Spot urine tests in predicting 24-hour urine sodium excretion in Asian patients

Autor: Jialiang Li, Boon Wee Teo, Evan J.C. Lee, Qi Chun Toh, Sunil Sethi, Srinivas Subramanian, Yun Yin Koh
Rok vydání: 2012
Předmět:
Zdroj: Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation. 23(6)
ISSN: 1532-8503
Popis: Objective The control of hypertension is often suboptimal, and it is frequently due to excessive sodium intake. Monitoring sodium intake is cumbersome and involves 24-hour collection of urine. We hypothesize that a spot urine test can accurately predict 24-hour urine sodium excretion in an Asian population. Design This is a prospective, observational study. We used stored urine specimens (n = 333) from the Asian Kidney Disease Study and Singapore Kidney Function Study Phase I. We measured spot urine tests and correlated these variables to the previously measured 24-hour urine sodium measurements. Results Age, gender, ethnicity, diastolic blood pressure, height, weight, body mass index, serum creatinine, spot urine sodium, spot urine chloride, and spot urine osmolality were associated with 24-hour urine sodium excretion. The final model for predicting 24-hour urine sodium less than 100 mmol included age, gender, ethnicity, weight, and spot urine sodium. Conclusion Spot urine sodium can help monitor a patient's sodium intake when used in the derived 5-variable equation.
Databáze: OpenAIRE