Dose–response association of 24-hour urine sodium and sodium to potassium ratio with nighttime blood pressure at older ages

Dose–response association of 24-hour urine sodium and sodium to potassium ratio with nighttime blood pressure at older ages

Aims We investigated the dose–response association of 24-hour urine sodium and potassium with 24-hour ambulatory blood pressure. Design Cross-sectional community-based study. Methods Among the 1128 participants in the community-based cross-sectional survey, 740 participants (aged 20–70 years) with c...

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Veröffentlicht in:European journal of preventive cardiology 2019-06, Vol.26 (9), p.952-960
Hauptverfasser: Kyung Kim, Mi, Kwon, Minji, Rhee, Moo-Yong, Kim, Kwang-Il, Nah, Deuk-Young, Kim, Sun-Woong, Gu, Namyi, Sung, Ki-Chul, Hong, Kyung-Soon, Cho, Eun-Joo, Jo, Sang-Ho
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container_issue 9
container_start_page 952
container_title European journal of preventive cardiology
container_volume 26
creator Kyung Kim, Mi
Kwon, Minji
Rhee, Moo-Yong
Kim, Kwang-Il
Nah, Deuk-Young
Kim, Sun-Woong
Gu, Namyi
Sung, Ki-Chul
Hong, Kyung-Soon
Cho, Eun-Joo
Jo, Sang-Ho
description Aims We investigated the dose–response association of 24-hour urine sodium and potassium with 24-hour ambulatory blood pressure. Design Cross-sectional community-based study. Methods Among the 1128 participants in the community-based cross-sectional survey, 740 participants (aged 20–70 years) with complete 24-hour urine collection and valid 24-hour ambulatory blood pressure monitoring were included in the study. Participants were grouped into younger (
doi_str_mv 10.1177/2047487318819528
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Design Cross-sectional community-based study. Methods Among the 1128 participants in the community-based cross-sectional survey, 740 participants (aged 20–70 years) with complete 24-hour urine collection and valid 24-hour ambulatory blood pressure monitoring were included in the study. Participants were grouped into younger (&lt;55 years, n = 523) and older (≥55 years, n = 217). Results In the older population, nighttime blood pressure linearly increased with 24-hour urine sodium and the sodium to potassium ratio. For 24-hour urine sodium, adjusted β was 0.171 (95% confidence interval (CI) 0.036–0.305) for nighttime systolic blood pressure and 0.144 (95% CI 0.012–0.276) for nighttime diastolic blood pressure. For the 24-hour urine sodium to potassium ratio, adjusted β was 0.142 (95% CI 0.013–0.270) for nighttime systolic blood pressure and 0.144 (95% CI 0.018–0.270) for nighttime diastolic blood pressure. The 24-hour blood pressure linearly increased with the 24-hour urine sodium to potassium ratio and adjusted β was 0.133 (95% CI 0.003–0.262) for 24-hour systolic blood pressure and 0.123 (95% CI 0.003–0.244) for 24-hour diastolic blood pressure. Daytime blood pressure and 24-hour systolic blood pressure showed a significant but non-linear association with 24-hour urine sodium among the older population. In the younger population, 24-hour urine sodium, potassium and the sodium to potassium ratio were not associated with ambulatory blood pressure. Conclusion In the older population, 24-hour urine sodium and the sodium to potassium ratio showed a linear and positive association with nighttime blood pressure, and 24-hour urine sodium was associated with 24-hour systolic blood pressure and daytime blood pressure in a non-linear fashion.