Skip to main content
. 2019 Sep 4;17(9):e05778. doi: 10.2903/j.efsa.2019.5778
Country (reference) Year Methodology Age (years) N and participants’ characteristics Na excreted in urine (mmol/day)a
Mean SD 95% CI Median (P50)

IQR

(P25–P75)d

Austria

(Elmadfa, 2012)

2010–2012 Casual spot urine samples; 24‐h excretion estimated by multiplying Na concentration by an average urine volume of 1.75 L/day from a subsample of 19 people from whom 24‐h urine were collected

18–64

65–80

N/A

(total sample:

419 men and women aged 18–64 and 196 men and women aged 65–80)

Sample stratified by gender, age and geographical areas

18–24 years: 187

25–50 years: 191

51–64 years: 204

65–80 years: 183

N/A

18–24 years: 152–226

25–50 years: 178–204

51–64 years: 174–235

65–80 years: 139–204

N/A N/A

Belgium

(Koppen et al., 2015)

2015

24‐h urine collection;

exclusion of samples with Cr excretion levels outside the normal range of 0.177–0.230 mmol/kg per day for men and self‐reported as incomplete

23–64

99

Sampled via an occupational health survey centre (random cluster sampling), spread over the different Belgian provinces

179 63 N/A 172 N/A
Belgium 2007–2008

2 × 24‐h urine collection (1 month interval);

completeness of urine collection assessed by PABA recovery (≥ 85%). For samples with a PABA recovery between 50% and 85%, urinary Na excretion was corrected (formula from Johansson et al. (1999))

45–65 63 209b N/A 195–223 N/A N/A
Czech Republicc 58 252b 78 N/A 241

P5–P95

149–395

Norway

(De Keyzer et al., 2015)

62

Subsamples of the European

EFCOVAL study; subjects recruited by convenience sampling through advertisements

204b N/A 191–218 N/A N/A

Croatia

(Premužić et al., 2010)

2009

24‐h urine collection;

Completeness check not reported

46.3 ± 7.3

N/A

(total sample of

93 men and women)

From two out‐patient clinics (one urban, one rural); ‘salt‐mapping survey’

231 74 N/A N/A N/A

Croatia

(Dika et al., 2009)

2009 Morning spot urine samples; 24‐h Na excretion estimated by applying Kawasaki, INTERSALT and Tanaka equations N/A

N/A

(total sample of 1,669 men and women);

Random sample (door‐to‐door method) in the continental rural part of Croatia

Kawasaki: 229 80 N/A N/A N/A
INTERSALT: 194 40 N/A N/A N/A
Tanaka: 186 49 N/A N/A N/A

Finland

(Laatikainen et al., 2006)

2002

24‐h urine collection;

exclusion of incomplete samples with Cr levels ≤ 5.0 mmol/day or Cr levels ≤ 6.0 mmol/day together with a urine volume < 1,000 mL

25–64

423

North Karelia, n = 168

Southwestern Finland, n = 128

Helsinki area, n = 127

Sampled as part of the national FINRISK 2002 study; 10‐year age group and sex‐stratified subsample of the population aged 25–64 years drawn in north Karelia, southwestern Finland and in the Helsinki area

North Karelia: 163

Southwestern Finland: 170

Helsinki area: 148

N/A

North Karelia: 153–173

Southwestern Finland: 156–183

Helsinki area: 132–164

N/A N/A

Germany

(Johner et al., 2015)

2008–2011 Casual spot urine samples; 24‐h Na excretion estimated from the Na:Cr ratio by multiplication with age‐ and sex‐stratified Cr excretion reference values (Remer et al., 2002) 18–79

3,340

18–29 years, n = 507

30–39 years, n = 403

40–49 years, n = 586

50–59 years, n = 630

60–69 years, n = 671

70–79 years, n = 543

Random sample, as part of the German National Health Interview and

Examination Survey 2008–2011, representative

for the German adult population

N/A N/A

Overall: 165–177

18–29 years: 148–173

30–39 years: 163–197

40–49 years: 148–173

50–59 years: 167–189

60–69 years: 165–194

70–79 years: 158–178

Overall: 170

18–29 years: 160

30–39 years: 180

40–49 years: 163

50–59 years: 177

60–69 years: 177

70–79 years: 167

Overall: 117–252

18–29 years: 113–263

30–39 years: 123–264

40–49 years: 110–231

50–59 years: 115–261

60–69 years: 117–252

70–79 years: 118–245

Greece

(unpublished data)

