Table 1.
Estimative dietary equations and urinary measures of net endogenous noncarbonic acid production and its determinants (potential renal acid load and organic acids)
Equation | Formula |
---|---|
NEAPF, mEq/d | = (0.91 × protein in g/d) − (0.57 × potassium in mEq/d) + 21 |
NEAPR, mEq/d | = PRAL + OAanthro |
NEAPL, mEq/d | = PRAL + OAdiet |
NEAPS, mEq/d | = PRALS + OAdiet |
PRAL, mEq/d | = ([0.488 × protein in g/d] + [0.0366 × phosphorus in mg/d]) − ([0.0205 × potassium in mg/d] + [0.0263 × magnesium in mg/d] + [0.0125 × calcium in mg/d]) |
PRALS, mEq/da | = ([0.75 × sulphate] + [0.63 × phosphorus]) − ([0.80 × potassium] + [0.25 × calcium] + [0.32 × magnesium]) (all in mEq/d) |
OAanthro, mEq/d | = body surface area × 41 / 1.73 |
Body surface area, m2 | = 0.007184 − height (cm)0.725 − weight (kg)0.425 |
OAdiet, mEq/d | = 32.9 + (0.15 × [{potassium} + {calcium × 2} + {magnesium × 2} – {phosphorus × 1.8}]) (all in mmol/d) |
UPRAL, mEq/d | = ([sulphate × 2] + [phosphorus × 1.8]) − (potassium + [magnesium × 2] + [calcium ×2]) (all in mmol/d) |
UNEAP, mEq/d | = UPRAL + total urine organic acid (both in mEq/d) |
NAE, mEq/d | = titratable acid + ammonium − bicarbonate (all in mEq) |
NAE, net acid excretion; NEAP, net endogenous acid production estimated by dietary records where NEAPR pertains to the equation by Remer and Manz,7 NEAPF to the equation by Frassetto et al.,6 NEAPL to a model attributed to Lemann,11, 12, 13 and NEAPS to the equation by Sebastian et al.9; PRAL, potential renal acid load estimated by dietary intake where PRAL is the equation by Remer and Manz7 and PRALS pertains to the equation by Sebastian et al.9; UNEAP, net endogenous acid production determined by urine analysis; UPRAL, potential renal acid load determined by urine analysis; OA, organic acids where OAanthro pertains to the anthropometric estimate by Manz et al.10 and OAdiet to the estimative equation by Kleinman and Lemann.11
Prior to using PRALS, when converting mmol of phosphorus to mEq, 1.8 is used as the conversion factor.