24-hour sodium and potassium excretion in the Americas: a systematic review and meta-analysis
Objective. To determine the 24-hour urinary sodium and potassium excretions in the Americas. Methods. A systematic review and meta-analysis were performed seeking for studies conducted between 1990 and 2021 in adults living in any sovereign state of the Americas in Medline, Embase, Scopus, SciELO, a...
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ftdoajarticles:oai:doaj.org/article:e039dfee90de4afb8074ab8b53324d42 2023-05-15T15:15:45+02:00 24-hour sodium and potassium excretion in the Americas: a systematic review and meta-analysis Isabel Valero-Morales Monique Tan Yu Pei Feng J He Graham A MacGregor 2022-11-01T00:00:00Z https://doi.org/10.26633/RPSP.2022.199 https://doaj.org/article/e039dfee90de4afb8074ab8b53324d42 EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/56670 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2022.199 https://doaj.org/article/e039dfee90de4afb8074ab8b53324d42 Revista Panamericana de Salud Pública, Vol 46, Iss 199, Pp 1-11 (2022) sodium dietary potassium systematic review americas Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2022 ftdoajarticles https://doi.org/10.26633/RPSP.2022.199 2022-12-30T20:18:41Z Objective. To determine the 24-hour urinary sodium and potassium excretions in the Americas. Methods. A systematic review and meta-analysis were performed seeking for studies conducted between 1990 and 2021 in adults living in any sovereign state of the Americas in Medline, Embase, Scopus, SciELO, and Lilacs. The search was first run on October 26th, 2020 and was updated on December 15th, 2021. Of 3 941 abstracts reviewed, 74 studies were included from 14 countries, 72 studies reporting urinary sodium (27 387 adults), and 42 studies reporting urinary potassium (19 610 adults) carried out between 1990 and 2020. Data were pooled using a random-effects meta-analysis model. Results. Mean excretion was 157.29 mmol/24h (95% CI, 151.42-163.16) for sodium and 57.69 mmol/24h (95% CI, 53.35-62.03) for potassium. When only women were considered, mean excretion was 135.81 mmol/24h (95% CI, 130.37-141.25) for sodium and 51.73 mmol/24h (95% CI, 48.77-54.70) for potassium. In men, mean excretion was 169.39 mmol/24h (95% CI, 162.14-176.64) for sodium and 62.67 mmol/24h (95% CI, 55.41- 69.93) for potassium. Mean sodium excretion was 150.09 mmol/24h (95% CI, 137.87-162.30) in the 1990s and 159.79 mmol/24h (95% CI, 151.63-167.95) in the 2010s. Mean potassium excretion was 58.64 mmol/24h (95% CI, 52.73-64.55) in the 1990s and 56.33 mmol/24/h (95% CI, 48.65-64.00) in the 2010s. Conclusions. These findings suggest that sodium excretions are almost double the maximum level recommended by the World Health Organization and potassium excretions are 35% lower than the minimum requirement; therefore, major efforts to reduce sodium and to increase potassium intakes should be implemented. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 46 1 |
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op_collection_id |
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English Spanish Portuguese |
topic |
sodium dietary potassium systematic review americas Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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sodium dietary potassium systematic review americas Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Isabel Valero-Morales Monique Tan Yu Pei Feng J He Graham A MacGregor 24-hour sodium and potassium excretion in the Americas: a systematic review and meta-analysis |
topic_facet |
sodium dietary potassium systematic review americas Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. To determine the 24-hour urinary sodium and potassium excretions in the Americas. Methods. A systematic review and meta-analysis were performed seeking for studies conducted between 1990 and 2021 in adults living in any sovereign state of the Americas in Medline, Embase, Scopus, SciELO, and Lilacs. The search was first run on October 26th, 2020 and was updated on December 15th, 2021. Of 3 941 abstracts reviewed, 74 studies were included from 14 countries, 72 studies reporting urinary sodium (27 387 adults), and 42 studies reporting urinary potassium (19 610 adults) carried out between 1990 and 2020. Data were pooled using a random-effects meta-analysis model. Results. Mean excretion was 157.29 mmol/24h (95% CI, 151.42-163.16) for sodium and 57.69 mmol/24h (95% CI, 53.35-62.03) for potassium. When only women were considered, mean excretion was 135.81 mmol/24h (95% CI, 130.37-141.25) for sodium and 51.73 mmol/24h (95% CI, 48.77-54.70) for potassium. In men, mean excretion was 169.39 mmol/24h (95% CI, 162.14-176.64) for sodium and 62.67 mmol/24h (95% CI, 55.41- 69.93) for potassium. Mean sodium excretion was 150.09 mmol/24h (95% CI, 137.87-162.30) in the 1990s and 159.79 mmol/24h (95% CI, 151.63-167.95) in the 2010s. Mean potassium excretion was 58.64 mmol/24h (95% CI, 52.73-64.55) in the 1990s and 56.33 mmol/24/h (95% CI, 48.65-64.00) in the 2010s. Conclusions. These findings suggest that sodium excretions are almost double the maximum level recommended by the World Health Organization and potassium excretions are 35% lower than the minimum requirement; therefore, major efforts to reduce sodium and to increase potassium intakes should be implemented. |
format |
Article in Journal/Newspaper |
author |
Isabel Valero-Morales Monique Tan Yu Pei Feng J He Graham A MacGregor |
author_facet |
Isabel Valero-Morales Monique Tan Yu Pei Feng J He Graham A MacGregor |
author_sort |
Isabel Valero-Morales |
title |
24-hour sodium and potassium excretion in the Americas: a systematic review and meta-analysis |
title_short |
24-hour sodium and potassium excretion in the Americas: a systematic review and meta-analysis |
title_full |
24-hour sodium and potassium excretion in the Americas: a systematic review and meta-analysis |
title_fullStr |
24-hour sodium and potassium excretion in the Americas: a systematic review and meta-analysis |
title_full_unstemmed |
24-hour sodium and potassium excretion in the Americas: a systematic review and meta-analysis |
title_sort |
24-hour sodium and potassium excretion in the americas: a systematic review and meta-analysis |
publisher |
Pan American Health Organization |
publishDate |
2022 |
url |
https://doi.org/10.26633/RPSP.2022.199 https://doaj.org/article/e039dfee90de4afb8074ab8b53324d42 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 46, Iss 199, Pp 1-11 (2022) |
op_relation |
https://iris.paho.org/handle/10665.2/56670 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2022.199 https://doaj.org/article/e039dfee90de4afb8074ab8b53324d42 |
op_doi |
https://doi.org/10.26633/RPSP.2022.199 |
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Revista Panamericana de Salud Pública |
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46 |
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1 |
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1766346096526753792 |