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

IQR

(P25–P75)b

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

NA

(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: 157

25–50 years: 161

51–64 years: 130

65–80 years: 152

N/A

18–24 years: 117–200

25–50 years: 143–178

51–64 years: 104–157

65–80 years: 126–174

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 0.133–0.177 mmol/kg per day for women and self‐reported as incomplete

23–64

106;

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

137 56 N/A 122 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 60 173b N/A 161–185 N/A N/A
Czech Republica 60 182b 56   173

P5‐P95

101–288

Norway

(De Keyzer et al., 2015)

62

Subsamples of the European

EFCOVAL study; subjects recruited by convenience sampling through advertisements

151b N/A 141–161 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’

177 73 N/A N/A  

Croatia

(Dika et al., 2009)

2009 Morning spot urine samples; 24‐h Na excretion was 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: 214 78 N/A N/A  
INTERSALT: 222 56 N/A N/A  
Tanaka: 178 69 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

486

North Karelia, n = 174

Southwestern Finland, n = 156

Helsinki area, n = 156

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: 128

Southwestern Finland: 127

Helsinki area: 119

N/A

North Karelia: 120–135

Southwestern Finland: 119–135

Helsinki area: 111–127

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

3,622

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: 138–148

18–29 years: 116–136

30–39 years: 129–153

40–49 years: 141–165

50–59 years: 146–167

60–69 years: 134–153

70–79 years: 127–144

Overall: 143

18–29 years: 126

30–39 years: 139

40–49 years: 155

50–59 years: 156

60–69 years: 146

70–79 years: 134

Overall: 92–217

18–29 years: 85–184

30–39 years: 96–205

40–49 years: 103–226

50–59 years: 96–235

60–69 years: 87–212

70–79 years: 90–223

Greece

(unpublished data)

2013–2014 For 7 days, the weight and time of each void were 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 on the basis of Cr excretion (> 3,500 mg/day or < 350 mg/day) 20–60

83

Participants equally divided in each decade of life

130 48 N/A 124  

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 and (d) self‐reporting of incomplete collection 18–75

138

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

158.5 64.1 147.7–169.3 151.0  

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)

86

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

163 71 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 1.67 for women) ≥ 18

611

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: 128

45–64 years: 132

≥ 65 years: 116

≥ 18 years: 72

45–64 years: 75

≥ 65 years: 62

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 1.67 for women) 45–74

1,029

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: 129

45–54: 138

55–64: 128

65–74: 125

overall: 64

45–54: 72

55–64: 61

65–74: 59

N/A N/A N/A

Italyc

(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

1,900

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

Overall: 142

35–44 years: 142

45–54 years: 147

55–64 years: 143

65–74 years: 140

75–79 years: 135

Overall: 57

35–44 years: 61

45–54 years: 58

55–64 years: 54

65–74 years: 55

75–79 years: 56

Overall: 139–145

35–44 years: 136–148

45–54 years: 141–152

55–64 years: 138–148

65–74 years: 135–145

75–79 years: 126–144

Overall: 136

35–44 years: 135

45–54 years: 141

55–64 years: 138

65–74 years: 132

75–79 years: 129

 
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

82

Participants randomly

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

170 74 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

222

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

143 66 N/A 131 97–178
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 ≤ 0.082 mmol/kg bw per day in women ≥ 15

742

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

Overall: 137

15–29 years: 135

30–44 years: 140

45–59 years: 144

≥ 60 years: 125

N/A 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))

128 43 N/A 122 96–154
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

154

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: 120

19–49 years: 122

50–70 years: 113

Overall: 93–146

19–49 years: 103–148

50–70 years: 85–140

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 23–25 h

19–64

297

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

19–34 years: 122

35–49 years: 116

50–64 years: 112

19–34 years: 55

35–49 years: 52

50–64 years: 59

N/A

19–34 years: 120

35–49 years: 104

50–64 years: 108

P2.5–P97.5

19–34 years: 47–261

35–49 years: 57–206

50–64 years: 44–218

bw: body weight; 95% CI: 95% confidence interval; Cr: creatinine; EFCOVAL: European Food Consumption Validation; FFM: fat‐free mass; IQR: interquartile range; N: number; Na: sodium; N/A: not available; PABA: para‐aminobenzoic acid, SD: standard deviation.

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

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

a

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

b

Unless indicated otherwise.

c

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