Research for the Improvement in Measurement Methods and the Effect of Sodium Intake on Cardiovascular Health

Study Overview
=================
Brief Summary
-----------------
Epidemiological, clinical and animal-experimental evidence shows a direct relationship between dietary sodium intake, blood pressure and cardiovascular event. Diverse questionnaire and 24 hour urinary sodium measurement are used to estimate sodium intake. Complete reflection of eating and cooking habits to the dietary survey method is difficult. Furthermore, the differences of database between countries make it difficult to compare the amount of sodium intake between countries. It is also difficult to consider individual variation of cooking and eating habits. Due to limitations of dietary survey method, WHO recommended 24 hour urinary sodium measurement to estimated sodium intake in the population survey, and many countries are adopting. However, in Korea National Health and Nutrition Examination Survey, only dietary survey method has been used. The present survey study was designed 1) to test the feasibility of 24 hour urinary sodium measurement for the estimation of sodium intake (including percentage of complete 24 hour urine sample collection) in the population based study; 2) to establish feasible method of 24 hour urinary sodium measurement; 3) to compare 24 hour urinary sodium measurement to the dietary survey method; and 4) to estimate the sodium intake by 24 hour urinary sodium measurement in Goyang city general population (aged 20-70 years).

Detailed Description
-----------------
Measurements: should be performed for 2 days 24 hour urine Na, K and Creatinine, 24 hour urine amount Calculation of urine completeness index : Creatinine/(21 x Bwt) Definition of incomplete urine collection: complete index less than 0.7 and loss of urine more than one time or 100 mL 24 hour ambulatory blood pressure mobile-O-graph (IEM GmbH) measurement interval: 30 minutes Measurement of peripheral blood pressure : microlife WatchBP office Sitting position After 5 minutes resting Peripheral systolic BP (pSBP), Peripheral diastolic BP (pDBP), Central aortic blood pressure SphygmoCor (AtCor Medical, Australia) Central systolic blood pressure Pulse wave velocity VP2000 (Colin, Japan) pulse wave velocity (PWV): carotid-femoral Pulse Wave Velocity, heart-femoral Pulse Wave Velocity and brachial-ankle Pulse Wave Velocity distance measured by tape: distance from suprasternal notch to carotid artery, distance from suprasternal notch to femoral artery Silent environment Electrocardiography Blood chemistry and complete blood count Measure at the morning of first day after overnight fasting complete blood count, blood urea nitrogen/Creatinine, Fasting blood glucose, Total cholesterol, triglyceride, HDL cholesterol Measurement protocol 1st day Visit hospital before 9:00 AM after overnight fasting Sampling of venous blood start 24 hour urine collection from 9:00 AM (with education for complete collection) start 24 hour ambulatory blood pressure monitoring, in parallel with 24 hour urine collection 2nd day Measure central aortic blood pressure Measure Pulse Wave Velocity Electrocardiography

Official Title
-----------------
Sodium Intake: Research for the Improvement in Measurement Methods and the Effect of Sodium Intake on Cardiovascular Health

Conditions
-----------------
Sodium Intake, General Population

Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: General population who are reside in Goyang city Exclusion Criteria: Urinary tract disease Known chronic kidney disease Unable to measure 24 hour ambulatory blood pressure measurement Unable to collect 24 hour urine sample Pregnancy Alcoholics Severe liver disease Night workers Mental retardation

Ages Eligible for Study
-----------------
Minimum Age: 20 Years
Maximum Age: 70 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| representitives of Goyang city<br>Representative population of Goyang city who were randomly selected by digit dialing (RDD) method Volunteers who are reside in Goyang city | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sodium intake in a studied community | Sodium intake of a community population is measured by 24 hour urinary sodium excretion | Cross-section | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The association between 24 hour urinary sodium excretion and ambulatory blood pressure |  | Cross-sectional | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
sodium, blood pressure, pulse wave velocity, random digit dialling