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May 14, 2013American Journal of EpidemiologyOpen Access

Estimating 24-Hour Urinary Sodium Excretion From Casual Urinary Sodium Concentrations in Western Populations

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Why the study?

Does estimation from casual urine specimens accurately reflect 24-hour urinary sodium excretion in Western populations?

Population

5,693 participants aged 20-59 years from 29 North American and European samples

Comparison

Estimation of 24-hour urinary sodium excretion… vs Observed 24-hour urinary sodium excretion

Design

Cross-sectional, Participants were randomly assigned to test or validation…

Key result

Casual urine specimens estimated 24-hour sodium excretion with population-level correlations of 0.79 (men) and 0.71 (women), and mean biases of -1.8 and 2.2 mmol/24h respectively.

Authors

IBIan BrownADAlan R. DyerQCQueenie Chan

Discussion

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Overview

May support casual urine for population sodium estimates; leaves open individual accuracy and prospective validation.

Study Design

Type

Cross-Sectional (n=5,693)

Randomization

Randomly assigned to test or validation data sets

Multicenter

Yes

Structured PICO

Does estimation from casual urine specimens accurately reflect 24-hour urinary sodium excretion in Western populations?

P
Population
5,693 participants aged 20-59 years from 29 North American and European samples
I
Intervention
Estimation of 24-hour urinary sodium excretion using casual (spot) urine specimens
C
Comparator
Observed 24-hour urinary sodium excretion
O
Outcome
Correlation and bias between observed and estimated 24-hour sodium excretionsurrogate

Casual urine specimens provide a valid, low-burden alternative to 24-hour urine collections for estimating population-level sodium intake, though study-specific calibration is recommended.

Limitations

  • Proportions of individuals with urinary 24-hour sodium excretion above the recommended levels were slightly overestimated by the models.
  • Proportions of individuals with urinary 24-hour sodium excretion above the recommended levels were slightly overestimated by the models

Cite This Study

Brown et al. (2013) conducted a cross-sectional in General population (n=5,693). Casual (spot) urine specimens vs. 24-hour urine collections was evaluated on Correlation and bias between observed and estimated 24-hour sodium excretion. Casual urine specimens estimated 24-hour sodium excretion with population-level correlations of 0.79 (men) and 0.71 (women), and mean biases of -1.8 and 2.2 mmol/24h respectively.

synapsesocial.com/papers/6a126692965b75813866edd1https://doi.org/10.1093/aje/kwt066
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