</description><identifier>ISSN: 2047-4873</identifier><identifier>EISSN: 2047-4881</identifier><identifier>DOI: 10.1177/2047487318819528</identifier><identifier>PMID: 30729801</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><ispartof>European journal of preventive cardiology, 2019-06, Vol.26 (9), p.952-960</ispartof><rights>The European Society of Cardiology 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c379t-f086f8f0ac386c90f38cf862abdff882079d4914732542595538a0b721c66f513</citedby><cites>FETCH-LOGICAL-c379t-f086f8f0ac386c90f38cf862abdff882079d4914732542595538a0b721c66f513</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/2047487318819528$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/2047487318819528$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,777,781,21801,27906,27907,43603,43604</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30729801$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kyung Kim, Mi</creatorcontrib><creatorcontrib>Kwon, Minji</creatorcontrib><creatorcontrib>Rhee, Moo-Yong</creatorcontrib><creatorcontrib>Kim, Kwang-Il</creatorcontrib><creatorcontrib>Nah, Deuk-Young</creatorcontrib><creatorcontrib>Kim, Sun-Woong</creatorcontrib><creatorcontrib>Gu, Namyi</creatorcontrib><creatorcontrib>Sung, Ki-Chul</creatorcontrib><creatorcontrib>Hong, Kyung-Soon</creatorcontrib><creatorcontrib>Cho, Eun-Joo</creatorcontrib><creatorcontrib>Jo, Sang-Ho</creatorcontrib><title>Dose–response association of 24-hour urine sodium and sodium to potassium ratio with nighttime blood pressure at older ages</title><title>European journal of preventive cardiology</title><addtitle>Eur J Cardiovasc Prev Rehabil</addtitle><description>Aims We investigated the dose–response association of 24-hour urine sodium and potassium with 24-hour ambulatory blood pressure. Design Cross-sectional community-based study. Methods Among the 1128 participants in the community-based cross-sectional survey, 740 participants (aged 20–70 years) with complete 24-hour urine collection and valid 24-hour ambulatory blood pressure monitoring were included in the study. Participants were grouped into younger (&lt;55 years, n = 523) and older (≥55 years, n = 217). Results In the older population, nighttime blood pressure linearly increased with 24-hour urine sodium and the sodium to potassium ratio. For 24-hour urine sodium, adjusted β was 0.171 (95% confidence interval (CI) 0.036–0.305) for nighttime systolic blood pressure and 0.144 (95% CI 0.012–0.276) for nighttime diastolic blood pressure. For the 24-hour urine sodium to potassium ratio, adjusted β was 0.142 (95% CI 0.013–0.270) for nighttime systolic blood pressure and 0.144 (95% CI 0.018–0.270) for nighttime diastolic blood pressure. The 24-hour blood pressure linearly increased with the 24-hour urine sodium to potassium ratio and adjusted β was 0.133 (95% CI 0.003–0.262) for 24-hour systolic blood pressure and 0.123 (95% CI 0.003–0.244) for 24-hour diastolic blood pressure. Daytime blood pressure and 24-hour systolic blood pressure showed a significant but non-linear association with 24-hour urine sodium among the older population. In the younger population, 24-hour urine sodium, potassium and the sodium to potassium ratio were not associated with ambulatory blood pressure. Conclusion In the older population, 24-hour urine sodium and the sodium to potassium ratio showed a linear and positive association with nighttime blood pressure, and 24-hour urine sodium was associated with 24-hour systolic blood pressure and daytime blood pressure in a non-linear fashion.</description><issn>2047-4873</issn><issn>2047-4881</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp1kMtOwzAQRS0EolXpnhXykk3AjyR2lqg8pUpsYB25id26SuLgcYRYIPEP_CFfgqs-FkjMZmase681B6FzSq4oFeKakVSkUnAqJS0yJo_QePOUpHE_PsyCj9AUYE1i5YQxKU_RiBPBCknoGH3eOtA_X99eQ-860FgBuMqqYF2HncEsTVZu8HjwttMYXG2HFquu3o_B4d6FaNosfmPD7zascGeXqxBsq_Gica7GffwABh_zA3ZNrT1WSw1n6MSoBvR01yfo9f7uZfaYzJ8fnmY386TiogiJITI30hBVcZlXBTFcVkbmTC1qY6RkRBR1WtBUcJalLCuyjEtFFoLRKs9NRvkEXW5ze-_eBg2hbC1UumlUp90AJaMFjXiESKOUbKWVdwBem7L3tlX-o6Sk3HAv_3KPlotd-rBodX0w7ClHQbIVQDy6XEeeXbz2_8Bf5kaL5A</recordid><startdate>201906</startdate><enddate>201906</enddate><creator>Kyung Kim, Mi</creator><creator>Kwon, Minji</creator><creator>Rhee, Moo-Yong</creator><creator>Kim, Kwang-Il</creator><creator>Nah, Deuk-Young</creator><creator>Kim, Sun-Woong</creator><creator>Gu, Namyi</creator><creator>Sung, Ki-Chul</creator><creator>Hong, Kyung-Soon</creator><creator>Cho, Eun-Joo</creator><creator>Jo, Sang-Ho</creator><general>SAGE Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201906</creationdate><title>Dose–response