@article{oai:shiga-med.repo.nii.ac.jp:00000140, author = {環, 慎二 and 金盛, 俊之 and 松井, 甚弥 and 平田, 邦夫 and 川嶋, 剛史 and 堀江, 稔}, issue = {1}, journal = {滋賀医科大学雑誌}, month = {}, note = {Departmental Bulletin Paper, [Background] JSH2009 recommends that the target of salt restriction should be < 6g/day. However, it is very difficult for patients to carry out salt restriction in daily life. [Methods and subjects] We studied 315 hypertensive patients who attended our outpatient clinic between January and June 2010. All of these patients were evaluated for estimated dietary salt intake using spot urine samples (with correction for creatinine). To examine independent contributory factors affecting estimated dietary salt intake, linear regression analysis was performed. [Results] Men's and women's estimated dietary salt intakes during a day were 10.0±2.9g/day and 9.4±3.0g/day. Only 19 patients (6.0%) demonstrated the JSH2009 target level of salt restriction (<6g/day). There were significant relationships between the estimated dietary salt intake and BMI, waist and metabolic syndrome (p=0.008, p=0.003 and p=0.033, respectively). However there was no relationship between estimated dietary salt intake and blood pressure (BP) either in the outpatient clinic or on Home BP. Linear regression analysis showed only BMI (waist) (=0.20 (=0.06) ; p=0.015 (p=0.039)) was an independent factors contributing to estimated dietary salt intake. Repeatedly guiding the salt restriction in outpatient clinic, it tended to decrease estimated dietary salt intake in the second time compared with the first time (p=0.050). [Conclusion] It is very difficult for patients to follow the salt intake restriction guidance given at the outpatient clinic. However, our findings show that simply recommending weight control easily promotes salt restriction. Repeatedly guiding the salt restriction in outpatient clinic becomes a salt restriction.}, pages = {9--17}, title = {当院における随時尿から求めた一日推定塩分摂取量の有用性の検討}, volume = {25}, year = {2012} }