Feasibility of collecting 24-h urine to monitor sodium intake in the National Health and Nutrition Examination Survey.

Background: Twenty-four-hour urine sodium excretion is recommended for monitoring population sodium intake. Because of concerns about participation and completion, sodium excretion has not been collected previously in US nationally representative surveys. Objective: We assessed the feasibility of im...

Descripción completa

Detalles Bibliográficos
Publicado en:American Journal of Clinical Nutrition Vol. 104; no. 2; pp. 480 - 489
Autores principales: Terry, Ana L., Cogswell, Mary E., Chia-Yih Wang, Te-Ching Chen, Loria, Catherine M., Wright, Jacqueline D., Xinli Zhang, Lacher, David A., Merritt, Robert K., Bowman, Barbara A.
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. 8/1/2016
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117202110&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 117202110
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        00029165
        AJC
      jtl: American Journal of Clinical Nutrition
      issn: 00029165
      maglogo: N
    pubinfo:
      dt: 8/1/2016
      vid: 104
      iid: 2
      pid: 467
      pub: Elsevier B.V.
      place: New York, New York
    artinfo:
      ui:
        117202110
        117202110
        117202110
        10.3945/ajcn.115.121954
        117202110
      ppf: 480
      ppct: 9
      formats:
      tig:
        atl: Feasibility of collecting 24-h urine to monitor sodium intake in the National Health and Nutrition Examination Survey.
      aug:
        au:
          Terry, Ana L.
          Cogswell, Mary E.
          Chia-Yih Wang
          Te-Ching Chen
          Loria, Catherine M.
          Wright, Jacqueline D.
          Xinli Zhang
          Lacher, David A.
          Merritt, Robert K.
          Bowman, Barbara A.
        affil: Division of Health and Nutrition Examination Surveys, National Center for Health Statistics, CDC, Hyattsville, MD
      sug:
        subj:
          24-hour Urine Collection
          Sodium
          Human
          Surveys
          Male
          Female
          Adult
          Middle Age
          Aged
          Cross Sectional Studies
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Twenty-four-hour urine sodium excretion is recommended for monitoring population sodium intake. Because of concerns about participation and completion, sodium excretion has not been collected previously in US nationally representative surveys. Objective: We assessed the feasibility of implementing 24-h urine collections as part of a nationally representative survey. Design: We selected a random half sample of nonpregnant US adults aged 20-69 y in 3 geographic locations of the 2013 NHANES. Participants received explicit instructions, started and ended the urine collection in a urine study mobile examination center, and answered questions about their collection. Among those with a complete 24-h urine collection, a random one-half were asked to collect a second 24-h urine sample. Sodium, potassium, chloride, and creatinine excretion were analyzed. Results: The final NHANES examination response rate for adults aged 20-69 y in these 3 study locations was 71%. Of those examined (n = 476), 282 (59%) were randomly selected to participate in the 24-h urine collection. Of these, 212 persons [75% of those selected for 24-h urine collection; 53% (equal to 71% × 75% of those selected for the NHANES)] collected a complete initial 24-h specimen and 92 persons (85% of 108 selected) collected a second complete 24-h urine sample. More men than women completed an initial collection (P = 0.04); otherwise, completion did not vary by sociodemographic characteristics, body mass index, education, or employment status for either collection. Mean 24-h urine volume and sodium excretion were 1964 ± 1228 mL and 3657 ± 2003 mg, respectively, for the first 24-h urine sample, and 2048 ± 1288 mL and 3773 ± 1891 mg, respectively, for the second collection. Conclusion: Given the 53% final component response rate and 75% completion rate, 24-h urine collections were deemed feasible and implemented in the NHANES 2014 on a subsample of adults aged 20-69 y to assess population sodium intake.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N