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. 2012 Jan 5;175(4):348–358. doi: 10.1093/aje/kwr292

Table 2.

Prevalence of Analgesic Use According to Detection of Urinary Acetaminophen and Ibuprofen Metabolites and According to Self-Reports Among Male Participants, by Country and Age Group, International Study of Macro-/Micro-Nutrients and Blood Pressure, 1996–1999

Source of Data on Analgesic Use Country and Age Group, years
Japan (n = 570)
China (n = 416)
United Kingdom (n = 265)
United States (n = 1,085)
Total (All Ages) (n = 2,336)
40–49 (n = 287)
50–59 (n = 283)
40–49 (n = 210)
50–59 (n = 206)
40–49 (n = 133)
50–59 (n = 132)
40–49 (n = 535)
50–59 (n = 550)
No. % No. % No. % No. % No. % No. % No. % No. % No. %
Acetaminophen signals in 1H NMR urine spectra
    First urine specimen 3 1.0 2 0.7 7 3.3 4 1.9 11 8.3 13 9.8 37 6.9 48 8.7 125 5.4
    Second urine specimen 2 0.7 0 0 5 2.4 4 1.9 10 7.5 14 10.6 42 7.9 51 9.3 128 5.5
    First or second urine specimen 5 1.7 2 0.7 11 5.2 7 3.4 16 12.0 23 17.4 64 12.0 78 14.2 206 8.8
    First and second urine specimens 0 0 0 0 1 0.5 1 0.5 5 3.8 4 3.0 15 2.8 21 3.8 47 2.0
Ibuprofen signals in 1H NMR urine spectra
    First urine specimen 0 0 1 0.4 1 0.5 0 0 2 1.5 1 0.8 25 4.7 39 7.1 69 3.0
    Second urine specimen 2 0.7 1 0.4 1 0.5 2 1.0 4 3.0 4 3.0 28 5.2 41 7.5 83 3.6
    First or second urine specimen 2 0.7 1 0.4 2 1.0 2 1.0 5 3.8 4 3.0 44 8.2 62 11.3 122 5.2
    First and second urine specimens 0 0 1 0.4 0 0 0 0 1 0.8 1 0.8 9 1.7 18 3.3 30 1.3
Acetaminophen and/or ibuprofen signals in 1H NMR urine spectra
    First urine specimen 3 1.0 3 1.1 8 3.8 4 1.9 13 9.8 14 10.6 60 11.2 84 15.3 189 8.1
    Second urine specimen 4 1.4 1 0.4 6 2.9 6 2.9 13 9.8 18 13.6 67 12.5 88 16.0 203 8.7
    First or second urine specimen 7 2.4 3 1.1 13 6.2 9 4.4 20 15.0 27 20.5 99 18.5 131 23.8 309 13.2
    First and second urine specimens 0 0 1 0.4 1 0.5 1 0.5 6 4.5 5 3.8 28 5.2 41 7.5 83 3.6
Self-reported analgesic use
    First clinic visit 2 0.7 4 1.4 3 1.4 5 2.4 10 7.5 15 11.4 42 7.9 87 15.8 168 7.2
    Third clinic visit 2 0.7 4 1.4 4 1.9 6 2.9 7 5.3 10 7.6 43 8.0 91 16.5 167 7.1
    First or third clinic visit 4 1.4 6 2.1 7 3.3 11 5.3 13 9.8 15 11.4 58 10.8 114 20.7 228 9.8
    First and third clinic visits 0 0 2 0.7 0 0 0 0 4 3.0 10 7.6 27 5.0 64 11.6 107 4.6

Abbreviation: 1H NMR, hydrogen-1 nuclear magnetic resonance.