Urinary Sodium and Potassium, and Risk of Ischemic and Hemorrhagic Stroke (INTERSTROKE). A Case-Control Study
Digital
- Autores:
-
Judge, Conor
O’Donnell, Martin J.
Hankey, Graeme J.
Rangarajan, Sumathy
Lim Chin, Siu
Rao-Melacini, Purnima
Ferguson, John
Smyth, Andrew
Xavier, Denis
Lisheng, Liu
Zhang, Hongye
Lopez-Jaramillo, Patricio
Damasceno, Albertino
Langhorne, Peter
Rosengren, Annika
Dans, Antonio
Elsayed, Ahmed
Avezum, Alvaro
Mondo, Charles
Ryglewicz, Danuta
Czlonkowska, Anna
Pogosova, Nana
Weimar, Christian
Diaz, Rafael
Yusoff, Khalid
Yusufali, Afzalhussein
Oguz, Aytekin
Wang, Xingyu
Lanas, Fernando
Ogah, Okechukwu S.
Ogunniyi, Adesola
Iversen, Helle K.
Malaga, German
Rumboldt, Zvonko
Oveisgharan, Shahram
Hussain, Fawaz Al
Yusuf, Salim
INTERSTROKE investigators
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2021
- Institución:
- Universidad de Santander
- Repositorio:
- Repositorio Universidad de Santander
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.udes.edu.co:001/6052
- Acceso en línea:
- https://doi.org/10.1093/ajh/hpaa176
https://repositorio.udes.edu.co/handle/001/6052
- Palabra clave:
- Blood pressure
Hypertension
Intracerebral hemorrhage
Ischemic stroke
Potassium
Sodium
Stroke
- Rights
- openAccess
- License
- Copyright © 2021, Oxford University Press
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Urinary Sodium and Potassium, and Risk of Ischemic and Hemorrhagic Stroke (INTERSTROKE). A Case-Control Study |
| title |
Urinary Sodium and Potassium, and Risk of Ischemic and Hemorrhagic Stroke (INTERSTROKE). A Case-Control Study |
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Urinary Sodium and Potassium, and Risk of Ischemic and Hemorrhagic Stroke (INTERSTROKE). A Case-Control Study Blood pressure Hypertension Intracerebral hemorrhage Ischemic stroke Potassium Sodium Stroke |
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Urinary Sodium and Potassium, and Risk of Ischemic and Hemorrhagic Stroke (INTERSTROKE). A Case-Control Study |
| title_full |
Urinary Sodium and Potassium, and Risk of Ischemic and Hemorrhagic Stroke (INTERSTROKE). A Case-Control Study |
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Urinary Sodium and Potassium, and Risk of Ischemic and Hemorrhagic Stroke (INTERSTROKE). A Case-Control Study |
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Urinary Sodium and Potassium, and Risk of Ischemic and Hemorrhagic Stroke (INTERSTROKE). A Case-Control Study |
| title_sort |
Urinary Sodium and Potassium, and Risk of Ischemic and Hemorrhagic Stroke (INTERSTROKE). A Case-Control Study |
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Judge, Conor O’Donnell, Martin J. Hankey, Graeme J. Rangarajan, Sumathy Lim Chin, Siu Rao-Melacini, Purnima Ferguson, John Smyth, Andrew Xavier, Denis Lisheng, Liu Zhang, Hongye Lopez-Jaramillo, Patricio Damasceno, Albertino Langhorne, Peter Rosengren, Annika Dans, Antonio Elsayed, Ahmed Avezum, Alvaro Mondo, Charles Ryglewicz, Danuta Czlonkowska, Anna Pogosova, Nana Weimar, Christian Diaz, Rafael Yusoff, Khalid Yusufali, Afzalhussein Oguz, Aytekin Wang, Xingyu Lanas, Fernando Ogah, Okechukwu S. Ogunniyi, Adesola Iversen, Helle K. Malaga, German Rumboldt, Zvonko Oveisgharan, Shahram Hussain, Fawaz Al Yusuf, Salim INTERSTROKE investigators |
| dc.contributor.author.none.fl_str_mv |
