title: [Impact of the ExSel(®) test administration on the excessive salt consumption in hypertensive patients followed in general practice].
abstract: OBJECTIVE
  To evaluate the impact of the Exsel(®) test administration on salt intake in hypertensive subjects followed in general practice.
  
  
  METHODS
  In a group practice of general practitioners in the Île-de-France, the ExSel(®) test http://www.comitehta.org/testez-vous/consommez-vous-du-sel-en-exces-test-exsel/ was administered to 329 outpatients. The questionnaire was filled in the waiting room and then commented by the doctor. In patients treated for hypertension, 24hours urinary Na was prescribed after the consultation. Excessive salt consumption (ESC) was defined as a urinary Na≥200mmol/day.
  
  
  RESULTS
  The population included subjects aged on average 57 years with 43 % of hypertensive patients. According Exsel(®), an ESC was suspected in 36 % of patients and was more common in treated hypertensive patients (44 %; [36-52]) in hypertensive men (57 %; [46-68]) than among non-hypertensive (31 %; [24-38]) and non hypertensive women (18 % [11-25]). Urinary Na has been finally performed by 63 % of subjects and 24hours excretion was 157±56mmol in men and 123±39mmol in women. After this 24hours urinary sodium evaluation, subsequent to ExSel(®) test, ESC frequency was lower among men (19 %) and very low among women (5 %).
  
  
  CONCLUSIONS
  To estimate the ESC, the ExSel(®) test is easily performed in general practice while 24hours urinary sodium is more difficult to obtain. Achieving an ExSel(®) test was accompanied by a decrease in the frequency of excessive salt consumers with a greater effect in women.
authors.affiliation: Pôle cœur métabolisme, unité de prévention cardiovasculaire, groupe hospitalier universitaire Pitié-Salpêtrière, Assistance publique-Hôpitaux de Paris, 83, boulevard de l'Hôpital, 75651 Paris cedex 13, France; Cabinet médical, 8 rue Bernaches, 91610 Ballancourt-sur-Essonne, France.
authors.forename: F
authors.initials: F
authors.lastname: Villeneuve
authors.affiliation: Cabinet médical, 8 rue Bernaches, 91610 Ballancourt-sur-Essonne, France.
authors.forename: H
authors.initials: H
authors.lastname: Lim
authors.affiliation: Pôle cœur métabolisme, unité de prévention cardiovasculaire, groupe hospitalier universitaire Pitié-Salpêtrière, Assistance publique-Hôpitaux de Paris, 83, boulevard de l'Hôpital, 75651 Paris cedex 13, France. Electronic address: xavier.girerd@psl.aphp.fr.
authors.forename: X
authors.initials: X
authors.lastname: Girerd
mesh_terms: D000328:Adult; D000368:Aged; D015992:Body Mass Index; D004034:Diet Surveys; D005260:Female; D005500:Follow-Up Studies; D005602:France / Q000453:epidemiology; D058006:General Practice / Q000706:statistics & numerical data; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000453:epidemiology / Q000503:physiopathology / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D012307:Risk Factors; D017678:Sex Distribution; D017673:Sodium Chloride, Dietary / Q000008:administration & dosage* / Q000652:urine*
chemical_list: D017673:Sodium Chloride, Dietary
keywords: Consommation excessive de sel; ExSel(®) test; Excessive salt intake; Hypertension; Hypertension artérielle; Salt; Sel; Test ExSel(®)