4.3 Article

Relationships Between Blood Pressure and 24-Hour Urinary Excretion of Sodium and Potassium by Body Mass Index Status in Chinese Adults

Journal

JOURNAL OF CLINICAL HYPERTENSION
Volume 17, Issue 12, Pages 916-925

Publisher

WILEY
DOI: 10.1111/jch.12658

Keywords

-

Funding

  1. Chinese Center for Disease Control and Prevention
  2. National Center for Noncommunicable and Chronic Disease Control and Prevention
  3. Technical Development Plan in Shandong [2012GSF11828]
  4. National Institute for Health Research (NIHR)
  5. Imperial College Biomedical Research Centre (BRC) [P38084]
  6. Imperial College Healthcare NHS Trust (ICHNT)
  7. NIHR Health Protection Research Unit on Health Impact of Environmental Hazards
  8. Medical Research Council - Public Health England (MRC-PHE) Centre for Environment and Health
  9. Medical Research Council [MR/L01341X/1] Funding Source: researchfish
  10. National Institute for Health Research [NF-SI-0611-10136] Funding Source: researchfish
  11. MRC [MR/L01341X/1] Funding Source: UKRI

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This study examined the impact of overweight/obesity on sodium, potassium, and blood pressure associations using the Shandong-Ministry of Health Action on Salt Reduction and Hypertension (SMASH) project baseline survey data. Twenty-four-hour urine samples were collected in 1948 Chinese adults aged 18 to 69 years. The observed associations of sodium, potassium, sodium-potassium ratio, and systolic blood pressure (SBP) were stronger in the overweight/obese population than among those of normal weight. Among overweight/obese respondents, each additional standard deviation (SD) higher of urinary sodium excretion (SD=85 mmol) and potassium excretion (SD=19 mmol) was associated with a 1.31 mm Hg (95% confidence interval, 0.37-2.26) and -1.43 mm Hg (95% confidence interval, -2.23 to -0.63) difference in SBP, and each higher unit in sodium-potassium ratio was associated with a 0.54 mm Hg (95% confidence interval, 0.34-0.75) increase in SBP. The association between sodium, potassium, sodium-potassium ratio, and prevalence of hypertension among overweight/obese patients was similar to that of SBP. Our study indicated that the relationships between BP and both urinary sodium and potassium might be modified by BMI status in Chinese adults. (C) 2015 Wiley Periodicals, Inc.

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