Judge, Conor O’Donnell, Martin J. Hankey, Graeme J. Rangarajan, Sumathy Lim Chin, Siu Rao-Melacini, Purnima Ferguson, John Smyth, Andrew Xavier, Denis Lisheng, Liu Zhang, Hongye Lopez-Jaramillo, Patricio Damasceno, Albertino Langhorne, Peter Rosengren, Annika Dans, Antonio Elsayed, Ahmed Avezum, Alvaro Mondo, Charles Ryglewicz, Danuta Czlonkowska, Anna Pogosova, Nana Weimar, Christian Diaz, Rafael Yusoff, Khalid Yusufali, Afzalhussein Oguz, Aytekin Wang, Xingyu Lanas, Fernando Ogah, Okechukwu S. Ogunniyi, Adesola Iversen, Helle K. Malaga, German Rumboldt, Zvonko Oveisgharan, Shahram Hussain, Fawaz Al Yusuf, Salim INTERSTROKE investigators |
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Masira |
| dc.subject.proposal.eng.fl_str_mv |
Blood pressure Hypertension Intracerebral hemorrhage Ischemic stroke Potassium Sodium Stroke |
| topic |
Blood pressure Hypertension Intracerebral hemorrhage Ischemic stroke Potassium Sodium Stroke |
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Digital |
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2021 |
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2021-04-01 |
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2022-02-18T16:38:30Z |
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2022-02-18T16:38:30Z |
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https://doi.org/10.1093/ajh/hpaa176 |
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https://repositorio.udes.edu.co/handle/001/6052 |
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https://doi.org/10.1093/ajh/hpaa176 https://repositorio.udes.edu.co/handle/001/6052 |
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eng |
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eng |
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Conor Judge, Martin J O’Donnell, Graeme J Hankey, Sumathy Rangarajan, Siu Lim Chin, Purnima Rao-Melacini, John Ferguson, Andrew Smyth, Denis Xavier, Liu Lisheng, Hongye Zhang, Patricio Lopez-Jaramillo, Albertino Damasceno, Peter Langhorne, Annika Rosengren, Antonio L Dans, Ahmed Elsayed, Alvaro Avezum, Charles Mondo, Danuta Ryglewicz, Anna Czlonkowska, Nana Pogosova, Christian Weimar, Rafael Diaz, Khalid Yusoff, Afzalhussein Yusufali, Aytekin Oguz, Xingyu Wang, Fernando Lanas, Okechukwu S Ogah, Adesola Ogunniyi, Helle K Iversen, German Malaga, Zvonko Rumboldt, Shahram Oveisgharan, Fawaz Al Hussain, Salim Yusuf, on behalf of the INTERSTROKE investigators, Urinary Sodium and Potassium, and Risk of Ischemic and Hemorrhagic Stroke (INTERSTROKE): A Case–Control Study, American Journal of Hypertension, Volume 34, Issue 4, April 2021, Pages 414–425, https://doi.org/10.1093/ajh/hpaa176 |
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Scopus |
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American Journal of Hypertension |
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Copyright © 2021, Oxford University Press |
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Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0) |
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https://creativecommons.org/licenses/by-nc/4.0/ |
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Copyright © 2021, Oxford University Press Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0) https://creativecommons.org/licenses/by-nc/4.0/ http://purl.org/coar/access_right/c_abf2 |
