{"title":"评估中国居民 24 小时尿钠排泄量的三种预测公式:系统综述和荟萃分析","authors":"Zijing Qi, Shuai Tang, Beike Wu, Yanxing Li, Hongmei Yang, Kunbo Wang, Zhifang Li","doi":"10.1017/s1368980024000168","DOIUrl":null,"url":null,"abstract":"Objective: To determine the appropriateness of three widely used formulas estimating 24-hour urinary Na (24hUNa) from spot urine samples in the Chinese population. Design: Systematic review and meta-analysis Setting: Literature review was conducted to identify studies for estimating 24hUNa using the Kawasaki, Tanaka, and INTERSALT formulas simultaneously in PubMed, Embase, and the Cochrane library databases. The mean difference (MD) and correlation coefficients (r) between measures and estimates from different formulas were assessed. Subjects: Information extraction and quality assessment were performed in thirteen studies involving 8369 subjects. Results: Two studies which affected the overall robustness were excluded in the “leave-one-out” sensitivity analyses. Within the final meta-analysis included 11 studies and 7197 participants, 36.07 mmol/day (95%CI: 16.89, 55.25) of MD was observed in the Kawasaki formula, and -19.62 mmol/day (95%CI: -37.37, -1.87) in the Tanaka formula and -35.78 mmol/day (95%CI: -50.76, -20.80) in the INTERSALT formula; a pooled r-Fisher 'Z of 0.39 (95%CI: 0.32, 0.45) in the Kawasaki formula, 0.43 (95%CI: 0.37, 0.49) in the Tanaka formula and 0.36 (95%CI: 0.31, 0.42) in the INTERSALT formula. Subgroup analyses were conducted to explore the possible factors affecting the accuracy of the formula estimation from three mainly aspects: population types, sodium intake levels and urine specimen types. Conclusions: The meta-analysis suggested that the Tanaka formula performed a more accurate estimate in Chinese population. Time of collecting spot urine specimens and sodium intake level of the sample population might be the main factors affecting the accuracy of the formula estimation.","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0000,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluation of three prediction formulas of 24-hour urinary sodium excretion in Chinese residents: a systematic review and meta-analysis\",\"authors\":\"Zijing Qi, Shuai Tang, Beike Wu, Yanxing Li, Hongmei Yang, Kunbo Wang, Zhifang Li\",\"doi\":\"10.1017/s1368980024000168\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective: To determine the appropriateness of three widely used formulas estimating 24-hour urinary Na (24hUNa) from spot urine samples in the Chinese population. Design: Systematic review and meta-analysis Setting: Literature review was conducted to identify studies for estimating 24hUNa using the Kawasaki, Tanaka, and INTERSALT formulas simultaneously in PubMed, Embase, and the Cochrane library databases. The mean difference (MD) and correlation coefficients (r) between measures and estimates from different formulas were assessed. Subjects: Information extraction and quality assessment were performed in thirteen studies involving 8369 subjects. Results: Two studies which affected the overall robustness were excluded in the “leave-one-out” sensitivity analyses. Within the final meta-analysis included 11 studies and 7197 participants, 36.07 mmol/day (95%CI: 16.89, 55.25) of MD was observed in the Kawasaki formula, and -19.62 mmol/day (95%CI: -37.37, -1.87) in the Tanaka formula and -35.78 mmol/day (95%CI: -50.76, -20.80) in the INTERSALT formula; a pooled r-Fisher 'Z of 0.39 (95%CI: 0.32, 0.45) in the Kawasaki formula, 0.43 (95%CI: 0.37, 0.49) in the Tanaka formula and 0.36 (95%CI: 0.31, 0.42) in the INTERSALT formula. Subgroup analyses were conducted to explore the possible factors affecting the accuracy of the formula estimation from three mainly aspects: population types, sodium intake levels and urine specimen types. Conclusions: The meta-analysis suggested that the Tanaka formula performed a more accurate estimate in Chinese population. Time of collecting spot urine specimens and sodium intake level of the sample population might be the main factors affecting the accuracy of the formula estimation.\",\"PeriodicalId\":20951,\"journal\":{\"name\":\"Public Health Nutrition\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2024-02-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Public Health Nutrition\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1017/s1368980024000168\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health Nutrition","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1017/s1368980024000168","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
Evaluation of three prediction formulas of 24-hour urinary sodium excretion in Chinese residents: a systematic review and meta-analysis
Objective: To determine the appropriateness of three widely used formulas estimating 24-hour urinary Na (24hUNa) from spot urine samples in the Chinese population. Design: Systematic review and meta-analysis Setting: Literature review was conducted to identify studies for estimating 24hUNa using the Kawasaki, Tanaka, and INTERSALT formulas simultaneously in PubMed, Embase, and the Cochrane library databases. The mean difference (MD) and correlation coefficients (r) between measures and estimates from different formulas were assessed. Subjects: Information extraction and quality assessment were performed in thirteen studies involving 8369 subjects. Results: Two studies which affected the overall robustness were excluded in the “leave-one-out” sensitivity analyses. Within the final meta-analysis included 11 studies and 7197 participants, 36.07 mmol/day (95%CI: 16.89, 55.25) of MD was observed in the Kawasaki formula, and -19.62 mmol/day (95%CI: -37.37, -1.87) in the Tanaka formula and -35.78 mmol/day (95%CI: -50.76, -20.80) in the INTERSALT formula; a pooled r-Fisher 'Z of 0.39 (95%CI: 0.32, 0.45) in the Kawasaki formula, 0.43 (95%CI: 0.37, 0.49) in the Tanaka formula and 0.36 (95%CI: 0.31, 0.42) in the INTERSALT formula. Subgroup analyses were conducted to explore the possible factors affecting the accuracy of the formula estimation from three mainly aspects: population types, sodium intake levels and urine specimen types. Conclusions: The meta-analysis suggested that the Tanaka formula performed a more accurate estimate in Chinese population. Time of collecting spot urine specimens and sodium intake level of the sample population might be the main factors affecting the accuracy of the formula estimation.
期刊介绍:
Public Health Nutrition provides an international peer-reviewed forum for the publication and dissemination of research and scholarship aimed at understanding the causes of, and approaches and solutions to nutrition-related public health achievements, situations and problems around the world. The journal publishes original and commissioned articles, commentaries and discussion papers for debate. The journal is of interest to epidemiologists and health promotion specialists interested in the role of nutrition in disease prevention; academics and those involved in fieldwork and the application of research to identify practical solutions to important public health problems.