Diurnal variation of urinary sodium-to-potassium ratio in free-living Japanese individuals

Hypertension Research

Volumn 40, Issue 7, 2017, Pages 658-664

  Iwahori, Toshiyuki ^a,b   Ueshima, Hirotsugu ^b   Torii, Sayuki ^b   Saito, Yoshino ^b,c   Kondo, Keiko ^b   Tanaka Mizuno, Sachiko ^b   Arima, Hisatomi ^d   Miura, Katsuyuki ^b  

^a Omron Healthcare Co   (Japan)

^b SHIGA UNIVERSITY OF MEDICAL SCIENCE   (Japan)

^c AINO UNIVERSITY   (Japan)

^d FUKUOKA UNIVERSITY   (Japan)

Author keywords

casual urine; circadian rhythm; diurnal variation; sodium potassium; sodium to potassium ratio

Indexed keywords

ANGIOTENSIN 2 RECEPTOR ANTAGONIST; CALCIUM CHANNEL BLOCKING AGENT; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; POTASSIUM; SODIUM;

ADULT; AGED; ANTIHYPERTENSIVE THERAPY; ARTICLE; CIRCADIAN RHYTHM; CONCENTRATION (PARAMETERS); CONTROLLED STUDY; CROSS-SECTIONAL STUDY; FEMALE; HUMAN; HYPERTENSION; JAPANESE (PEOPLE); MAJOR CLINICAL STUDY; MALE; POTASSIUM URINE LEVEL; RENAL SYSTEM PARAMETERS; RENIN ANGIOTENSIN ALDOSTERONE SYSTEM; SODIUM URINE LEVEL; URINALYSIS; URINARY SODIUM TO POTASSIUM RATIO; URINE VOLUME; MIDDLE AGED; URINE;

ADULT; AGED; CIRCADIAN RHYTHM; CROSS-SECTIONAL STUDIES; FEMALE; HUMANS; MALE; MIDDLE AGED; POTASSIUM; SODIUM;

EID: 85021763773     PISSN: 09169636     EISSN: 13484214     Source Type: Journal    
DOI: 10.1038/hr.2016.187     Document Type: Article

References (55)

