Details:

Alternative Title:
J Clin Hypertens (Greenwich)
Publisher's site:
http://dx.doi.org/10.1111/jch.12763
Personal Author:
John, Katherine A. ; Cogswell, Mary E. ; Campbell, Norm R. ; Nowson, Caryl A. ; Diet, Dip Nutr ; ... More +
John, Katherine A. ; Cogswell, Mary E. ; Campbell, Norm R. ; Nowson, Caryl A. ; Diet, Dip Nutr ; Legetic, Branka ; Hennis, Anselm J. M. ; Patel, Sheena M. ; Less -
Description:
Twenty-four-hour urine collection is the recommended method for estimating sodium intake. To investigate the strengths and limitations of methods used to assess completion of 24-hour urine collection, the authors systematically reviewed the literature on the accuracy and usefulness of methods vs para-aminobenzoic acid (PABA) recovery (referent). The percentage of incomplete collections, based on PABA, was 6% to 47% (n=8 studies). The sensitivity and specificity for identifying incomplete collection using creatinine criteria (n=4 studies) was 6% to 63% and 57% to 99.7%, respectively. The most sensitive method for removing incomplete collections was a creatinine index <0.7. In pooled analysis (≥2 studies), mean urine creatinine excretion and volume were higher among participants with complete collection (P<.05); whereas, self-reported collection time did not differ by completion status. Compared with participants with incomplete collection, mean 24-hour sodium excretion was 19.6 mmol higher (n=1781 specimens, 5 studies) in patients with complete collection. Sodium excretion may be underestimated by inclusion of incomplete 24-hour urine collections. None of the current approaches reliably assess completion of 24-hour urine collection.
Subject:
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Article

Source:
J Clin Hypertens (Greenwich). 18(5):456-467.
Pubmed ID:
26726000
Pubmed Central ID:
PMC5592696
Document Type:
Journal Article ;
Funding:
CC999999/Intramural CDC HHS/United States ;
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:2b95bfb33e94d7e88968901b082b079c69041e16cc3f3b5e7f16497f7b2a73b8
File Type:

Supporting Files

• 	nihms848416f1.gif	gif
  	nihms848416f1.jpg	jpeg
  	NIHMS848416-supplement-Appendix_S1.doc	doc
  	NIHMS848416-supplement-Figure_S1A.pdf	pdf
  	NIHMS848416-supplement-Figure_S1B.pdf	pdf
  	NIHMS848416-supplement-Figure_S2.pdf	pdf
  	NIHMS848416-supplement-Table_S1.pdf	pdf
  	NIHMS848416-supplement-Table_S2.pdf	pdf
  	NIHMS848416-supplement-Table_S3.pdf	pdf
  	nihms848416.nxml	bin

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