24-h urinary sodium excretion and the risk of adverse outcomes.


Journal

Annals of medicine
ISSN: 1365-2060
Titre abrégé: Ann Med
Pays: England
ID NLM: 8906388

Informations de publication

Date de publication:
12 2020
Historique:
pubmed: 1 7 2020
medline: 27 7 2021
entrez: 1 7 2020
Statut: ppublish

Résumé

The objective was to evaluate whether sodium intake, assessed with the gold standard 24-h urinary collections, was related to long-term incidence of death, cardiovascular disease (CVD) and diabetes mellitus (DM). A cohort of 4630 individuals aged 25-64 years collected 24-h urine samples in 1979-2002 and were followed up to 14 years for the incidence of any CVD, coronary heart disease (CHD), stroke, heart failure (HF) and DM event, and death. Cox proportional hazards models were used to estimate the association between the baseline salt intake and incident events and adjusted for baseline age, body mass index, serum cholesterol, prevalent DM, and stratified by sex and cohort baseline year. During the follow-up, we observed 423 deaths, 424 CVD events (288 CHD events, 142 strokes, 139 HF events) and 161 DM events. Compared with the highest quartile of salt intake, persons in the lowest quartile had a lower incidence of CVD (hazard ratio [HR] 0.70; 95% confidence interval [CI], 0.51-0.95, High sodium intake is associated with an increased incidence of CVD and DM.

Identifiants

pubmed: 32602794
doi: 10.1080/07853890.2020.1780469
pmc: PMC7877963
doi:

Substances chimiques

Sodium, Dietary 0

Types de publication

Journal Article Observational Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

488-496

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Auteurs

Matti A Vuori (MA)

Division of Medicine, University of Turku and Turku University Hospital, Turku, Finland.
Department of Public Health Solutions, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.

Kennet Harald (K)

Department of Public Health Solutions, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.

Antti Jula (A)

Department of Public Health Solutions, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.

Liisa Valsta (L)

Department of Public Health Solutions, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.

Tiina Laatikainen (T)

Department of Public Health Solutions, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland.
Joint Municipal Authority for North Karelia Social and Health Services (Siun sote), Joensuu, Finland.

Veikko Salomaa (V)

Department of Public Health Solutions, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.

Jaakko Tuomilehto (J)

Department of Public Health Solutions, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Department of Public Health, University of Helsinki, Helsinki, Finland.
Diabetes Research Group, King Abdulaziz University, Jeddah, Saudi Arabia.

Pekka Jousilahti (P)

Department of Public Health Solutions, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.

Teemu J Niiranen (TJ)

Division of Medicine, University of Turku and Turku University Hospital, Turku, Finland.
Department of Public Health Solutions, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.

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