1. INTERSALT Co-operative Research Group. INTERSALT: an international study of electrolyte excretion and blood pressure. Results for 24 hour urinary sodium and potassium excretion. Br Med J 1988; 297: 319-327.
2. Stamler J, Rose G, Stamler R, Elliott P, Dyer A, Marmot M. INTERSALT study findings. Public health and medical care implications. Hypertension 1989; 14: 570-577.
3. Tzoulaki I, Patel CJ, Okamura T, Chan Q, Brown IJ, Miura K, Ueshima H, Zhao L, Van Horn L, Daviglus ML, Stamler J, Butte AJ, Ioannidis JP, Elliott P. A nutrient-wide association study on blood pressure. Circulation 2012; 126: 2456-2464.
4. Cook NR, Obarzanek E, Cutler JA, Buring JE, Rexrode KM, Kumanyika SK, Appel LJ, Whelton PK. Trials of Hypertension Prevention Collaborative Research Group. Joint effects of sodium and potassium intake on subsequent cardiovascular disease: the Trials of Hypertension Prevention follow-up study. Arch Intern Med 2009; 169: 32-40.
5. Yang Q, Liu T, Kuklina EV, Flanders WD, Hong Y, Gillespie C, Chang MH, Gwinn M, Dowling N, Khoury MJ, Hu FB. Sodium and potassium intake and mortality among US adults: prospective data from the Third National Health and Nutrition Examination Survey. Arch Intern Med 2011; 171: 1183-1191.
6. Khaw KT, Barrett-Connor E. The association between blood pressure, age, and dietary sodium and potassium: a population study. Circulation 1988; 77: 53-61.
7. Dyer AR, Elliott P, Shipley M. Urinary electrolyte excretion in 24 hours and blood pressure in the INTERSALT Study. II. Estimates of electrolyte-blood pressure associations corrected for regression dilution bias. The INTERSALT Cooperative Research Group. Am J Epidemiol 1994; 139: 940-951.
8. Cook NR, Kumanyika SK, Cutler JA. Effect of change in sodium excretion on change in blood pressure corrected for measurement error. The Trials of Hypertension Prevention, Phase I. Am J Epidemiol 1998; 148: 431-444.
9. Elliott P, Stamler J, Nichols R, Dyer AR, Stamler R, Kesteloot H, Marmot M. Intersalt revisited: further analyses of 24 hour sodium excretion and blood pressure within and across populations. Intersalt Cooperative Research Group [published erratum appears in BMJ 1997;315:458]. BMJ 1996; 312: 1249-1253.
10. Huggins CE, O'Reilly S, Brinkman M, Hodge A, Giles GG, English DR, Nowson CA. Relationship of urinary sodium and sodium-to-potassium ratio to blood pressure in older adults in Australia. Med J Aust 2011; 195: 128-132.
11. Hedayati SS, Minhajuddin AT, Ijaz A, Moe OW, Elsayed EF, Reilly RF, Huang CL. Association of urinary sodium/potassium ratio with blood pressure: sex and racial differences. Clin J Am Soc Nephrol 2012; 7: 315-322.
12. Perez V, Chang ET. Sodium-to-potassium ratio and blood pressure, hypertension, and related factors. Adv Nutr 2014; 5: 712-741.
13. Tabara Y, Takahashi Y, Kumagai K, Setoh K, Kawaguchi T, Takahashi M, Muraoka Y, Tsujikawa A, Gotoh N, Terao C, Yamada R, Kosugi S, Sekine A, Yoshimura N, Nakayama T, Matsuda F, Nagahama Study Group. Descriptive epidemiology of spot urine sodium-to-potassium ratio clarified close relationship with blood pressure level: the Nagahama study. J Hypertens 2015; 33: 2407-2413.
14. Okayama A, Okuda N, Miura K, Okamura T, Hayakawa T, Akasaka H, Ohnishi H, Saitoh S, Arai Y, Kiyohara Y, Takashima N, Yoshita K, Fujiyoshi A, Zaid M, Ohkubo T, Ueshima H, NIPPON DATA80 Research Group. Dietary sodium-to-potassium ratio as a risk factor for stroke, cardiovascular disease and all-cause mortality in Japan: the NIPPON DATA80 cohort study. BMJ Open 2016; 6: e011632.
15. Kawasaki T, Itoh K, Uezono K, Sasaki H. A simple method for estimating 24 h urinary sodium and potassium excretion from second morning voiding urine specimen in adults. Clin Exp Pharmacol Physiol 1993; 20: 7-14.
16. Tanaka T, Okamura T, Miura K, Kadowaki T, Ueshima H, Nakagawa H, Hashimoto T. A simple method to estimate populational 24-h urinary sodium and potassium excretion using a casual urine specimen. J Hum Hypertens 2002; 16: 97-103.
17. Brown IJ, Dyer AR, Chan Q, Cogswell ME, Ueshima H, Stamler J, Elliott P, INTERSALT Co-Operative Research Group. Estimating 24-hour urinary sodium excretion from casual urinary sodium concentrations in Western populations: the INTERSALT study. Am J Epidemiol 2013; 177: 1180-1192.
18. Spierto FW, Hannon WH, Gunter EW, Smith SJ. Stability of urine creatinine. Clin Chim Acta 1997; 264: 227-232.
