TY - JOUR
T1 - Socioeconomic status associated with urinary sodium and potassium excretion in Japan
T2 - NIPPON DATA2010
AU - Miyagawa, Naoko
AU - Okuda, Nagako
AU - Nakagawa, Hideaki
AU - Takezaki, Toshiro
AU - Nishi, Nobuo
AU - Takashima, Naoyuki
AU - Fujiyoshi, Akira
AU - Ohkubo, Takayoshi
AU - Kadota, Aya
AU - Okamura, Tomonori
AU - Ueshima, Hirotsugu
AU - Okayama, Akira
AU - Miura, Katsuyuki
N1 - Funding Information:
1Department of Public Health, Shiga University of Medical Science, Shiga, Japan 2Department of Health and Nutrition, University of Human Arts and Sciences, Saitama, Japan 3Medical Research Institute, Kanazawa Medical University, Ishikawa, Japan 4Department of International Island and Community Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan 5International Center for Nutrition and Information, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan 6Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan 7Center for Epidemiologic Research in Asia, Shiga University of Medical Science, Shiga, Japan 8Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan 9Research Institute of Strategy for Prevention, Tokyo, Japan
Funding Information:
Funding sources: This study was supported by Health and Labour Sciences Research Grants of the Ministry of Health, Labour and Welfare, Japan (Comprehensive Research on Life-Style Related Diseases including Cardiovascular Diseases and Diabetes Mellitus [H22-Junkankitou-Seishuu-Sitei-017, H25-Junkankitou-Seishuu-Sitei-022]). Conflicts of interest: None declared.
Funding Information:
This study was supported by Health and Labour Sciences Research Grants of the Ministry of Health, Labour and Welfare, Japan (Comprehensive Research on LifeStyle Related Diseases including Cardiovascular Diseases and Diabetes Mellitus [H22-Junkankitou-Seishuu-Sitei-017, H25-Junkankitou-Seishuu-Sitei-022]).
Publisher Copyright:
© 2018 Naoko Miyagawa et al.
PY - 2018
Y1 - 2018
N2 - Background: Although socioeconomic status (SES) may affect food and nutrient intakes, few studies have reported on sodium (Na) and potassium (K) intakes among individuals with various SESs in Japan. We investigated associations of SES with Na and K intake levels using urinary specimens in a representative Japanese population. Methods: This was a cross-sectional study of 2,560 men and women (the NIPPON DATA2010 cohort) who participated in the National Health and Nutrition Survey Japan in 2010. Casual urine was used to calculate estimated excretion in 24-hour urinary Na (E24hr-Na) and K (E24hr-K). The urinary sodium-to-potassium (Na=K) ratio was calculated from casual urinary electrolyte values. An analysis of covariance was performed to investigate associations of aspects of SES, including equivalent household expenditure (EHE), educational attainment, and job category, with E24hr-Na, E24hr-K, and the Na=K ratio for men and women separately. A stratified analysis was performed on educational attainment and the job category for younger (<65 years) and older (≥65 years) participants. Results: In men and women, average E24hr-Na was 176.2 mmol=day and 172.3, average E24hr-K was 42.5 and 41.3, and the average Na=K ratio was 3.61 and 3.68, respectively. Lower EHE was associated with a higher Na=K ratio in women and lower E24hr-K in men and women. A shorter education was associated with a higher Na=K ratio in women and younger men, and lower E24hr-K in older men and women. Conclusion: Lower EHE and a shorter education were associated with a lower K intake and higher Na=K ratio estimated from casual urine specimens in Japanese men and women.
AB - Background: Although socioeconomic status (SES) may affect food and nutrient intakes, few studies have reported on sodium (Na) and potassium (K) intakes among individuals with various SESs in Japan. We investigated associations of SES with Na and K intake levels using urinary specimens in a representative Japanese population. Methods: This was a cross-sectional study of 2,560 men and women (the NIPPON DATA2010 cohort) who participated in the National Health and Nutrition Survey Japan in 2010. Casual urine was used to calculate estimated excretion in 24-hour urinary Na (E24hr-Na) and K (E24hr-K). The urinary sodium-to-potassium (Na=K) ratio was calculated from casual urinary electrolyte values. An analysis of covariance was performed to investigate associations of aspects of SES, including equivalent household expenditure (EHE), educational attainment, and job category, with E24hr-Na, E24hr-K, and the Na=K ratio for men and women separately. A stratified analysis was performed on educational attainment and the job category for younger (<65 years) and older (≥65 years) participants. Results: In men and women, average E24hr-Na was 176.2 mmol=day and 172.3, average E24hr-K was 42.5 and 41.3, and the average Na=K ratio was 3.61 and 3.68, respectively. Lower EHE was associated with a higher Na=K ratio in women and lower E24hr-K in men and women. A shorter education was associated with a higher Na=K ratio in women and younger men, and lower E24hr-K in older men and women. Conclusion: Lower EHE and a shorter education were associated with a lower K intake and higher Na=K ratio estimated from casual urine specimens in Japanese men and women.
KW - Potassium
KW - Socioeconomic status
KW - Sodium
KW - Sodium-to-potassium ratio
KW - Urine
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U2 - 10.2188/jea.JE20170253
DO - 10.2188/jea.JE20170253
M3 - Article
C2 - 29503383
AN - SCOPUS:85049236866
VL - 28
SP - S29-S34
JO - Journal of Epidemiology
JF - Journal of Epidemiology
SN - 0917-5040
ER -