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 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
Has just, it actually was stated that the latest salt (Na)/potassium (K) proportion is of the blood pressure levels (BP) in the a corner-sectional analysis [step one,2,step 3,4]. This will be expected given that highest Na and you can K consumption is actually known become regarding large and lower BP, correspondingly [5,6,7]. As well, research has become held with the site values and you may situations causing new Na/K proportion in the past seasons [8, 9].
Sodium/potassium ratio changes is of blood pressure level alter: possibility of populace method for sodium/potassium ratio loss of colombiancupid ücretsiz fitness checkup
Inside a community setting, it is hard for people to assess the true Na consumption just like the Na intake try traditionally reviewed by twenty four-h pee collection. Although multiple equations for quoting Na intake or K intake having fun with informal put pee was indeed has just mainly based, this type of equations aren’t right adequate to offer opinions toward some one [ten,11,12]. Also, while the formula means measuring Na, K, and you can creatinine membership in a laboratory, it takes several weeks to find the outcomes for anybody. No matter if users realize that salt avoidance is made for decreasing BP, they have not a way away from evaluating their Na top.
Recently, a beneficial Na/K proportion thinking-overseeing unit playing with place pee are mainly based . Though it failed to assess the genuine Na consumption height, it can promote viewpoints regarding the urinary Na/K harmony within a few minutes. Furthermore, an enthusiastic interventional otherwise observational investigation with this particular display screen advised this will be a good equipment so you can imagine the fresh new urinary Na/K proportion [thirteen, 14].
Therefore, although we do not have answer to measure the Na/K ratio within the wellness checkup configurations, i believed that assessing this new urinary Na/K proportion when you look at the a health checkup website might have the possibility to add feedback towards general inhabitants about their Na/K ratio and might impact feeling alter, improvement in step, Na/K ratio prevention, and you may BP prevention. Contained in this investigation, i analyzed if the urinary Na/K ratio transform mentioned for the Na/K proportion dimensions unit are of the BP alter independent out-of confounding situations particularly body mass index (BMI) alter and alter for the liquor intake and you will opposed the new BP height and you can urinary Na/K proportion during the society level.
