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J Clin Hypertens (Greenwich). Author manuscript; available in PMC 2017 September 11. Published in final edited form as: J Clin Hypertens (Greenwich). 2016 May ; 18(5): 456–467. doi:10.1111/jch.12763.
Accuracy and Usefulness of Select Methods for Assessing Complete Collection of 24-Hour Urine: A Systematic Review Katherine A. John, MPH1, Mary E. Cogswell, RN, DrPH1, Norm R. Campbell, MD2, Caryl A. Nowson, PhD, Dip Nutr Diet3, Branka Legetic, MD, MPH, PhD4, Anselm J. M. Hennis, PhD4, and Sheena M. Patel, MPH1 1Epidemiology
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& Surveillance Branch, Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
2Departments
of Medicine, Physiology and Pharmacology and Community Health Sciences, O’Brien Institute for Public Health and, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada
3Centre
for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University, Burwood Victoria, Australia 4Unit
of Noncommunicable Diseases & Disabilities, Department of Noncommunicable Diseases and Mental Health, Pan American Health Organization, Washington, DC, USA
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Abstract
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Twenty-four–hour urine collection is the recommended method for estimating sodium intake. To investigate the strengths and limitations of methods used to assess completion of 24-hour urine collection, the authors systematically reviewed the literature on the accuracy and usefulness of methods vs para-aminobenzoic acid (PABA) recovery (referent). The percentage of incomplete collections, based on PABA, was 6% to 47% (n=8 studies). The sensitivity and specificity for identifying incomplete collection using creatinine criteria (n=4 studies) was 6% to 63% and 57% to 99.7%, respectively. The most sensitive method for removing incomplete collections was a creatinine index