Recently, the sodium (Na)/potassium (K) ratio daf promosyon kodu 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
Recently, it absolutely was reported that new sodium (Na)/potassium (K) proportion are for the blood pressure level (BP) from inside the a combination-sectional studies [1,2,3,4]. This might be asked while the large Na and K consumption is recognized getting about large and you can lower BP, respectively [5,6,7]. Additionally, studies have become held to the site viewpoints and circumstances contributing to the brand new Na/K ratio in past times year [8, 9].
Sodium/potassium proportion changes is actually for the hypertension transform: probability of inhabitants approach for salt/potassium proportion reduced health checkup
Into the a residential district means, it is hard for all of us to assess the actual Na intake because the Na intake are usually examined by the twenty four-h pee range. Though multiple equations to possess quoting Na consumption otherwise K intake using relaxed location urine had been has just depending, these equations are not precise enough to give feedback into the individuals [ten,11,12]. In addition, due to the fact picture means calculating Na, K, and you can creatinine membership within the a lab, it will take weeks to obtain the results for some body. Even when users realize that sodium reduction is perfect for decreasing BP, he has not a chance regarding evaluating their Na level.
Recently, a good Na/K proportion mind-keeping track of device having fun with put pee is actually oriented . Though it failed to gauge the actual Na consumption top, it does promote viewpoints regarding the urinary Na/K harmony within minutes. Furthermore, an enthusiastic interventional or observational studies with this particular monitor ideal this particular might possibly be a useful device in order to guess this new urinary Na/K ratio [13, 14].
Therefore, while we don’t have any cure for assess the Na/K proportion for the fitness checkup configurations, i believed that assessing the latest urinary Na/K ratio in a health checkup webpages possess the potential to incorporate feedback into the general people about their Na/K ratio and will have an effect on effect change, change in step, Na/K ratio cures, and you may BP protection. Inside research, we examined whether the urinary Na/K ratio change mentioned on Na/K ratio aspect product try regarding the BP changes independent away from confounding circumstances like body mass index (BMI) transform and change for the alcoholic beverages intake and you will opposed this new BP level and urinary Na/K ratio within neighborhood level.