2013–2014 For 7 days, the weight and time of each void was recorded and a sample of urine was collected. For each day, a sample of 10 mL was reconstituted from the individual samples based on the ratio of the volume of each void to the total volume of urinary excretion for the day. Exclusion of samples with Cr levels > 3,500 mg/day or < 350 mg/day 20–60 89 Participants equally divided in each decade of life. 159 51 N/A 148  

Greece

(Vasara et al., 2017)

2015–2016 24‐h urine collection; exclusion of incomplete samples on the basis of (a) Urinary volume < 500 mL/24‐h, (b) urinary creatinine less than 2 SD from the mean, (c) timing of collection outside the range 23–25 h, (d) self‐reporting of incomplete collection 18–74

114

Salt intake in northern Greece (SING) Study – Regional study conducted in Thessaloniki greater metropolitan area. Recruitment was carried out at various sites and venues including churches and workplaces

194.3 76.8 180.1–208.6 181.9 N/A

Hungary

(unpublished data)

2010 24‐h urine collection; completeness of the samples checked on the basis of participants’ compliance with the protocol Adults (age not specified)

67

Random sample of the Hungarian adult population recruited through primary care physicians

190 73 N/A N/A N/A
Ireland (Morgan et al., 2008) 2007 Spot urine samples; daily Na excretion estimated through arithmetic extrapolation (Na concentration (mmol/L) multiplied by 1.97 for men) ≥ 18

484

Random sample of both Irish citizens and non‐Irish national residents sampled as part of the Survey of Lifestyle, Attitudes and Nutrition (SLAN) 2007, representative of the general population in Ireland

≥ 18 years: 176

45–64 years: 188

≥ 65 years: 158

≥ 18 years: 85

45–64 years: 88

≥ 65 years: 78

N/A N/A N/A
Ireland (Kearney et al., 2013) 2010–2011 Morning urine samples; daily Na excretion estimated through arithmetic extrapolation (Na concentration (mmol/L) multiplied by 1.97 for men) 45–74

999

Registered patients attending the Living Health Clinic of Mitchelstown, Ireland, sampled as part of the Cork and Kerry Diabetes and Heart Disease Study Phase II

Overall: 211

45–54 years: 218

55–64 years: 211

65–74 years: 201

Overall: 89

45–54 years: 92

55–64 years: 87

55–74 years: 89

N/A N/A N/A

Italye

(Donfrancesco et al., 2013; Cappuccio et al., 2015)

2009–2012 24‐h urine collection; A sample if 24‐h urine volume < 500 mL or creatinine content referred to body weight < mean minus 2 SD from the population mean 35–79

1,962

Random samples of the Italian adult population from 20 Italian regions, stratified by age and sex (MINISAL‐GIRCSI Programme)

Overall: 183

35–44 years: 184

45–54 years: 190

55–64 years: 182

65–74 years: 180

75–79 years: 176

Overall: 70

35–44 years: 72

45–54 years: 70

55–64 years: 70

65–74 years: 70

75–79 years: 60

Overall: 180–187

35–44 years: 178–191

45–54 years: 184–197

55–64 years: 176–188

65–74 years: 173–187

75–79 years: 166–185

Overall: 175

35–44 years: 174

45–54 years: 182

55–64 years: 173

65–74 years: 170

75–79 years: 172

N/A
Slovenia (Ribic et al., 2010) 2005 24‐h urine collection; exclusion of incomplete samples with Cr level < 120 μmol/kg bw per day for men (Osredkar, 1998) 25–65

61

Participants randomly

sampled from census data from all regions, representative of the general population in Slovenia

221 86 N/A N/A N/A
Spain (Ortega et al., 2011) 2009 24‐h urine collection; completeness of the samples assessed by considering the correlation between urinary Cr and FFM of each subject; FFM estimated from 24‐h Cr excretion and result compared with measured FFM obtained by electrical bioimpedance method (Lopez‐Sobaler and Quintas et al., 2006) 18–60