19. Fuller NJ, Elia M. Factors influencing the production of creatinine: implications for the determination and interpretation of urinary creatinine and creatine in man. Clin Chim Acta 1988; 175: 199-210.
20. Okuda M, Asakura K, Sasaki S, Shinozaki K. Twenty-four-hour urinary sodium and potassium excretion and associated factors in Japanese secondary school students. Hypertens Res 2016; 39: 524-529.
21. Urinary Sodium/potassium monitor. Available at http://www.healthcare.omron.co.jp/medical/products/HEU-001F/index.html (accessed on 15 January 2017).
22. Iwahori T, Miura K, Ueshima H, Chan Q, Dyer AR, Elliott P, Stamler J, for the INTERSALT Research Group. Estimating 24-hour urinary sodium/potassium ratio from casual ("spot") urinary sodium/potassium ratio: The INTERSALT Study. Int J Epidemiol (e-pub ahead of print 09 September 2016; doi:10.1093/ije/dyw287).
23. Iwahori T, Ueshima H, Miyagawa N, Ohgami N, Yamashita H, Ohkubo T, Murakami Y, Shiga T, Miura K. Six random specimens of random daytime casual urine on different days sufficient to estimate daily sodium/potassium ratio in comparison to 7-day 24-h collections. Hypertension Res 2014; 37: 765-771.
24. Iwahori T, Ueshima H, Torii S, Saito Y, Fujiyoshi A, Ohkubo T, Miura K. Four to seven random casual urine are sufficient to estimate 24-hr urinary sodium/potassium ratio in individuals with high blood pressure. J Hum Hypertens 2016; 30: 328-334.
25. Yoshida M, Koyama H, Moji K, Aoyagi K, Takemoto T, Suzuki S, Satoh H. Daily response of blood pressure to day-to-day variation of urinary sodium to potassium ratio. Clin Exp Hypertens 1999; 21: 1189-1202.
26. Yatabe J, Yatabe MS, Takano K, Watanabe A, Kurosawa S, Yonemoto M, Nochi M, Ikeda Y, Iwahori T, Shiga T, Watanabe T, Kimura J, Oral IX. Concurrent B: Salt and Hypertension Abstract 072: newly developed personal device can detect changes and variations of urinary Na/K ratio with standardized low-and high-salt meals in healthy volunteers. Hypertension 2014; 64: A072.
27. Rakova N, Jüttner K, Dahlmann A, Schröder A, Linz P, Kopp C, Rauh M, Goller U, Beck L, Agureev A, Vassilieva G, Lenkova L, Johannes B, Wabel P, Moissl U, Vienken J, Gerzer R, Eckardt KU, Müller DN, Kirsch K, Morukov B, Luft FC, Titze J. Long-term space flight simulation reveals infradian rhythmicity in human Na(+) balance. Cell Metab 2013; 17: 125-131.
28. Millet C, Custaud MA, Allevard AM, Zaouali-Ajina M, Monk TH, Arnaud SB, Claustrat B, Gharib C, Gauquelin-Koch G. Influence of head-down bed rest on the circadian rhythms of hormones and electrolytes involved in hydroelectrolytic regulation. Eur J Appl Physiol 2001; 85: 74-81.
29. Kawano Y, Kawasaki T, Kawazoe N, Abe I, Uezono K, Ueno M, Fukiyama K, Omae T. Circadian variations of urinary dopamine, norepinephrine, epinephrine and sodium in normotensive and hypertensive subjects. Nephron 1990; 55: 277-282.
30. Cugini P, Murano G, Lucia P, Letizia C, Lisanu M, Scavo D, Gillum RF, Lee JY, Halberg F, Koga Y. Effects of a mild and prolonged restriction in sodium or food intake on the circadian rhythm of aldosterone and related variables. Chronobiol Int 1987; 4: 245-250.
31. Reinberg A, Dupont W, Touitou Y, Lagoguey M, Bourgeois P, Touitou C, Muriaux G, Przyrowsky D, Guillemant S, Guillemant J, Brière L, Zeau B. Clinical chronopharmacology of ACTH 1-17. II. Effects on plasma testosterone, plasma aldosterone, plasma and urinary electrolytes (K, Na, Ca and Mg). Chronobiologia 1981; 8: 11-31.
32. Uezono K, Kawasaki T, Itoh K, Cugini P. Effects of a 1 day fast on biohumoral variables associated with human circadian rhythmicity. Clin Exp Pharmacol Physiol 2002; 29: 582-588.
33. Morise T, Okamoto S, Ikeda M, Takeda R. The possible role of endogenous digitalis-like substance in the regulation of circadian changes in urinary electrolyte excretion in man. Endocrinol Jpn 1989; 36: 845-850.
34. Bultasová H, Veselková A, Brodan V, Pinsker P. Circadian rhythms of urinary sodium, potassium and some agents influencing their excretion in young borderline hypertensives. Endocrinol Exp 1986; 20: 359-369.
35. Nikolaeva S, Pradervand S, Centeno G, Zavadova V, Tokonami N, Maillard M, Bonny O, Firsov D. The circadian clock modulates renal sodium handling. J Am Soc Nephrol 2012; 23: 1019-1026.
