Purpose: We examined the relationship between the urinary ATP level and the desire to void, voided urine volume, and urinary osmotic pressure. Materials and Methods: The subjects were 4 healthy volunteers (2 men and 2...Purpose: We examined the relationship between the urinary ATP level and the desire to void, voided urine volume, and urinary osmotic pressure. Materials and Methods: The subjects were 4 healthy volunteers (2 men and 2 women) without micturition disorders who were not taking any medications and had normal urinalysis findings. Over 2 - 3 days, they urinated into a clean cup a total of 20 times. The strength of the desire to void was classified (none, slight, moderate, or strong;scored from 1 to 4, respectively) and a voiding score was assigned at each urination, along with measurement of the voided volume, urinary ATP, urinary creatinine, and urinary osmotic pressure (one man). Results: Variation of the urinary ATP/creatinine ratio was large in both male and female subjects. The urinary ATP/creatinine ratio was lower in the 2 men compared with the 2 women. This ratio showed a significant negative correlation (R2 = 0.1577 and 0.1673, both p < 0.05) with the voided urine volume in the male subjects. However, there was no relationship between the urinary ATP/creatinine ratio and the voiding score or voided urine volume in the female subjects. Conclusions: The urinary ATP level may not be a clinically useful marker of bladder pathology. Both the present study and our previous studies identified a large sex difference in the urinary ATP/creatinine ratio, and this finding may be important when considering the causes of overactive bladder (OAB) in women. The mechanism underlying the increase in urinary ATP in women should be investigated to develop new therapies for OAB.展开更多
Salt reduction policies have been implemented throughout the world as well as in Japan. However, most of the current questionnaires for estimating salt intake are apt to be based on empirical evidence. This study was ...Salt reduction policies have been implemented throughout the world as well as in Japan. However, most of the current questionnaires for estimating salt intake are apt to be based on empirical evidence. This study was aimed to develop and validate a questionnaire for predicting high salt intake based on salt usage using dietary behaviors that affect salt intake in cooperation with Niigata prefecture, Japan. The study was comprised of 760 participants aged 21 - 79 years (Men%: 49%) living in Niigata. Participants completed a questionnaire about dietary behaviors potentially relevant to salt intake. Second morning voiding urine for estimating dietary salt intake per day was collected on the same day. The relationship of estimated dietary salt intake to answers on the questionnaire was examined using analysis of covariance for age, gender, body mass index, and whether taking medication or not. Ten items on the questionnaire revealed an association with dietary salt intake per day: making oneself gorge on a meal, having ≥2 different staples per meal, having a 1-dish meal, number of simmered dishes per day, variety of pickled vegetables per day, having salt-cured fish eggs per day, quantity of soup consumed when eating noodles, preference for strong-tasting meals, frequency of eating out, and frequency of alcohol consumption.The current study identified 10 dietary behaviors that enabled the development of a salt intake questionnaire for identifying specific dietary behaviors for assessing regions and/or individuals when attempting to encourage salt reduction.展开更多
文摘Purpose: We examined the relationship between the urinary ATP level and the desire to void, voided urine volume, and urinary osmotic pressure. Materials and Methods: The subjects were 4 healthy volunteers (2 men and 2 women) without micturition disorders who were not taking any medications and had normal urinalysis findings. Over 2 - 3 days, they urinated into a clean cup a total of 20 times. The strength of the desire to void was classified (none, slight, moderate, or strong;scored from 1 to 4, respectively) and a voiding score was assigned at each urination, along with measurement of the voided volume, urinary ATP, urinary creatinine, and urinary osmotic pressure (one man). Results: Variation of the urinary ATP/creatinine ratio was large in both male and female subjects. The urinary ATP/creatinine ratio was lower in the 2 men compared with the 2 women. This ratio showed a significant negative correlation (R2 = 0.1577 and 0.1673, both p < 0.05) with the voided urine volume in the male subjects. However, there was no relationship between the urinary ATP/creatinine ratio and the voiding score or voided urine volume in the female subjects. Conclusions: The urinary ATP level may not be a clinically useful marker of bladder pathology. Both the present study and our previous studies identified a large sex difference in the urinary ATP/creatinine ratio, and this finding may be important when considering the causes of overactive bladder (OAB) in women. The mechanism underlying the increase in urinary ATP in women should be investigated to develop new therapies for OAB.
文摘Salt reduction policies have been implemented throughout the world as well as in Japan. However, most of the current questionnaires for estimating salt intake are apt to be based on empirical evidence. This study was aimed to develop and validate a questionnaire for predicting high salt intake based on salt usage using dietary behaviors that affect salt intake in cooperation with Niigata prefecture, Japan. The study was comprised of 760 participants aged 21 - 79 years (Men%: 49%) living in Niigata. Participants completed a questionnaire about dietary behaviors potentially relevant to salt intake. Second morning voiding urine for estimating dietary salt intake per day was collected on the same day. The relationship of estimated dietary salt intake to answers on the questionnaire was examined using analysis of covariance for age, gender, body mass index, and whether taking medication or not. Ten items on the questionnaire revealed an association with dietary salt intake per day: making oneself gorge on a meal, having ≥2 different staples per meal, having a 1-dish meal, number of simmered dishes per day, variety of pickled vegetables per day, having salt-cured fish eggs per day, quantity of soup consumed when eating noodles, preference for strong-tasting meals, frequency of eating out, and frequency of alcohol consumption.The current study identified 10 dietary behaviors that enabled the development of a salt intake questionnaire for identifying specific dietary behaviors for assessing regions and/or individuals when attempting to encourage salt reduction.