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中国北方男性尿钠和钾排泄的变异性

Variability of urinary sodium and potassium excretion in north Chinese men.

作者信息

Liu L S, Zheng D Y, Jin L, Liao Y L, Liu K, Stamler J

出版信息

J Hypertens. 1987 Jun;5(3):331-5. doi: 10.1097/00004872-198706000-00011.

Abstract

Variability of urine sodium (Na), potassium (K) and sodium/potassium (Na/K) excretion was studied in a sample of 50 employed normotensive male health professionals aged 27-50 in Beijing, China. Six 24-h urine specimens were collected from each participant during night-time (12-h) and daytime (12-h) fractions. The estimated ratio of intra- to inter-individual variances was 2.12 for night-time and 1.48 for 24-h urine Na, and 1.85 and 1.54, respectively, for urine K. Based on these values, six night-time and four 24-h urine specimens are necessary to reduce to 15% the diminution of a correlation between urine Na and another physiological variable. The corresponding numbers are five and four, respectively, for urinary K measurement. These data suggest that the ratio of within-person variation to between-person variation in Na excretion is smaller in these Chinese men than in Americans. The dietary Na intake of Chinese men can therefore be characterized with fewer urine specimens than are required for western populations. Night-time urinary Na and K showed good concordance with those from 24-h specimens in distinguishing high or low Na and K intake. These findings indicate that in large-scale epidemiological studies, overnight specimens may be adequate for classifying individuals with regard to Na and K intake.

摘要

在中国北京,对50名年龄在27至50岁之间、血压正常且在职的男性健康专业人员进行了尿液钠(Na)、钾(K)和钠/钾(Na/K)排泄变异性的研究。从每位参与者身上收集了6份24小时尿液样本,分别在夜间(12小时)和白天(12小时)时段采集。夜间尿液Na的个体内与个体间方差估计比值为2.12,24小时尿液Na为1.48;尿液K的该比值分别为1.85和1.54。基于这些数值,若要将尿液Na与另一生理变量之间相关性的减弱幅度降低至15%,夜间需要6份尿液样本,24小时需要4份。对于尿液K测量,相应数量分别为5份和4份。这些数据表明,这些中国男性钠排泄的个体内变异与个体间变异之比低于美国人。因此,与西方人群相比,用更少的尿液样本就能表征中国男性的膳食钠摄入量。夜间尿液Na和K在区分高或低Na和K摄入量方面与24小时样本的结果具有良好的一致性。这些发现表明,在大规模流行病学研究中,过夜样本可能足以对个体的Na和K摄入量进行分类。

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