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Lower 24- hour urinary sodium excretion is associated with hypertension control: the 2010 Heart Follow-Up Study
Among individuals with hypertension, controlling high blood pressure (BP) reduces the risk for cardiovascular events and death. Reducing dietary sodium can help achieve BP control. The study aim was to use a population-based sample utilizing the gold-standard for urinary sodium to quantify the degre...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2019
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211546/ https://www.ncbi.nlm.nih.gov/pubmed/31712712 http://dx.doi.org/10.1038/s41371-019-0285-9 |
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author | Elfassy, Tali Chamany, Shadi Bartley, Katherine Yi, Stella S Angell, Sonia Y |
author_facet | Elfassy, Tali Chamany, Shadi Bartley, Katherine Yi, Stella S Angell, Sonia Y |
author_sort | Elfassy, Tali |
collection | PubMed |
description | Among individuals with hypertension, controlling high blood pressure (BP) reduces the risk for cardiovascular events and death. Reducing dietary sodium can help achieve BP control. The study aim was to use a population-based sample utilizing the gold-standard for urinary sodium to quantify the degree with which sodium was independently associated with BP control among individuals with hypertension. Participants included 1 568 adults from the Heart Follow-Up Study, a New York City population-based representative study conducted in 2010. Participants collected urine for 24 hours and had BP and other anthropometrics measured. Hypertension was defined as systolic BP ≥ 140 mmHg, diastolic BP ≥ 90 mmHg, or being on BP lowering medication. Sodium intake (mg/day) was measured from a single 24-hour urine collection. Hypertension prevalence was 30.8%. Among those with hypertension, 64.6% were aware, 56.3% were treated, and 40.3% were controlled. Among those treated for hypertension, 73.0% were controlled. Mean sodium intake among those with hypertension was 3 564 mg/day. From multivariable adjusted logistic regression models, each 500mg decrease in 24-hour urinary sodium excretion was associated with a 18% higher odds of hypertension control among those with hypertension (1.18, 95% CI: 1.07, 1.30). In New York City, approximately one in three people has hypertension with a majority uncontrolled. Sodium intake among those with hypertension was 55% greater than recommended upper limit of 2 300 mg per day. Among individuals with hypertension, lower sodium intake was associated with hypertension control. |
format | Online Article Text |
id | pubmed-7211546 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
record_format | MEDLINE/PubMed |
spelling | pubmed-72115462020-09-16 Lower 24- hour urinary sodium excretion is associated with hypertension control: the 2010 Heart Follow-Up Study Elfassy, Tali Chamany, Shadi Bartley, Katherine Yi, Stella S Angell, Sonia Y J Hum Hypertens Article Among individuals with hypertension, controlling high blood pressure (BP) reduces the risk for cardiovascular events and death. Reducing dietary sodium can help achieve BP control. The study aim was to use a population-based sample utilizing the gold-standard for urinary sodium to quantify the degree with which sodium was independently associated with BP control among individuals with hypertension. Participants included 1 568 adults from the Heart Follow-Up Study, a New York City population-based representative study conducted in 2010. Participants collected urine for 24 hours and had BP and other anthropometrics measured. Hypertension was defined as systolic BP ≥ 140 mmHg, diastolic BP ≥ 90 mmHg, or being on BP lowering medication. Sodium intake (mg/day) was measured from a single 24-hour urine collection. Hypertension prevalence was 30.8%. Among those with hypertension, 64.6% were aware, 56.3% were treated, and 40.3% were controlled. Among those treated for hypertension, 73.0% were controlled. Mean sodium intake among those with hypertension was 3 564 mg/day. From multivariable adjusted logistic regression models, each 500mg decrease in 24-hour urinary sodium excretion was associated with a 18% higher odds of hypertension control among those with hypertension (1.18, 95% CI: 1.07, 1.30). In New York City, approximately one in three people has hypertension with a majority uncontrolled. Sodium intake among those with hypertension was 55% greater than recommended upper limit of 2 300 mg per day. Among individuals with hypertension, lower sodium intake was associated with hypertension control. 2019-11-11 2020-09 /pmc/articles/PMC7211546/ /pubmed/31712712 http://dx.doi.org/10.1038/s41371-019-0285-9 Text en Users may view, print, copy, and download text and data-mine the content in such documents, for the purposes of academic research, subject always to the full Conditions of use:http://www.nature.com/authors/editorial_policies/license.html#terms |
spellingShingle | Article Elfassy, Tali Chamany, Shadi Bartley, Katherine Yi, Stella S Angell, Sonia Y Lower 24- hour urinary sodium excretion is associated with hypertension control: the 2010 Heart Follow-Up Study |
title | Lower 24- hour urinary sodium excretion is associated with hypertension control: the 2010 Heart Follow-Up Study |
title_full | Lower 24- hour urinary sodium excretion is associated with hypertension control: the 2010 Heart Follow-Up Study |
title_fullStr | Lower 24- hour urinary sodium excretion is associated with hypertension control: the 2010 Heart Follow-Up Study |
title_full_unstemmed | Lower 24- hour urinary sodium excretion is associated with hypertension control: the 2010 Heart Follow-Up Study |
title_short | Lower 24- hour urinary sodium excretion is associated with hypertension control: the 2010 Heart Follow-Up Study |
title_sort | lower 24- hour urinary sodium excretion is associated with hypertension control: the 2010 heart follow-up study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211546/ https://www.ncbi.nlm.nih.gov/pubmed/31712712 http://dx.doi.org/10.1038/s41371-019-0285-9 |
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