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Assessment of Spot Urine Sodium to Potassium Ratio in Obese Hypertensive Children

Year 2019, Volume: 13 Issue: 5, 382 - 386, 23.09.2019
https://doi.org/10.12956/tjpd.2018.370

Abstract

Hypertension, Obesity, Urinary Na/K, Urinary microalbumin/creatinine

References

  • 1. Kotchen TA. Obesity-related hypertension: Epidemiology, pathophysiology, and clinical management. Am J Hypertens 2010;23:1170-8.
  • 2. Lee S-G, Lee W, Kwon OH, Kim JH. Association of urinary sodium/ creatinine ratio and urinary sodium/specific gravity unit ratio with blood pressure and hypertension: KHANES 2009-2010. Clinica Chimica Acta 2013;424:168-73.
  • 3. Thuesen B, Toft U, Buhelt L, Linneber A, Friedrich N, Nauck M, et al. Estimated daily salt intake in relation to blood pressure and blood lipids: the role of obesity. European Journal of Preventive Cardiology 2015;22:1567-74.
  • 4. Geleijnse JM, Grobbee DE, Hofman A. Sodium and potassium intake and blood pressure change in childhood. BMJ 1990;300:899-902.
  • 5. Bundak R, Furman A, Gunoz H, Darendeliler F, Bas F, Neyzi O. Body mass index references for Turkish children. Acta Paediatr 2006;95:194-8.
  • 6. Montague CT, O’Rahilly S. The perils of portliness: Causes and consequences of visceral adiposity. Diabetes 2000;49:883–8.

Hipertansif Obez Çocuklarda Spot İdrarda Sodyum/Potasyum Oranının Değerlendirilmesi

Year 2019, Volume: 13 Issue: 5, 382 - 386, 23.09.2019
https://doi.org/10.12956/tjpd.2018.370

Abstract

Amaç: Hipertansiyon patogenezinde diyetle aşırı sodyum ve düşük potasyum alımının ilişkisinin araştırılması.
Gereç ve Yöntemler: Çalışmaya 6-18 yaş arasında 56 obez normotansif, 41 obez hipertansif hasta ve kontrol grubu
olarak 29 sağlıklı çocuk çalışmaya dahil edilmiştir. Öğleden sonraki idrar örneklerinde sodyum/potasyum oranı ve Tanitabiyoempedans
yöntemi ile ayrıca total vücut yağ oranları değerlendirilmiştir.
Bulgular: Hipertansif 41 obez hastanın 10’u ≤10 yaş iken 31’i > 10 yaş olarak bulundu.
İnsülin düzeyleri ve HOMA-IR indeksleri, obez normotansif ve hipertansif gruplarda sırasıyla16.7±8.3ve 15.9±7.9 U/
ml, 4.4±3.4 ve5.3±3.4 olarak bulundu, istatistiksel olarak anlamlı fark saptanmadı. İdrar Na, K, Na/K ve mikroalbumin/
kreatinin oranlarında da kontrol, OHT ve ONT grupları arasında istatistiksel olarak anlamlı farklılık bulunmadı.
Sonuç: Artmış tuzlu ve yağlı yiyecek tüketimi, sedanter yaşam, hipertansiyon ve ilişkili hastalıklar açısından neden olabilecek
faktörlerdendir.

References

  • 1. Kotchen TA. Obesity-related hypertension: Epidemiology, pathophysiology, and clinical management. Am J Hypertens 2010;23:1170-8.
  • 2. Lee S-G, Lee W, Kwon OH, Kim JH. Association of urinary sodium/ creatinine ratio and urinary sodium/specific gravity unit ratio with blood pressure and hypertension: KHANES 2009-2010. Clinica Chimica Acta 2013;424:168-73.
  • 3. Thuesen B, Toft U, Buhelt L, Linneber A, Friedrich N, Nauck M, et al. Estimated daily salt intake in relation to blood pressure and blood lipids: the role of obesity. European Journal of Preventive Cardiology 2015;22:1567-74.
  • 4. Geleijnse JM, Grobbee DE, Hofman A. Sodium and potassium intake and blood pressure change in childhood. BMJ 1990;300:899-902.
  • 5. Bundak R, Furman A, Gunoz H, Darendeliler F, Bas F, Neyzi O. Body mass index references for Turkish children. Acta Paediatr 2006;95:194-8.
  • 6. Montague CT, O’Rahilly S. The perils of portliness: Causes and consequences of visceral adiposity. Diabetes 2000;49:883–8.
There are 6 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases
Journal Section ORIGINAL ARTICLES
Authors

Emel Isıyel

Publication Date September 23, 2019
Submission Date March 25, 2018
Published in Issue Year 2019 Volume: 13 Issue: 5

Cite

Vancouver Isıyel E. Assessment of Spot Urine Sodium to Potassium Ratio in Obese Hypertensive Children. Türkiye Çocuk Hast Derg. 2019;13(5):382-6.


The publication language of Turkish Journal of Pediatric Disease is English.


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