Report of the working group for dietary salt reduction of the Japanese society of hypertension: (2) Assessment of salt intake in the management of hypertension
Report of the working group for dietary salt reduction of the Japanese society of hypertension: (2) Assessment of salt intake in the management of hypertension
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DOI：
10.1291/hypres.30.887
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发表时间：
2007-10-01
影响因子：
5.4
通讯作者：
Ueshima, Hirotsugu
中科院分区：
文献类型：
--
作者：
Kawano, Yuhei;Tsuchihashi, Takuya;Ueshima, Hirotsugu
在高血压的管理中，限制饮食中的盐被广泛推荐，但对个体盐摄入量的评估却很少受到关注。了解盐的摄入量是重要的指导优化限盐策略。然而，精确评估盐的摄入量是困难的。更可靠的方法更难执行，而更简单的方法则不太可靠。因此，评估盐摄入量的方法应根据情况需要确定。日本高血压学会饮食盐减少工作组建议使用以下方法之一评估个人盐摄入量，以管理高血压。1)从24小时尿液取样测量钠（Na）排泄量或营养学家对膳食内容物的分析是可靠的，但难以执行，适用于专门治疗高血压的设施。2)根据点尿中的Na/肌酐（Cr）比值估计Na排泄量不太可靠，但实用，适用于一般医疗设施。3)使用配备有计算公式的电子盐传感器的估计也不太可靠，但足够简单，患者可以自己使用。如果通过任何方法测量的盐摄入量小于6 g（100 mmol）/天，则认为患者依从限盐方案。
Restriction of dietary salt is widely recommended in the management of hypertension, but assessment of individual salt intake has drawn little attention. The understanding of salt intake is important as a guide for optimizing salt-restriction strategies. However, precise evaluation of salt intake is difficult. More reliable methods are more difficult to perform, whereas easier methods are less reliable. Thus, the method to assess salt intake should be determined as the situation demands. The Working Group for Dietary Salt Reduction of the Japanese Society of Hypertension recommends the assessment of individual salt intake using one of the following methods in, the management of hypertension. 1) The measurement of the sodium (Na) excretion from 24-h urine sampling or nutritionist's analysis of the dietary contents, which are reliable but difficult to perform, are suitable for facilities specializing in the treatment of hypertension. 2) Estimation of the Na excretion from the Na/creatinine (Cr) ratio in spot urine is less reliable but practical and is suitable for general medical facilities. 3) Estimation using an electronic salt sensor equipped with a calculation formula is also less reliable but is simple enough that patients can use it themselves. The patients are considered to be compliant with the salt-restriction regimen if salt intake measured by whichever method is less than 6 g (100 mmol)/day.