Journal:  Hypertens Res       Date:  2017-03-02       Impact factor: 3.872

2.  Validation of 4 Estimating Methods to Evaluate 24-h Urinary Sodium Excretion: Summer and Winter Seasons for College Students in China.

Authors:  Weiyi Gong; Yuxia Ma; Zechen Zhang; Jufeng Liang; Jiguo Zhang; Gangqiang Ding
Journal:  Nutrients       Date:  2022-06-30       Impact factor: 6.706

3.  Impact of fractional excretion of sodium on a single morning void urine collection as an estimate of 24-hour urine sodium.

Authors:  Caryl A Nowson; Karen Lim; Norm R C Campbell; Stella L O'Connell; Feng J He; Robin M Daly
Journal:  J Clin Hypertens (Greenwich)       Date:  2019-11-06       Impact factor: 3.738

4.  A New Method to Estimate Dietary Sodium Intake From a Spot Urine Sample: Context and Caution.

Authors:  Matthew J Belanger; Michael K Lorinsky; Varayini Pankayatselvan; Stephen P Juraschek
Journal:  Am J Hypertens       Date:  2021-08-09       Impact factor: 3.080

Review 5.  The Use and Interpretation of Sodium Concentrations in Casual (Spot) Urine Collections for Population Surveillance and Partitioning of Dietary Iodine Intake Sources.

Authors:  Joel Conkle; Frits van der Haar
Journal:  Nutrients       Date:  2016-12-23       Impact factor: 5.717

6.  The Validity of Predictive Equations to Estimate 24-Hour Sodium Excretion: The MESA and CARDIA Urinary Sodium Study.

Authors:  Norrina B Allen; Lihui Zhao; Catherine M Loria; Linda Van Horn; Chia-Yih Wang; Christine M Pfeiffer; Mary E Cogswell; Jacqueline Wright; Kiang Liu
Journal:  Am J Epidemiol       Date:  2017-07-15       Impact factor: 5.363

7.  Diagnostic value of potassium level in a spot urine sample as an index of 24-hour urinary potassium excretion in unselected patients hospitalized in a hypertension unit.

Authors:  Piotr Jędrusik; Bartosz Symonides; Ewa Wojciechowska; Adam Gryglas; Zbigniew Gaciong
Journal:  PLoS One       Date:  2017-06-29       Impact factor: 3.240

8.  Joint association of urinary sodium and potassium excretion with cardiovascular events and mortality: prospective cohort study.

Authors:  Martin O'Donnell; Andrew Mente; Sumathy Rangarajan; Matthew J McQueen; Neil O'Leary; Lu Yin; Xiaoyun Liu; Sumathi Swaminathan; Rasha Khatib; Annika Rosengren; John Ferguson; Andrew Smyth; Patricio Lopez-Jaramillo; Rafael Diaz; Alvaro Avezum; Fernando Lanas; Noorhassim Ismail; Khalid Yusoff; Antonio Dans; Romaina Iqbal; Andrzej Szuba; Noushin Mohammadifard; Atyekin Oguz; Afzal Hussein Yusufali; Khalid F Alhabib; Iolanthe M Kruger; Rita Yusuf; Jephat Chifamba; Karen Yeates; Gilles Dagenais; Andreas Wielgosz; Scott A Lear; Koon Teo; Salim Yusuf
Journal:  BMJ       Date:  2019-03-13

9.  Validation and Assessment of Three Methods to Estimate 24-h Urinary Sodium Excretion from Spot Urine Samples in High-Risk Elder Patients of Stroke from the Rural Areas of Shaanxi Province.

Authors:  Wenxia Ma; Xuejun Yin; Ruijuan Zhang; Furong Liu; Danrong Yang; Yameng Fan; Jie Rong; Maoyi Tian; Yan Yu
Journal:  Int J Environ Res Public Health       Date:  2017-10-11       Impact factor: 3.390

10.  Estimation of Daily Sodium and Potassium Excretion Using Spot Urine and 24-Hour Urine Samples in a Black Population (Benin).

Authors:  Carmelle Mizéhoun-Adissoda; Corine Houehanou; Thierry Chianéa; François Dalmay; André Bigot; Pierre-Marie Preux; Pascal Bovet; Dismand Houinato; Jean-Claude Desport
Journal:  J Clin Hypertens (Greenwich)       Date:  2015-11-04       Impact factor: 3.738

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