196

Selected as a representative sample of the Spanish young and middle‐aged adult population (from 15 randomly selected provinces; stratified by age and sex)

196 82 N/A 196 140–250
Sweden (Hulthen et al., 2010) 2005 24‐h urine collection; completeness of urine collection assessed by PABA recovery (≥ 85%) 18−20

79

Participants recruited in the city of Gothenburg, as part of the Gothenburg Obesity and Osteoporosis Determinants (GOOD) study

198 69 N/A N/A  
Switzerland (Chappuis et al., 2011) 2010–2011 24‐h urine collection; exclusion of incomplete samples on the basis of: (1) urinary volume < 300 mL/24 h, (2) self‐reporting of incomplete collection, or (3) Cr level ≤ 0.121 mmol/kg bw per day in men ≥ 15

706

Age‐ and sex‐ stratified sample in various cantons of Switzerland, randomly selected. The low participation rate was compensated by recruiting volunteers

Overall: 185

15–29 years: 171

30–44 years: 190

45–59 years: 194

≥ 60 years: 180

N/A N/A N/A  
Netherlands (Hendriksen et al., 2014) 2010 24‐h urine collection; exclusion of incomplete samples on the basis of (1) Cr excretion ≤ 5 mmol/day, or ≤ 6 mmol/day together with a urine volume < 1,000 mL or (2) missing or overcollection of more than one urine void 19–70

180

Individuals participating in an ongoing long‐term monitoring study on chronic disease risk factors (the Doetinchem Cohort Study (DCS)) or randomly drawn from the municipal register of Doetinchem (General Doetinchem Population Sample (GDPS))

174 63 N/A 163 126–212
Netherlands (Hendriksen et al., 2016) 2015

24‐h urine collection; start and end time of the urine collection were recorded. Participants had to report urine losses

Based on this data, the researchers determined whether participants had an incomplete urine collection

19–70

135

Participants aged 50–70 recruited from an ongoing long‐term monitoring study on chronic disease risk factors (the Doetinchem Cohort Study (DCS)); Participants aged 19–49 randomly drawn from the municipal register of Doetinchem (General Doetinchem Population Sample (GDPS)); Exclusion of individuals had participated in the 24‐h urine test in 2006 and 2010 in the study of Hendriksen et al. (2014), kidney patients and pregnant women

N/A N/A N/A

Overall: 153

19–49 years: 146

50–70 years: 174

Overall: 125–202

19–49 years: 110–195

50–70 years: 138–214

United Kingdom (Sadler et al., 2011) 2011 24‐h urine collection; exclusion of samples on the basis of PABA recovery (< 70% (incomplete) or > 104% (unfeasibly high); individuals who elected not to take PABA, or did not take all PABA tablets, but recorded they had completed a 24‐h urine collection were included if recorded collection time was collected between 23 and 25 h 19–64

250

Participants from the England National Diet and Nutrition Survey sample and from a ‘Na boost’ study; stratified sample randomly selected in various regions of England

19–34 years: 162

35–49 years: 171

50–64 years: 141

19–34 years: 69 35–49 years: 66 50–64 years: 82 N/A

19–34 years: 159

35–49 years: 165

50–64 years: 133

P2.5–P97.5

19–34 years: 72–296

35–49 years: 73–321

50–64 years: 54–308

bw: body weight; 95% CI: 95% confidence interval; Cr: creatinine; EFCOVAL: European Food Consumption Validation; FFM: fat‐free mass; INTERSALT: International Cooperative Study on Salt, Other Factors and Blood Pressure; IQR: interquartile range; N: number; Na: sodium; N/A: not available; PABA: para‐aminobenzoic acid; SD: standard deviation.

a

For comparison purposes, results provided in g NaCl/day were converted back in mmol/day by multiplying by 0.4 and dividing by 23.

b

Geometric means; based on two 24‐h collection per subject.

c

The values reported are unpublished data provided by the National Institute of Public Health of the Czech Republic.

d

Unless indicated otherwise.

e

The values reported are unpublished data provided by the Italian Instituto Superiore di Sanità.