Evidence map›Paper›PMID 36581969›Full record

ArticleBMJ open2022

Comparison of three spot urine formulae and their validation using 24-hour urine sodium for estimation of daily salt intake: a cross-sectional study among Bangladeshi adults.

Sohel Reza Choudhury, Mohammad Abdullah Al-Mamun, Jubaida Akhtar, Md Noor Nabi Sayem, Zerin Zahed, Mohammad Ataur Rahman, Jasimuddin Ahmed, Mohammad Mostafa Zaman

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Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Sohel Reza ChoudhuryDepartment of Epidemiology & Research, National Heart Foundation Hospital and Research Institute, Dhaka, Bangladesh choudhurys@nhf.org.bd.ORCID 0000-0002-7498-4634
Mohammad Abdullah Al-MamunDepartment of Epidemiology & Research, National Heart Foundation Hospital and Research Institute, Dhaka, Bangladesh.
Jubaida AkhtarDepartment of Epidemiology & Research, National Heart Foundation Hospital and Research Institute, Dhaka, Bangladesh.
Md Noor Nabi SayemDepartment of Epidemiology & Research, National Heart Foundation Hospital and Research Institute, Dhaka, Bangladesh.
Zerin ZahedDepartment of Epidemiology & Research, National Heart Foundation Hospital and Research Institute, Dhaka, Bangladesh.
Mohammad Ataur RahmanDepartment of Epidemiology & Research, National Heart Foundation Hospital and Research Institute, Dhaka, Bangladesh.
Jasimuddin AhmedDepartment of Pathology, National Heart Foundation Hospital & Research Institute, Dhaka, Bangladesh.
Mohammad Mostafa ZamanEkhlaspur Center of Health, Chandpur, Bangladesh.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to assess the validity of three commonly used (Tanaka, Kawasaki, INTERSALT) methods based on spot urinary sodium excretion against the 24-hour urinary sodium excretion to estimate the dietary salt intake in Bangladesh.

designA population-based cross-sectional survey.

settingA cross-sectional survey was done in an urban and a rural area of Bangladesh in 2012-2013.

participants418 community living residents aged 40-59 years participated in the survey and data of 227 subjects who had complete information were analysed for this validation study. OUTCOME MEASURES: The Bland-Altman method was used to evaluate the agreement between the estimated and measured 24-hour urinary sodium. The estimated average salt intake from Tanaka, Kawasaki and INTERSALT methods were plotted against 24-hour urinary sodium excretion.

resultsThe mean 24-hour estimated salt intake was 10.0 g/day (95% CI 9.3 to 10.6). The mean estimated urinary salt by Tanaka, Kawasaki and INTERSALT methods were 8.5 g/day (95% CI 8.2 to 8.8), 11.4 g/day (95% CI 10.8 to 12.0) and 8.8 g/day (95% CI 8.6 to 9.0), respectively. Compared with the estimated mean salt intake from 24-hour urine collection, the Bland-Altman plot indicated the mean salt intake was overestimated by the Kawasaki method and underestimated by Tanaka and INTERSALT methods. The linear regression line showed the Kawasaki method was the least biased and had the highest intraclass correlation coefficient (0.57, 95% CI 0.45 to 0.67).

conclusionTanaka, Kawasaki and INTERSALT methods were not appropriate for the estimation of 24-hour urinary sodium excretion from spot urine samples to assess dietary salt intake in Bangladesh. Among the three methods, the Kawasaki method has the highest agreement with the 24-hour urinary sodium excretion concentration in this population.

Indexed as

Sodium Chloride, DietarySodium, DietaryAdultCross-Sectional StudiesHumansSodiumUrinalysisUrine Specimen CollectionSodiumSodium Chloride, DietarySodium, DietaryCARDIOLOGYNUTRITION & DIETETICSPUBLIC HEALTH

Identifiers

PMID36581969
PMCPMC9438190

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