Association between urinary sodium-to-potassium ratio and home blood pressure and ambulatory blood pressure: the Ohasama study
OBJECTIVE: No studies have demonstrated the association between urinary sodium-to-potassium (Na/K) ratio and all out-of-office blood pressure (BP) [home morning and evening BP (self-measured at home), and 24-h, daytime, and night-time ambulatory BP] in the same cohort. We aimed to assess, which type...
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| Veröffentlicht in: | JOURNAL OF HYPERTENSION 2022-05, Vol.40 (5), p.862-869 |
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| creator | Muroya, Tomoko Satoh, Michihiro Murakami, Takahisa Nakayama, Shingo Asayama, Kei Hirose, Takuo Tatsumi, Yukako Inoue, Ryusuke Tsubota-Utsugi, Megumi Hara, Azusa Kogure, Mana Nakaya, Naoki Nomura, Kyoko Kikuya, Masahiro Metoki, Hirohito Imai, Yutaka Hozawa, Atsushi Ohkubo, Takayoshi |
| description | OBJECTIVE: No studies have demonstrated the association between urinary sodium-to-potassium (Na/K) ratio and all out-of-office blood pressure (BP) [home morning and evening BP (self-measured at home), and 24-h, daytime, and night-time ambulatory BP] in the same cohort. We aimed to assess, which type of out-of-office BP is more strongly associated with urinary Na/K ratio in the general population. METHODS: This cross-sectional study was conducted in the general population of Ohasama, Japan. Home and ambulatory BP levels were measured, and 24-h urine samples were obtained from 875 participants (men, 25.5%; mean age, 60.1 years). The urinary Na/K ratio in the 24-h urine samples was calculated. RESULTS: The median (interquartile range) urinary Na/K ratio was 4.19 (3.36-5.26). Significant positive trends of home morning, home evening, 24-h, and daytime SBP were observed across quartiles of urinary Na/K ratio (trend P 0.13). In the model with both home morning or evening SBP and daytime SBP, only home SBP was significantly associated with urinary Na/K ratio (P |
| format | Article |
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We aimed to assess, which type of out-of-office BP is more strongly associated with urinary Na/K ratio in the general population. METHODS: This cross-sectional study was conducted in the general population of Ohasama, Japan. Home and ambulatory BP levels were measured, and 24-h urine samples were obtained from 875 participants (men, 25.5%; mean age, 60.1 years). The urinary Na/K ratio in the 24-h urine samples was calculated. RESULTS: The median (interquartile range) urinary Na/K ratio was 4.19 (3.36-5.26). Significant positive trends of home morning, home evening, 24-h, and daytime SBP were observed across quartiles of urinary Na/K ratio (trend P < 0.041; adjusted mean values between Q1 and Q4 of urinary Na/K ratio: 121.0-125.5 mmHg for home morning, 120.1-123.8mmhg for home evening, 121.6-123.4mmHg for 24-h, 127.5-129.5 mmHg for daytime). Urinary Na/K ratio was not significantly associated with office or night-time SBP and nocturnal BP fall (trend P > 0.13). In the model with both home morning or evening SBP and daytime SBP, only home SBP was significantly associated with urinary Na/K ratio (P < 0.048 for home SBP). CONCLUSION: These findings suggest that urinary Na/K ratio might be more strongly associated with home BP than with 24-h and daytime BP but was not associated with night-time BP.</description><identifier>ISSN: 0263-6352</identifier><language>eng</language><publisher>LIPPINCOTT WILLIAMS & WILKINS</publisher><ispartof>JOURNAL OF HYPERTENSION, 2022-05, Vol.40 (5), p.862-869</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,780,27860</link.rule.ids><linktorsrc>$$Uhttps://lirias.kuleuven.be/handle/20.500.12942/695996$$EView_record_in_KU_Leuven_Association$$FView_record_in_$$GKU_Leuven_Association</linktorsrc></links><search><creatorcontrib>Muroya, Tomoko</creatorcontrib><creatorcontrib>Satoh, Michihiro</creatorcontrib><creatorcontrib>Murakami, Takahisa</creatorcontrib><creatorcontrib>Nakayama, Shingo</creatorcontrib><creatorcontrib>Asayama, Kei</creatorcontrib><creatorcontrib>Hirose, Takuo</creatorcontrib><creatorcontrib>Tatsumi, Yukako</creatorcontrib><creatorcontrib>Inoue, Ryusuke</creatorcontrib><creatorcontrib>Tsubota-Utsugi, Megumi</creatorcontrib><creatorcontrib>Hara, Azusa</creatorcontrib><creatorcontrib>Kogure, Mana</creatorcontrib><creatorcontrib>Nakaya, Naoki</creatorcontrib><creatorcontrib>Nomura, Kyoko</creatorcontrib><creatorcontrib>Kikuya, Masahiro</creatorcontrib><creatorcontrib>Metoki, Hirohito</creatorcontrib><creatorcontrib>Imai, Yutaka</creatorcontrib><creatorcontrib>Hozawa, Atsushi</creatorcontrib><creatorcontrib>Ohkubo, Takayoshi</creatorcontrib><title>Association between urinary sodium-to-potassium ratio and home blood pressure and ambulatory blood pressure: the Ohasama study</title><title>JOURNAL OF HYPERTENSION</title><description>OBJECTIVE: No studies have demonstrated the association between urinary sodium-to-potassium (Na/K) ratio and all out-of-office blood pressure (BP) [home morning and evening BP (self-measured at home), and 24-h, daytime, and night-time ambulatory BP] in the same cohort. We aimed to assess, which type of out-of-office BP is more strongly associated with urinary Na/K ratio in the general population. METHODS: This cross-sectional study was conducted in the general population of Ohasama, Japan. Home and ambulatory BP levels were measured, and 24-h urine samples were obtained from 875 participants (men, 25.5%; mean age, 60.1 years). The urinary Na/K ratio in the 24-h urine samples was calculated. RESULTS: The median (interquartile range) urinary Na/K ratio was 4.19 (3.36-5.26). Significant positive trends of home morning, home evening, 24-h, and daytime SBP were observed across quartiles of urinary Na/K ratio (trend P < 0.041; adjusted mean values between Q1 and Q4 of urinary Na/K ratio: 121.0-125.5 mmHg for home morning, 120.1-123.8mmhg for home evening, 121.6-123.4mmHg for 24-h, 127.5-129.5 mmHg for daytime). Urinary Na/K ratio was not significantly associated with office or night-time SBP and nocturnal BP fall (trend P > 0.13). In the model with both home morning or evening SBP and daytime SBP, only home SBP was significantly associated with urinary Na/K ratio (P < 0.048 for home SBP). CONCLUSION: These findings suggest that urinary Na/K ratio might be more strongly associated with home BP than with 24-h and daytime BP but was not associated with night-time BP.</description><issn>0263-6352</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>FZOIL</sourceid><recordid>eNqVjLFOxDAQRF2AxHHwD1sjBRmbBEyHEIiOht7anBclkHgj7xq4hm_nQDR0UI1m5untmZV1nW8637oDcyjybK29DBd-ZT6uRXgzoo6coSd9I8pQy5ixbEE4jXVulJuFFUV2BcoXCpgTDDwT9BNzgqWQSC30vePc1wmVd4Lf7xXoQPAwoOCMIFrT9sjsP-EkdPyTa3Nyd_t4c9-81InqK-WYZMENRWdja208c-HcxS60IXR-bU7_DEd9V_8v-yeVhGIS</recordid><startdate>20220501</startdate><enddate>20220501</enddate><creator>Muroya, Tomoko</creator><creator>Satoh, Michihiro</creator><creator>Murakami, Takahisa</creator><creator>Nakayama, Shingo</creator><creator>Asayama, Kei</creator><creator>Hirose, Takuo</creator><creator>Tatsumi, Yukako</creator><creator>Inoue, Ryusuke</creator><creator>Tsubota-Utsugi, Megumi</creator><creator>Hara, Azusa</creator><creator>Kogure, Mana</creator><creator>Nakaya, Naoki</creator><creator>Nomura, Kyoko</creator><creator>Kikuya, Masahiro</creator><creator>Metoki, Hirohito</creator><creator>Imai, Yutaka</creator><creator>Hozawa, Atsushi</creator><creator>Ohkubo, Takayoshi</creator><general>LIPPINCOTT WILLIAMS & WILKINS</general><scope>FZOIL</scope></search><sort><creationdate>20220501</creationdate><title>Association between urinary sodium-to-potassium ratio and home blood pressure and ambulatory blood pressure: the Ohasama study</title><author>Muroya, Tomoko ; Satoh, Michihiro ; Murakami, Takahisa ; Nakayama, Shingo ; Asayama, Kei ; Hirose, Takuo ; Tatsumi, Yukako ; Inoue, Ryusuke ; Tsubota-Utsugi, Megumi ; Hara, Azusa ; Kogure, Mana ; Nakaya, Naoki ; Nomura, Kyoko ; Kikuya, Masahiro ; Metoki, Hirohito ; Imai, Yutaka ; Hozawa, Atsushi ; Ohkubo, Takayoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-kuleuven_dspace_20_500_12942_6959963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Muroya, Tomoko</creatorcontrib><creatorcontrib>Satoh, Michihiro</creatorcontrib><creatorcontrib>Murakami, Takahisa</creatorcontrib><creatorcontrib>Nakayama, Shingo</creatorcontrib><creatorcontrib>Asayama, Kei</creatorcontrib><creatorcontrib>Hirose, Takuo</creatorcontrib><creatorcontrib>Tatsumi, Yukako</creatorcontrib><creatorcontrib>Inoue, Ryusuke</creatorcontrib><creatorcontrib>Tsubota-Utsugi, Megumi</creatorcontrib><creatorcontrib>Hara, Azusa</creatorcontrib><creatorcontrib>Kogure, Mana</creatorcontrib><creatorcontrib>Nakaya, Naoki</creatorcontrib><creatorcontrib>Nomura, Kyoko</creatorcontrib><creatorcontrib>Kikuya, Masahiro</creatorcontrib><creatorcontrib>Metoki, Hirohito</creatorcontrib><creatorcontrib>Imai, Yutaka</creatorcontrib><creatorcontrib>Hozawa, Atsushi</creatorcontrib><creatorcontrib>Ohkubo, Takayoshi</creatorcontrib><collection>Lirias (KU Leuven Association)</collection><jtitle>JOURNAL OF HYPERTENSION</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Muroya, Tomoko</au><au>Satoh, Michihiro</au><au>Murakami, Takahisa</au><au>Nakayama, Shingo</au><au>Asayama, Kei</au><au>Hirose, Takuo</au><au>Tatsumi, Yukako</au><au>Inoue, Ryusuke</au><au>Tsubota-Utsugi, Megumi</au><au>Hara, Azusa</au><au>Kogure, Mana</au><au>Nakaya, Naoki</au><au>Nomura, Kyoko</au><au>Kikuya, Masahiro</au><au>Metoki, Hirohito</au><au>Imai, Yutaka</au><au>Hozawa, Atsushi</au><au>Ohkubo, Takayoshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between urinary sodium-to-potassium ratio and home blood pressure and ambulatory blood pressure: the Ohasama study</atitle><jtitle>JOURNAL OF HYPERTENSION</jtitle><date>2022-05-01</date><risdate>2022</risdate><volume>40</volume><issue>5</issue><spage>862</spage><epage>869</epage><pages>862-869</pages><issn>0263-6352</issn><abstract>OBJECTIVE: No studies have demonstrated the association between urinary sodium-to-potassium (Na/K) ratio and all out-of-office blood pressure (BP) [home morning and evening BP (self-measured at home), and 24-h, daytime, and night-time ambulatory BP] in the same cohort. We aimed to assess, which type of out-of-office BP is more strongly associated with urinary Na/K ratio in the general population. METHODS: This cross-sectional study was conducted in the general population of Ohasama, Japan. Home and ambulatory BP levels were measured, and 24-h urine samples were obtained from 875 participants (men, 25.5%; mean age, 60.1 years). The urinary Na/K ratio in the 24-h urine samples was calculated. RESULTS: The median (interquartile range) urinary Na/K ratio was 4.19 (3.36-5.26). Significant positive trends of home morning, home evening, 24-h, and daytime SBP were observed across quartiles of urinary Na/K ratio (trend P < 0.041; adjusted mean values between Q1 and Q4 of urinary Na/K ratio: 121.0-125.5 mmHg for home morning, 120.1-123.8mmhg for home evening, 121.6-123.4mmHg for 24-h, 127.5-129.5 mmHg for daytime). Urinary Na/K ratio was not significantly associated with office or night-time SBP and nocturnal BP fall (trend P > 0.13). In the model with both home morning or evening SBP and daytime SBP, only home SBP was significantly associated with urinary Na/K ratio (P < 0.048 for home SBP). CONCLUSION: These findings suggest that urinary Na/K ratio might be more strongly associated with home BP than with 24-h and daytime BP but was not associated with night-time BP.</abstract><pub>LIPPINCOTT WILLIAMS & WILKINS</pub></addata></record> |
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| source | Lirias (KU Leuven Association) |
| title | Association between urinary sodium-to-potassium ratio and home blood pressure and ambulatory blood pressure: the Ohasama study |
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