Mean population salt intake estimated from 24-h urine samples and spot urine samples:

A systematic review and meta-analysis

Liping Huang, Michelle Crino, Jason H.Y. Wu, Mark Woodward, Federica Barzi, Mary Anne Land, Rachael McLean, Jacqui Webster, Batsaikhan Enkhtungalag, Bruce Neal

Research output: Contribution to journalReview articleResearchpeer-review

Abstract

Background: Estimating equations based on spot urine samples have been identified as a possible alternative approach to 24-h urine collections for determining mean population salt intake. This review compares estimates of mean population salt intake based upon spot and 24-h urine samples. 

Methods: We systematically searched for all studies that reported estimates of daily salt intake based upon both spot and 24-h urine samples for the same population. The associations between the two were quantified and compared overall and in subsets of studies. 

Results: A total of 538 records were identified, 108 were assessed as full text and 29 were included. The included studies involved 10 414 participants from 34 countries and made 71 comparisons available for the primary analysis. Overall average population salt intake estimated from 24-h urine samples was 9.3 g/day compared with 9.0 g/day estimated from the spot urine samples. Estimates based upon spot urine samples had excellent sensitivity (97%) and specificity (100%) at classifying mean population salt intake as above or below the World Health Organization maximum target of 5 g/day. Compared with the 24-h samples, estimates based upon spot urine overestimated intake at lower levels of consumption and underestimated intake at higher levels of consumption. 

Conclusions: Estimates of mean population salt intake based upon spot urine samples can provide countries with a good indication of mean population salt intake and whether action on salt consumption is required.

Original languageEnglish
Pages (from-to)239-250
Number of pages12
JournalInternational Journal of Epidemiology
Volume45
Issue number1
DOIs
Publication statusPublished - 1 Feb 2016
Externally publishedYes

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Meta-Analysis
Salts
Urine
Population
Urine Specimen Collection
Sensitivity and Specificity

Cite this

Huang, Liping ; Crino, Michelle ; Wu, Jason H.Y. ; Woodward, Mark ; Barzi, Federica ; Land, Mary Anne ; McLean, Rachael ; Webster, Jacqui ; Enkhtungalag, Batsaikhan ; Neal, Bruce. / Mean population salt intake estimated from 24-h urine samples and spot urine samples: A systematic review and meta-analysis. In: International Journal of Epidemiology. 2016 ; Vol. 45, No. 1. pp. 239-250.
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abstract = "Background: Estimating equations based on spot urine samples have been identified as a possible alternative approach to 24-h urine collections for determining mean population salt intake. This review compares estimates of mean population salt intake based upon spot and 24-h urine samples. Methods: We systematically searched for all studies that reported estimates of daily salt intake based upon both spot and 24-h urine samples for the same population. The associations between the two were quantified and compared overall and in subsets of studies. Results: A total of 538 records were identified, 108 were assessed as full text and 29 were included. The included studies involved 10 414 participants from 34 countries and made 71 comparisons available for the primary analysis. Overall average population salt intake estimated from 24-h urine samples was 9.3 g/day compared with 9.0 g/day estimated from the spot urine samples. Estimates based upon spot urine samples had excellent sensitivity (97{\%}) and specificity (100{\%}) at classifying mean population salt intake as above or below the World Health Organization maximum target of 5 g/day. Compared with the 24-h samples, estimates based upon spot urine overestimated intake at lower levels of consumption and underestimated intake at higher levels of consumption. Conclusions: Estimates of mean population salt intake based upon spot urine samples can provide countries with a good indication of mean population salt intake and whether action on salt consumption is required.",
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Huang, L, Crino, M, Wu, JHY, Woodward, M, Barzi, F, Land, MA, McLean, R, Webster, J, Enkhtungalag, B & Neal, B 2016, 'Mean population salt intake estimated from 24-h urine samples and spot urine samples: A systematic review and meta-analysis', International Journal of Epidemiology, vol. 45, no. 1, pp. 239-250. https://doi.org/10.1093/ije/dyv313

Mean population salt intake estimated from 24-h urine samples and spot urine samples: A systematic review and meta-analysis. / Huang, Liping; Crino, Michelle; Wu, Jason H.Y.; Woodward, Mark; Barzi, Federica; Land, Mary Anne; McLean, Rachael; Webster, Jacqui; Enkhtungalag, Batsaikhan; Neal, Bruce.

In: International Journal of Epidemiology, Vol. 45, No. 1, 01.02.2016, p. 239-250.

Research output: Contribution to journalReview articleResearchpeer-review

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T2 - A systematic review and meta-analysis

AU - Huang, Liping

AU - Crino, Michelle

AU - Wu, Jason H.Y.

AU - Woodward, Mark

AU - Barzi, Federica

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AU - Enkhtungalag, Batsaikhan

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N2 - Background: Estimating equations based on spot urine samples have been identified as a possible alternative approach to 24-h urine collections for determining mean population salt intake. This review compares estimates of mean population salt intake based upon spot and 24-h urine samples. Methods: We systematically searched for all studies that reported estimates of daily salt intake based upon both spot and 24-h urine samples for the same population. The associations between the two were quantified and compared overall and in subsets of studies. Results: A total of 538 records were identified, 108 were assessed as full text and 29 were included. The included studies involved 10 414 participants from 34 countries and made 71 comparisons available for the primary analysis. Overall average population salt intake estimated from 24-h urine samples was 9.3 g/day compared with 9.0 g/day estimated from the spot urine samples. Estimates based upon spot urine samples had excellent sensitivity (97%) and specificity (100%) at classifying mean population salt intake as above or below the World Health Organization maximum target of 5 g/day. Compared with the 24-h samples, estimates based upon spot urine overestimated intake at lower levels of consumption and underestimated intake at higher levels of consumption. Conclusions: Estimates of mean population salt intake based upon spot urine samples can provide countries with a good indication of mean population salt intake and whether action on salt consumption is required.

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