Evaluation of Salt Intake, Urinary Sodium Excretion and Their Relationship to Overhydration in Chronic Kidney Disease Patients

Blood Purif. 2015;40(1):59-65. doi: 10.1159/000430902. Epub 2015 Jun 27.

Abstract

The purpose of this study was to estimate sodium intake in a group of patients with chronic kidney disease (CKD) and to correlate the results with the urinary excretion values of sodium and signs of fluid overload. We included patients with CKD in different stages. Urinary sodium was measured in 24 h urine samples. Body composition monitor (BCM) was used to estimate the hydration status. Sixty patients (38 ± 15 ml/min of GFR) presented 4.14 ± 1.71 g/24 h of urinary sodium excretion. Overhydration was detected in 50% of the patients by the BCM. There was a positive correlation between the measured sodium excretion values and BCM, ICW, ECW and TBW. In conclusion, markers of overhydration evaluated by BCM were positively correlated with urinary sodium excretion.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Body Composition
  • Cross-Sectional Studies
  • Diuretics / therapeutic use
  • Female
  • Humans
  • Male
  • Middle Aged
  • Renal Insufficiency, Chronic / diagnosis
  • Renal Insufficiency, Chronic / drug therapy
  • Renal Insufficiency, Chronic / metabolism*
  • Renal Insufficiency, Chronic / physiopathology
  • Renal Insufficiency, Chronic / urine*
  • Sodium / urine*
  • Sodium, Dietary / administration & dosage*
  • Water-Electrolyte Imbalance*

Substances

  • Diuretics
  • Sodium, Dietary
  • Sodium