Evidence map›Paper›PMID 31136657›Full record

ArticleThe American journal of clinical nutrition2019

Evaluation of measurement error in 24-hour dietary recall for assessing sodium and potassium intake among US adults - National Health and Nutrition Examination Survey (NHANES), 2014.

Puthiery Va, Kevin W Dodd, Lixia Zhao, Angela M Thompson-Paul, Carla I Mercado, Ana L Terry, Sandra L Jackson, Chia-Yih Wang, Catherine M Loria, Alanna J Moshfegh and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of clinical nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  3. Laboratory-Analyzed Nutrient Values Diverge from Database Estimates in Research-Specific Diets (Notably for Protein, Iron, Sodium).Journal of food composition and analysis : an official publication of the United Nations University, International Network of Food Data Systems · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Puthiery VaEpidemic Intelligence Service.
Kevin W DoddNational Cancer Institute, Bethesda, Maryland.
Lixia ZhaoDivision for Heart Disease and Stroke Prevention.
Angela M Thompson-PaulDivision for Heart Disease and Stroke Prevention.
Carla I MercadoDivision of Diabetes Translation.
Ana L TerryNational Center for Health Statistics, Centers for Disease Control and Prevention, Atlanta, Georgia.
Sandra L JacksonDivision for Heart Disease and Stroke Prevention.
Chia-Yih WangNational Center for Health Statistics, Centers for Disease Control and Prevention, Atlanta, Georgia.
Catherine M LoriaNational Heart, Lung, and Blood Institute, Bethesda, Maryland.
Alanna J MoshfeghUnited States Department of Agriculture, Washington, DC.
Donna G RhodesUnited States Department of Agriculture, Washington, DC.
Mary E CogswellDivision for Heart Disease and Stroke Prevention.
Centers for Disease Control and Prevention · USUnited States Department of Agriculture · USDiabetes Australia · AUEpidemic Intelligence Service · USNational Cancer Institute · USNational Heart Lung and Blood Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding measurement error in sodium and potassium intake is essential for assessing population intake and studying associations with health outcomes.

objectiveThe aim of this study was to compare sodium and potassium intake derived from 24-h dietary recall (24HDR) with intake derived from 24-h urinary excretion (24HUE).

designData were analyzed from 776 nonpregnant, noninstitutionalized US adults aged 20-69 y who completed 1-to-2 24HUE and 24HDR measures in the 2014 NHANES. A total of 1190 urine specimens and 1414 dietary recalls were analyzed. Mean bias was estimated as mean of the differences between individual mean 24HDR and 24HUE measurements. Correlations and attenuation factors were estimated using the Kipnis joint-mixed effects model accounting for within-person day-to-day variability in sodium excretion. The attenuation factor reflects the degree to which true associations between long-term intake (estimated using 24HUEs) and a hypothetical health outcome would be approximated using a single 24HDR: values near 1 indicate close approximation and near 0 indicate bias toward null. Estimates are reported for sodium, potassium, and the sodium: potassium (Na/K) ratio. Model parameters can be used to estimate correlations/attenuation factors when multiple 24HDRs are available.

resultsOverall, mean bias for sodium was -452 mg (95% CI: -646, -259), for potassium -315 mg (CI: -450, -179), and for the Na/K ratio -0.04 (CI: -0.15, 0.07, NS). Using 1 24HDR, the attenuation factor for sodium was 0.16 (CI: 0.09, 0.21), for potassium 0.25 (CI:0.16, 0.36), and for the Na/K ratio 0.20 (CI: 0.10, 0.25). The correlation for sodium was 0.27 (CI: 0.16, 0.37), for potassium 0.35 (CI: 0.26, 0.55), and for the Na/K ratio 0.27 (CI: 0.13, 0.32).

conclusionsCompared with 24HUE, using 24HDR underestimates mean sodium and potassium intake but is unbiased for the Na/K ratio. Additionally, using 24HDR as a measure of exposure in observational studies attenuates the true associations of sodium and potassium intake with health outcomes.

Indexed as

AdultAgedBiasCross-Sectional StudiesFemaleHumansMaleMiddle AgedNutrition SurveysPotassium, DietarySodium, DietaryUnited StatesYoung AdultPotassium, DietarySodium, Dietary24-h dietary recallmeasurement errorpotassiumsodiumurine

Identifiers

PMID31136657
PMCPMC6537943
OpenAlexW2940889905

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.