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12 p |
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Oxford Academic |
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Reino Unido |
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https://academic.oup.com/ajh/article/34/4/414/5983728 |
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Judge, Conor597e974c-49de-458b-96c0-37679f2f5493-1O’Donnell, Martin J.6fe522ea-5a33-4480-8561-96b0975c3172-1Hankey, Graeme J.1fec7d95-98bf-4a14-a14f-dbed7b975864-1Rangarajan, Sumathy5466c363-e515-4bd2-8537-eb839320f385-1Lim Chin, Siu0f92c01a-c28a-4460-8f90-401f00da16a1-1Rao-Melacini, Purnimac6bbca6d-e0c7-4dbc-96ab-5131f24dd673-1Ferguson, Johnfcb6d4d7-8fec-4f42-ac90-b3a0d1315a58-1Smyth, Andrew1ee75a1d-4184-4e48-b6e5-c7bba7dd0484-1Xavier, Denis88c9cf48-fa3b-45c6-be03-2cc79e59289d-1Lisheng, Liuc1d416e7-d3bc-4be0-930e-a82fbac11315-1Zhang, Hongyed8ce2d60-d147-47cc-be31-d9f1519ef7e8-1Lopez-Jaramillo, Patricio9a71267b-dcb0-4d31-b37d-2d30be58d4d2-1Damasceno, Albertino2500b2be-4fb3-45c8-ba40-645dd73600aa-1Langhorne, Peterbd5a0fce-5ba6-4170-bf60-16817ce1b262-1Rosengren, Annika923779f9-3a92-4086-b3d9-9d78974926d9-1Dans, Antoniof365ef5a-7610-4022-8485-31d6d3879cd6-1Elsayed, Ahmed911b4d6e-e332-4f2f-829b-9673ab856957-1Avezum, Alvaro8b920360-abb2-4ec8-b5ee-4e3f4e0b11eb-1Mondo, Charles7aafecbd-7e11-4e0b-8dc7-ddb7ded2b812-1Ryglewicz, Danuta06d512a7-a66f-4518-bb0c-d6244a17f9b5-1Czlonkowska, Anna124b7f21-8a3d-4bf2-900c-bc38601f1982-1Pogosova, Nana0f2fb5e5-6659-4562-96e6-74c03e0c46bf-1Weimar, Christian5179f92a-6de3-4a62-b425-ab2f9c74a7be-1Diaz, Rafaelf2be4a74-501a-4e63-8bbd-965cbcf8c57b-1Yusoff, Khalid933db13d-f5bb-4ea6-91a5-68eea1ca9ffc-1Yusufali, Afzalhussein2c177fd9-b761-4f07-b754-1e05fe659a48-1Oguz, Aytekince3e3101-01ec-4709-ad5f-2ba54357481e-1Wang, Xingyu90755e4f-bf4b-49b7-8e35-8920d40f5b92-1Lanas, Fernandod22b7fe4-9f1f-4028-a22b-be782ef03d3c-1Ogah, Okechukwu S.342f6e63-a53f-41c4-93c6-134094c55324-1Ogunniyi, Adesolacbebef0f-6a26-4e37-a90e-da13c8ce4692-1Iversen, Helle K.41563fca-63f7-46be-8150-8176c3fbc88d-1Malaga, German6d419c43-e594-4165-9bbd-0189a860fd25-1Rumboldt, Zvonko8ab00278-dda6-4c17-8774-661ab1e289f6-1Oveisgharan, Shahram1cab3836-9975-4db6-baef-f66f100c6178-1Hussain, Fawaz Al5e3f7ada-6676-474b-a7eb-cac33caf775c-1Yusuf, Salim06a836b5-f5e3-41d9-a516-9cc46e5d7948-1INTERSTROKE investigatorseffd82e4-9dd0-4c22-8982-c55e3f9d0450-1Masira2022-02-18T16:38:30Z2022-02-18T16:38:30Z2021-04-01DigitalBACKGROUND Although low sodium intake (<2 g/day) and high potassium intake (>3.5 g/day) are proposed as public health interventions to reduce stroke risk, there is uncertainty about the benefit and feasibility of this combined recommendation on prevention of stroke. METHODS We obtained random urine samples from 9,275 cases of acute first stroke and 9,726 matched controls from 27 countries and estimated the 24-hour sodium and potassium excretion, a surrogate for intake, using the Tanaka formula. Using multivariable conditional logistic regression, we determined the associations of estimated 24-hour urinary sodium and potassium excretion with stroke and its subtypes. RESULTS Compared with an estimated urinary sodium excretion of 2.8–3.5 g/day (reference), higher (>4.26 g/day) (odds ratio [OR] 1.81; 95% confidence interval [CI], 1.65–2.00) and lower (<2.8 g/day) sodium excretion (OR 1.39; 