透過您的圖書館登入
IP:3.139.236.89
  • 期刊

Validation of a Self-Monitoring Device for Estimating 24-Hour Urinary Salt Excretion

自我監測裝置之驗證-測量24小時尿鹽排出

摘要


背景:本研究之目的是探討鹽攝取量與尿鹽排出量之相關性,並檢查用來測量24小時尿鹽排出的自我監測裝置之校度。方法:12位健康的年輕女性自願者,攝取14天的實驗餐並藉由自我監測裝置來測量其第2天到第15天的尿鹽排出量。實驗餐中所含的鹽量分別如下:10克(第1到5天)、6克(第6到8天)、13克(第9到11天)、6克(第12天)、13克(第13天)、及6克(第14天)。結果:由隔夜的尿液樣本中,24小時平均尿鹽排出量分別為:第2到6天為8.01克、第7到9天為5.86克、第10到12天為9.69克、第13天為6.51克、第14天為8.60克、第15天為6.28克。因此,在高鹽攝取期,排出鹽量與(前一日)鹽攝取量之比值約為0.8;在低鹽攝取期比值為1.0。結論:在這些健康的年輕女性族群中,藉由使用自我監測裝置來測量24小時尿鹽排出量,對於偵測每日鹽攝取的改變是一項合理且有效的方法。

並列摘要


Background: The purpose of this study was to investigate the relationship between salt intake and urinary salt excretion and to examine the validity of a self-monitoring device for estimating 24-h urinary salt excretion from overnight urine samples. Methods: Twelve young, healthy female volunteers consumed test meals from days 1 to 14 and estimated urinary salt excretion on days 2–15 by using a self-monitoring device. The salt content of the test meals was as follows: 10 g (days 1–5), 6 g (days 6–8), 13 g (days 9–11), 6 g (day 12), 13 g (day 13), and 6 g (day 14). Results: The average 24-h urinary salt excretion (the ratio of urinary salt excretion to salt intake of the previous day) estimated from the overnight urine samples was as follows: 8.01±1.15 g (0.73±0.11) on days 2-6, 5.86±0.85 g (1.01±0.15) on days 7-9, 9.69±1.64 g (0.74±0.13) on days 1012, 6.51±1.56 g (1.03±0.25) on day 13, 8.60±3.25 g (0.71±0.14) on day 14, and 6.28±1.31 (1.05±0.22) on day 15. Thus, the salt excretion/salt intake ratio was approximately 0.8 during the high-salt phase and 1.0 during the low-salt phase. Conclusion: The estimation of 24-h urinary salt excretion from overnight urine samples by using a self-monitoring device is a reasonably valid method in this young and healthy female population for detecting daily changes in salt intake.

參考文獻


Murray CJ, Lopez AD. Mortality by cause for eight regions of the world: Global burden of disease study. Lancet. 1997; 349:1269-76.
The Japanese Society of Hypertension Committee for Guidelines for the Management of Hypertension. The Japanese society of hypertension guidelines for the management of hypertension (JSH 2009). Hypertens Res. 2009;32:3-107.
Intersalt: an international study of electrolyte excretion and blood pressure. Results for 24 hour urinary sodium and potassium excretion. Intersalt Cooperative Research Group. BMJ. 1988;297:319-28.
Espeland MA, Whelton PK, Kostis JB, Bahnson JL, Ettinger WH, Cutler JA, et al. Predictors and mediators of successful long-term withdrawal from antihypertensive medications. TONE Cooperative Research Group. Trial of Nonpharmacologic Interventions in the Elderly. Arch Fam Med. 1999;8:228-36.
Obarzanek E, Proschan MA, Vollmer WM, Moore TJ, Sacks FM, Appel LJ, Svetkey LP, Most-Windhauser MM, Cutler JA. Individual blood pressure responses to changes in salt intake: Results from the DASH-Sodium trial. Hypertension. 2003;42:459-67.

延伸閱讀