Individual variation in urinary sodium excretion among adolescent girls on a fixed intake

According to traditional understanding of sodium homeostasis, nearly all of daily sodium intake is excreted in urine, with intraindividual variability attributed to variability in dietary sodium intake and urine collection errors. To analyze the variability of urinary sodium in excretion from a bala...

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Veröffentlicht in:Journal of hypertension 2016-07, Vol.34 (7), p.1290-1297
Hauptverfasser: Weaver, Connie M, Martin, Berdine R, McCabe, George P, McCabe, Linda D, Woodward, Mark, Anderson, Cheryl A M, Appel, Lawrence J
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container_end_page 1297
container_issue 7
container_start_page 1290
container_title Journal of hypertension
container_volume 34
creator Weaver, Connie M
Martin, Berdine R
McCabe, George P
McCabe, Linda D
Woodward, Mark
Anderson, Cheryl A M
Appel, Lawrence J
description According to traditional understanding of sodium homeostasis, nearly all of daily sodium intake is excreted in urine, with intraindividual variability attributed to variability in dietary sodium intake and urine collection errors. To analyze the variability of urinary sodium in excretion from a balance study with fixed sodium intakes. Daily 24-h urine collections were assessed for sodium, potassium, and creatinine in 22 black and 13 white adolescent girls (11-15 year, BMI 15-29 kg/m) in a randomized, crossover design with controlled diets containing either low (57 mmol/day) or high (167 mmol/day) sodium, each fed for 3 weeks. Coefficient of variation analysis indicated higher variation in urinary sodium excretion about the mean on low (vs high) sodium (40 vs 32%, P = 0.02) and in black (vs white) girls (42 vs 30%, P 
doi_str_mv 10.1097/HJH.0000000000000960
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Reliability of the mean of several urine sodium samples varied from 23% for one sample to 75% for 10 samples for the high-sodium diet. The high intraindividual variability in urinary sodium excretion on a fixed diet highlights the potential for substantial error in (a) using a single 24-h urine collection to estimate an individual's usual sodium intake and (b) relating sodium excretion from a single 24-h collection with outcomes. 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source MEDLINE; Journals@Ovid Ovid Autoload
subjects Adolescent
African Americans
Child
Creatinine - urine
Cross-Over Studies
European Continental Ancestry Group
Female
Healthy Volunteers
Humans
Potassium - urine
Reproducibility of Results
Sodium - urine
Sodium, Dietary
title Individual variation in urinary sodium excretion among adolescent girls on a fixed intake
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