95% CI, 1.26–1.53) were significantly associated with increased risk of stroke. The stroke risk associated with the highest quartile of sodium intake (sodium excretion >4.26 g/day) was significantly greater (P < 0.001) for intracerebral hemorrhage (ICH) (OR 2.38; 95% CI, 1.93–2.92) than for ischemic stroke (OR 1.67; 95% CI, 1.50–1.87). Urinary potassium was inversely and linearly associated with risk of stroke, and stronger for ischemic stroke than ICH (P = 0.026). In an analysis of combined sodium and potassium excretion, the combination of high potassium intake (>1.58 g/day) and moderate sodium intake (2.8–3.5 g/day) was associated with the lowest risk of stroke. CONCLUSIONS The association of sodium intake and stroke is J-shaped, with high sodium intake a stronger risk factor for ICH than ischemic stroke. Our data suggest that moderate sodium intake—rather than low sodium intake—combined with high potassium intake may be associated with the lowest risk of stroke and expected to be a more feasible combined dietary target.Ciencias Médicas y de la Salud12 papplication/pdfhttps://doi.org/10.1093/ajh/hpaa176https://repositorio.udes.edu.co/handle/001/6052engOxford AcademicReino Unido425441434Conor Judge, Martin J O’Donnell, Graeme J Hankey, Sumathy Rangarajan, Siu Lim Chin, Purnima Rao-Melacini, John Ferguson, Andrew Smyth, Denis Xavier, Liu Lisheng, Hongye Zhang, Patricio Lopez-Jaramillo, Albertino Damasceno, Peter Langhorne, Annika Rosengren, Antonio L Dans, Ahmed Elsayed, Alvaro Avezum, Charles Mondo, Danuta Ryglewicz, Anna Czlonkowska, Nana Pogosova, Christian Weimar, Rafael Diaz, Khalid Yusoff, Afzalhussein Yusufali, Aytekin Oguz, Xingyu Wang, Fernando Lanas, Okechukwu S Ogah, Adesola Ogunniyi, Helle K Iversen, German Malaga, Zvonko Rumboldt, Shahram Oveisgharan, Fawaz Al Hussain, Salim Yusuf, on behalf of the INTERSTROKE investigators, Urinary Sodium and Potassium, and Risk of Ischemic and Hemorrhagic Stroke (INTERSTROKE): A Case–Control Study, American Journal of Hypertension, Volume 34, Issue 4, April 2021, Pages 414–425, https://doi.org/10.1093/ajh/hpaa176ScopusAmerican Journal of HypertensionCopyright © 2021, Oxford University Pressinfo:eu-repo/semantics/openAccessAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)https://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2https://academic.oup.com/ajh/article/34/4/414/5983728Blood pressureHypertensionIntracerebral hemorrhageIschemic strokePotassiumSodiumStrokeUrinary Sodium and Potassium, and Risk of Ischemic and Hemorrhagic Stroke (INTERSTROKE). A Case-Control StudyArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85Todas las AudienciasPublicationORIGINALUrinary Sodium and Potassium, and Risk of Ischemic and Hemorrhagic Stroke (INTERSTROKE). A Case-Control Study.pdfUrinary Sodium and Potassium, and Risk of Ischemic and Hemorrhagic Stroke (INTERSTROKE). A Case-Control Study.pdfapplication/pdf231961https://repositorio.udes.edu.co/bitstreams/8626caba-55c7-4879-91c4-93b6658b588d/download9aae91f21f05181b0419249414a459cfMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-859https://repositorio.udes.edu.co/bitstreams/4804895f-e451-4237-92bc-c5026d08cf44/download38d94cf55aa1bf2dac1a736ac45c881cMD52TEXTUrinary Sodium and Potassium, and Risk of Ischemic and Hemorrhagic Stroke (INTERSTROKE). 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