association of 24-hour urine sodium and sodium to potassium ratio with nighttime blood pressure at older ages</title><author>Kyung Kim, Mi ; Kwon, Minji ; Rhee, Moo-Yong ; Kim, Kwang-Il ; Nah, Deuk-Young ; Kim, Sun-Woong ; Gu, Namyi ; Sung, Ki-Chul ; Hong, Kyung-Soon ; Cho, Eun-Joo ; Jo, Sang-Ho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c379t-f086f8f0ac386c90f38cf862abdff882079d4914732542595538a0b721c66f513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kyung Kim, Mi</creatorcontrib><creatorcontrib>Kwon, Minji</creatorcontrib><creatorcontrib>Rhee, Moo-Yong</creatorcontrib><creatorcontrib>Kim, Kwang-Il</creatorcontrib><creatorcontrib>Nah, Deuk-Young</creatorcontrib><creatorcontrib>Kim, Sun-Woong</creatorcontrib><creatorcontrib>Gu, Namyi</creatorcontrib><creatorcontrib>Sung, Ki-Chul</creatorcontrib><creatorcontrib>Hong, Kyung-Soon</creatorcontrib><creatorcontrib>Cho, Eun-Joo</creatorcontrib><creatorcontrib>Jo, Sang-Ho</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of preventive cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kyung Kim, Mi</au><au>Kwon, Minji</au><au>Rhee, Moo-Yong</au><au>Kim, Kwang-Il</au><au>Nah, Deuk-Young</au><au>Kim, Sun-Woong</au><au>Gu, Namyi</au><au>Sung, Ki-Chul</au><au>Hong, Kyung-Soon</au><au>Cho, Eun-Joo</au><au>Jo, Sang-Ho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dose–response association of 24-hour urine sodium and sodium to potassium ratio with nighttime blood pressure at older ages</atitle><jtitle>European journal of preventive cardiology</jtitle><addtitle>Eur J Cardiovasc Prev Rehabil</addtitle><date>2019-06</date><risdate>2019</risdate><volume>26</volume><issue>9</issue><spage>952</spage><epage>960</epage><pages>952-960</pages><issn>2047-4873</issn><eissn>2047-4881</eissn><abstract>Aims We investigated the dose–response association of 24-hour urine sodium and potassium with 24-hour ambulatory blood pressure. Design Cross-sectional community-based study. Methods Among the 1128 participants in the community-based cross-sectional survey, 740 participants (aged 20–70 years) with complete 24-hour urine collection and valid 24-hour ambulatory blood pressure monitoring were included in the study. Participants were grouped into younger (&lt;55 years, n = 523) and older (≥55 years, n = 217). Results In the older population, nighttime blood pressure linearly increased with 24-hour urine sodium and the sodium to potassium ratio. For 24-hour urine sodium, adjusted β was 0.171 (95% confidence interval (CI) 0.036–0.305) for nighttime systolic blood pressure and 0.144 (95% CI 0.012–0.276) for nighttime diastolic blood pressure. For the 24-hour urine sodium to potassium ratio, adjusted β was 0.142 (95% CI 0.013–0.270) for nighttime systolic blood pressure and 0.144 (95% CI 0.018–0.270) for nighttime diastolic blood pressure. The 24-hour blood pressure linearly increased with the 24-hour urine sodium to potassium ratio and adjusted β was 0.133 (95% CI 0.003–0.262) for 24-hour systolic blood pressure and 0.123 (95% CI 0.003–0.244) for 24-hour diastolic blood pressure. Daytime blood pressure and 24-hour systolic blood pressure showed a significant but non-linear association with 24-hour urine sodium among the older population. In the younger population, 24-hour urine sodium, potassium and the sodium to potassium ratio were not associated with ambulatory blood pressure. Conclusion In the older population, 24-hour urine sodium and the sodium to potassium ratio showed a linear and positive association with nighttime blood pressure, and 24-hour urine sodium was associated with 24-hour systolic blood pressure and daytime blood pressure in a non-linear fashion.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>30729801</pmid><doi>10.1177/2047487318819528</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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title Dose–response association of 24-hour urine sodium and sodium to potassium ratio with nighttime blood pressure at older ages
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