36. Mochel JP, Fink M, Bon C, Peyrou M, Bieth B, Desevaux C, Deurinck M, Giraudel JM, Danhof M. Influence of feeding schedules on the chronobiology of renin activity, urinary electrolytes and blood pressure in dogs. Chronobiol Int 2014; 31: 715-730.
37. Moore-Ede MC. Physiology of the circadian timing system: predictive versus reactive homeostasis. Am J Physiol 1986; 250 (5 Pt 2): R737-R752.
38. Kohn CW, Strasser SL. 24-hour renal clearance and excretion of endogenous substances in the mare. Am J Vet Res 1986; 47: 1332-1337.
39. Mellor DJ, Slater JS. The composition of maternal plasma and foetal urine after feeding and drinking in chronically catheterized ewes during the last two months of pregnancy. J Physiol 1973; 234: 519-531.
40. Liu K, Stamler J. Assessment of sodium intake in epidemiological studies on blood pressure. Ann Clin Res 1984; 16 (Suppl 43): 49-54.
41. Muratani H, Kawasaki T, Ueno M, Kawazoe N, Fujishima M. Circadian rhythms of urinary excretions of water and electrolytes in patients receiving total parenteral nutrition (TPN). Life Sci 1985; 37: 645-649.
42. Bulpitt CJ. Blood pressure and potassium consumption. In Bulpitt CJ (ed), Handbook of Hypertension, Vol 6: Epidemiology of Hypertension. Elsevier Science Publishers BV: New York, NY, USA, 1985, pp. 191-206.
43. Soundararajan R, Pearce D, Hughey RP, Kleyman TR. Role of epithelial sodium channels and their regulators in hypertension. J Biol Chem 2010; 285: 30363-30369.
44. Christensen BM, Perrier R, Wang Q, Zuber AM, Maillard M, Mordasini D, Malsure S, Ronzaud C, Stehle JC, Rossier BC, Hummler E. Sodium and potassium balance depends on αENaC expression in connecting tubule. J Am Soc Nephrol 2010; 21: 1942-1951.
45. Cugini P, Scavo D, Cornelissen G, Lee JY, Meucci T, Halberg F. Circadian rhythms of plasma renin, aldosterone and cortisol on habitual and low dietary sodium intake. Hormone Res 1981; 15: 7-27.
46. Chittavong M, Jansson A, Lindberg JE. Effects of high dietary sodium chloride content on performance and sodium and potassium balance in growing pigs. Trop Anim Health Prod 2013; 45: 1477-1483.
47. Massie BM. Heart failure and cardiomyopathy: congestive heart failure: Management of the patient with chronic heart failure. In Crawford MH, DiMarco JP, Paulus WJ (eds), Cardiology, Ch. 72, 3rd edn, Elsevier Ltd.: Philadelphia, PA, USA, 2009, pp. 979-997.
48. Liu LS, Zheng DY, Jin L, Liao YL, Liu K, Stamler J. Variability of urinary sodium and potassium excretion in north Chinese men. J Hypertens 1987; 5: 331-335.
49. Pan WH, Chen JY, Chen YC, Tsai WY. Diurnal electrolyte excretion pattern affects estimates of electrolyte status based on 24-hour, half-day, and overnight urine. Chin J Physiol 1994; 37: 49-53.
50. Miura T, Fukuda M, Naito T, Togawa H, Sato R, Sasagawa Y, Tomonari T, Kato Y, Mizuno M, Ono M, Ichikawa T, Shirasawa Y, Ito A, Yoshida A, Kimura G. Circadian rhythm of urinary potassium excretion in patients with CKD. Clin Nephrol 2012; 78: 169-173.
51. Dyer AR, Stamler R, Grimm R, Stamler J, Berman R, Gosch FC, Emidy LA, Elmer P, Fishman J, Van Heel N, Civinelli G. Do hypertensive patients have a different diurnal pattern of electrolyte excretion? Hypertens 1987; 10: 417-424.
52. Dyer AR, Martin GJ, Burton WN, Levin M, Stamler J. Blood pressure and diurnal variation in sodium, potassium, and water excretion. J Hum Hypertens 1998; 12: 363-371.
53. Wang CY, Cogswell ME, Loria CM, Chen TC, Pfeiffer CM, Swanson CA, Caldwell KL, Perrine CG, Carriquiry AL, Liu K, Sempos CT, Gillespie CD, Burt VL. Urinary excretion of sodium, potassium, and chloride, but not iodine, varies by timing of collection in a 24-hour calibration study. J Nutr 2013; 143: 1276-1282.
54. Whelton PK, Appel LJ, Sacco RL, Anderson CA, Antman EM, Campbell N, Dunbar SB, Frohlich ED, Hall JE, Jessup M, Labarthe DR, Macgregor GA, Sacks FM, Stamler J, Vafiadis DK, Van Horn LV. Sodium, blood pressure, and cardiovascular disease: further evidence supporting the American Heart Association sodium reduction recommendations. Circulation 2012; 126: 2880-2889.
55. Cobb LK, Anderson CA, Elliott P, Hu FB, Liu K, Neaton JD, Whelton PK, Woodward M, Appel LJ. American Heart Association Council on Lifestyle and Metabolic Health. Methodological issues in cohort studies that relate sodium intake to cardiovascular disease outcomes: a science advisory from the American Heart Association. Circulation 2014; 129: 1173-1186.