Move graph for fellow member alternatives. Within this research, i mentioned new urinary Na/K proportion and you will BP when you look at the a dozen,890 users (84% away from professionals have been out-of 2017) for two decades. Eventually, twelve,877 professionals have been examined
Tome Urban area expected members to gather its urine trials immediately after waking was. The latest urinary Na/K ratio try measured using a beneficial urinary Na/K proportion-measuring equipment entitled HEU-001F (OMRON Medical care Co., Ltd., Kyoto, Japan) (Second Fig. 1). This new screen automatically info urinary Na/K ratio dimensions. A public nursing assistant counted the newest Na/K ratio regarding the place pee examples of connexion incelemesi the players having fun with the device, filed the benefits, and you may considering immediate opinions towards members regarding your measured worthy of and explanatory topic towards matchmaking involving the urinary Na/K ratio and you may BP (Second Fig. 2). Tome Urban area functions wellness checkups for the for each and every area each year out of Could possibly get so you’re able to Sep. Thus, participants could have their urinary Na/K ratio mentioned at the same time both in 2017 and you can 2018.
Almost every other dimensions
Facts about almost every other specifications was taken from the health checkup analysis regarding Tome Urban area. One another body weight and the body peak was in fact mentioned in the wellness checkup. Bmi try determined because lbs (kg)/top dos (m 2 ). BP try mentioned twice from the an experienced public health nurse. Since wellness checkup analysis provided with Tome City merely incorporated the reduced BP measurement of the two BP measurement viewpoints, we can simply were this value inside our study. Hypertension is identified as systolic BP (SBP) ? 140 mmHg otherwise diastolic BP (DBP) ? 90 mmHg and you will/or even the entry to antihypertensive cures. Details about alcoholic beverages intake was acquired by the a questionnaire. I determined the new alcohol intake a week below: we multiplied the fresh new regularity away from alcohol consumption (everyday = 7, possibly = step three.5, and no chronic drinking = 0) and you will amount of alcohol taken in just one event (0–step one drink = 0.5, 1–2 drinks = 1.5, 2–step 3 drinks = dos.5, and you can step three drinks or higher = 3) and you can divided the merchandise because of the eight. That take in when you look at the Japan corresponds to 23 grams out of ethanol. Analysis on accessibility diabetes cures and means to fix cardio state have been thinking-said on the health checkup analysis.
For details about the usage diabetes treatment, players chosen that alternative on adopting the solutions: (a) a track record of diabetic issues, (b) significantly less than solution to diabetes mellitus, or (c) entry to all forms of diabetes treatment. Those who answered (c) were classified because the “users of diabetic issues cures,” while those who responded which have (a) or (b) or perhaps not appropriate were categorized as the “others.” Pertaining to information regarding the procedure to have heart disease, players selected you to definitely choice regarding the adopting the responses: (a) features a history of heart disease or (b) receiving treatment to have cardiovascular illnesses. Individuals who replied (b) was classified given that “undergoing treatment to have heart problems,” whereas people who replied having (a) or perhaps not relevant was in fact classified as “someone else.”
To compare the difference between participants who attended health checkups both in 2017 and 2018 and those who attended health checkups only in 2017, we used the t-test for continuous variables and the chi-square test for categorical variables. For each year, we compared the baseline characteristics according to the urinary Na/K ratio level. Moreover, we analyzed the relationship between the urinary Na/K ratio and hypertension adjusted for age, sex, BMI, alcohol intake, use of diabetes medication, and treatment for heart disease. For longitudinal data, we assessed the relationship between change in urinary Na/K ratio and BP change using multiple regression analyses adjusted for age, sex, BMI change, and alcohol intake. In both cross-sectional and longitudinal analyses, we stratified the data according to the use of antihypertensive medication. We further added SBP or DBP in 2017 as a covariate. Furthermore, we analyzed the BP difference according to the urinary Na/K ratio quartile in 2017. To examine the effect of BP due to temperature, we acquired past temperature data from the Japan Meteorological Agency in 2017 and 2018 . We considered P < 0.05 as statistically significant.