Angell Sonia Y, Yi Stella, Eisenhower Donna, Kerker Bonnie D, Curtis Christine J, Bartley Katherine, Silver Lynn D, Farley Thomas A
At the time of the study, Sonia Y. Angell, Stella Yi, Christine J. Curtis, and Lynn D. Silver were with the Bureau of Chronic Disease Prevention; Donna Eisenhower, Bonnie D. Kerker, and Katherine Bartley were with the Bureau of Epidemiology Services; and Thomas A. Farley was with the New York City Department of Health and Mental Hygiene, New York, NY.
Am J Public Health. 2014 Dec;104(12):2409-16. doi: 10.2105/AJPH.2013.301542. Epub 2014 Jan 16.
We estimated sodium intake, which is associated with elevated blood pressure, a major risk factor for cardiovascular disease, and assessed its association with related variables among New York City adults.
In 2010 we conducted a cross-sectional, population-based survey of 1656 adults, the Heart Follow-Up Study, that collected self-reported health information, measured blood pressure, and obtained sodium, potassium, and creatinine values from 24-hour urine collections.
Mean daily sodium intake was 3239 milligrams per day; 81% of participants exceeded their recommended limit. Sodium intake was higher in non-Hispanic Blacks (3477 mg/d) and Hispanics (3395 mg/d) than in non-Hispanic Whites (3066 mg/d; both P < .05). Higher sodium intake was associated with higher blood pressure in adjusted models, and this association varied by race/ethnicity.
Higher sodium intake among non-Hispanic Blacks and Hispanics than among Whites was not previously documented in population surveys relying on self-report. These results demonstrate the feasibility of 24-hour urine collection for the purposes of research, surveillance, and program evaluation.
我们估算了与血压升高相关的钠摄入量,血压升高是心血管疾病的主要危险因素,并评估了纽约市成年人中钠摄入量与相关变量之间的关联。
2010年,我们开展了一项针对1656名成年人的基于人群的横断面调查——心脏随访研究,收集了自我报告的健康信息,测量了血压,并从24小时尿液收集样本中获取了钠、钾和肌酐值。
平均每日钠摄入量为每天3239毫克;81%的参与者超过了推荐限值。非西班牙裔黑人(3477毫克/天)和西班牙裔(3395毫克/天)的钠摄入量高于非西班牙裔白人(3066毫克/天;P均<0.05)。在调整模型中,较高的钠摄入量与较高的血压相关,且这种关联因种族/族裔而异。
在以往依赖自我报告的人群调查中,未记录到非西班牙裔黑人和西班牙裔的钠摄入量高于白人。这些结果证明了为研究、监测和项目评估目的进行24小时尿液收集的可行性。