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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

Hypertension Research volume 30, pages 887–893 (2007)Cite this article

A Corrigendum to this article was published on 05 September 2011

Abstract

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.

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Author information

Affiliations

  1. Division of Hypertension and Nephrology, Department of Medicine, National Cardiovascular Center, Suita, Japan

    Yuhei Kawano

  2. Division of Hypertension, National Kyushu Medical Center, Fukuoka, Japan

    Takuya Tsuchihashi

  3. Department of Internal Medicine, Saiseikai Kure Hospital, Kure, Japan

    Hideo Matsuura

  4. Department of Internal Medicine, Faculty of Medicine, University of Tokyo, Tokyo, Japan

    Katsuyuki Ando & Toshiro Fujita

  5. Department of Health Science, Shiga University of Medical Science, Otsu, Japan

    Hirotsugu Ueshima

Authors
  1. Yuhei Kawano
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  2. Takuya Tsuchihashi
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  3. Hideo Matsuura
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  4. Katsuyuki Ando
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  5. Toshiro Fujita
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  6. Hirotsugu Ueshima
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Corresponding author

Correspondence to Yuhei Kawano.

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Kawano, Y., Tsuchihashi, T., Matsuura, H. et al. 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. Hypertens Res 30, 887–893 (2007). https://doi.org/10.1291/hypres.30.887

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  • DOI: https://doi.org/10.1291/hypres.30.887

Keywords

  • salt intake
  • food weighing
  • food questionnaire
  • urinary sodium excretion
  • hypertension

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