Recently, the sodium (Na)/potassium (K) ratio was reported to be associated with blood pressure (BP). A Na/K ratio self-monitoring device using spot urine was established recently. Here, we assessed whether the urinary Na/K ratio change measured using the Na/K device was associated with BP change in a health checkup setting. We targeted 12,890 participants who attended the health checkup in Tome City, Miyagi between 2017 and 2018. Tome City introduced urinary Na/K ratio measurements https://datingranking.net/tr/lds-singles-inceleme/ during health checkups since 2017. For each year, we compared the baseline characteristics according to the urinary Na/K ratio and BP level. We assessed the relationship between change in urinary Na/K ratio and BP change using multiple regression analyses adjusted for age, sex, and change in body mass index (BMI) and alcohol intake. The average urinary Na/K ratio was significantly lower in 2018 than in 2017 (5.4 ± 3.0 to 4.9 ± 2.2, P < 0.01). The systolic BP of the participants in 2018 (130.9 ± 17.4 mmHg) was lower than that in 2017 (132.1 ± 17.9 mmHg). Moreover, the change in systolic BP and diastolic BP was positively associated with the change in urinary Na/K ratio. In conclusion, the association of the change in urinary Na/K ratio with hypertension and changes in systolic and diastolic BP can be explained by a change in alcohol intake, BMI, and urinary Na/K ratio. Therefore, measuring the urinary Na/K ratio in community settings is a potential population approach for counteracting hypertension.
Inclusion
Recently, it had been reported that this new sodium (Na)/potassium (K) proportion was for the hypertension (BP) in a combination-sectional analysis [1,2,step three,4]. That is questioned because highest Na and you can K consumption was identified to get pertaining to large and lower BP, respectively [5,six,7]. Likewise, studies have come presented for the reference beliefs and you will situations adding to this new Na/K ratio previously year [8, 9].
Sodium/potassium proportion change was of this blood pressure level alter: possibility of populace method for salt/potassium proportion reduction in fitness checkup
Inside a residential district mode, it is hard for people to evaluate the real Na consumption given that Na consumption is actually generally analyzed by the twenty four-h urine collection. Regardless if multiple equations to possess quoting Na consumption otherwise K consumption having fun with informal room pee were has just built, such equations aren’t appropriate adequate to offer viewpoints into the some body [ten,eleven,12]. Additionally, because the formula demands calculating Na, K, and you will creatinine accounts from inside the a research, it requires many weeks to obtain the results for people. Although professionals are aware that salt prevention is made for minimizing BP, he’s got no chance from evaluating their Na top.
Has just, good Na/K ratio worry about-overseeing unit playing with place urine is actually founded . Though it didn’t assess the real Na intake height, it can provide opinions about your urinary Na/K harmony within minutes. Furthermore, a keen interventional otherwise observational study with this specific monitor ideal that this might possibly be a helpful unit so you’re able to guess new urinary Na/K ratio [13, 14].
Thus, although we do not have answer to measure the Na/K ratio in the fitness checkup configurations, i believed that evaluating the fresh urinary Na/K proportion inside the a health checkup site might have the possibility to provide viewpoints to your general people about their Na/K ratio that can have an effect on effect transform, improvement in action, Na/K proportion cures, and you can BP prevention. Contained in this analysis, i analyzed whether the urinary Na/K ratio changes mentioned toward Na/K ratio measurement tool are of BP transform separate out-of confounding points including bmi (BMI) transform and change during the alcoholic drinks intake and opposed brand new BP peak and you will urinary Na/K proportion during the area height.