2004 年 27 巻 4 号 p. 243-246
A 24-h home urine collection was conducted to estimate accurate salt intake in hypertensive outpatients. Using 24-h urinary creatinine excretion as a criterion for success, urine samples were obtained from 534 hypertensive patients. The urinary salt excretion of hypertensive outpatients ranged widely from 1.5 to 23.4 g/day (mean value 9.7±3.9 g/day). Urinary salt excretion was higher in males than in females (10.6±4.0 vs. 9.2±3.7 g/day, p <0.01). Based on the questionnaires, the patients were divided into salt-conscious patients, or those who were careful to reduce their daily salt intake, and non-salt-conscious patients. It was found that urinary salt excretion was lower in the salt-conscious group than in the non-salt-conscious group (9.4±3.8 vs. 10.6±4.0 g/day, p <0.01), but that urinary salt excretion adjusted for body weight was not significantly different between the two groups (0.16±0.06 vs. 0.17±0.07 g/kg/day). Our results suggest that there was no obvious reduction in the actual salt intake in salt-conscious patients, suggesting the importance of monitoring salt intake by 24-h home urine collection and informing patients of their actual salt intake as a means of encouraging the achievement of salt restriction. (Hypertens Res 2004; 27: 243-246)
