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Evaluation of three prediction formulas of 24-hour urinary sodium excretion in Chinese residents: a systematic review and meta-analysis.
Qi, Zijing; Tang, Shuai; Wu, Beike; Li, Yanxing; Yang, Hongmei; Wang, Kunbo; Li, Zhifang.
Afiliación
  • Qi Z; School of Public Health, Shanxi Medical University, Taiyuan031000, China.
  • Tang S; School of Public Health, Shanxi Medical University, Taiyuan031000, China.
  • Wu B; School of Public Health, Harbin Medical University, Harbin150081, China.
  • Li Y; School of Public Health, Shanxi Medical University, Taiyuan031000, China.
  • Yang H; Department of Public Health and Preventive Medicine, Changzhi Medical College, Changzhi046000, China.
  • Wang K; CLASS 2202, Xiangya School of Medicine, Central South University, Changsha410000, China.
  • Li Z; School of Public Health, Shanxi Medical University, Taiyuan031000, China.
Public Health Nutr ; 27(1): e71, 2024 Feb 02.
Article en En | MEDLINE | ID: mdl-38305112
ABSTRACT

OBJECTIVE:

To determine the appropriateness of three widely used formulas estimating 24-h urinary Na (24hUNa) from spot urine samples in the Chinese population.

DESIGN:

Systematic review and meta-analysis.

SETTING:

Literature review was conducted to identify studies for estimating 24hUNa using the Kawasaki, Tanaka and INTERSALT formulas simultaneously in PubMed, Embase and the Cochrane library databases. The mean difference (MD) and correlation coefficients (r) between measures and estimates from different formulas were assessed.

PARTICIPANTS:

Information extraction and quality assessment were performed in thirteen studies involving 8369 subjects.

RESULTS:

Two studies which affected the overall robustness were excluded in the 'leave-one-out' sensitivity analyses. Within the final meta-analysis included eleven studies and 7197 participants, 36·07 mmol/d (95 %CI 16·89, 55·25) of MD was observed in the Kawasaki formula, and -19·62 mmol/d (95 %CI -37·37, -1·87) in the Tanaka formula and -35·78 mmol/d (95 %CI -50·76, -20·80) in the INTERSALT formula; a pooled r-Fisher's Z of 0·39 (95 %CI 0·32, 0·45) in the Kawasaki formula, 0·43 (95 %CI 0·37, 0·49) in the Tanaka formula and 0·36 (95 %CI 0·31, 0·42) in the INTERSALT formula. Subgroup analyses were conducted to explore the possible factors affecting the accuracy of the formula estimation from three mainly aspects population types, Na intake levels and urine specimen types.

CONCLUSIONS:

The meta-analysis suggested that the Tanaka formula performed a more accurate estimate in Chinese population. Time of collecting spot urine specimens and Na intake level of the sample population might be the main factors affecting the accuracy of the formula estimation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sodio en la Dieta / Urinálisis Tipo de estudio: Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Public Health Nutr Asunto de la revista: CIENCIAS DA NUTRICAO / SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sodio en la Dieta / Urinálisis Tipo de estudio: Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Public Health Nutr Asunto de la revista: CIENCIAS DA NUTRICAO / SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido