Relationship between urine creatinine and urine osmolality in spot samples among men and women in the danish diet cancer and health cohort
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Relationship between urine creatinine and urine osmolality in spot samples among men and women in the danish diet cancer and health cohort. / Ozdemir, Selinay; Sears, Clara G.; Harrington, James M.; Poulsen, Aslak Harbo; Buckley, Jessie; Howe, Chanelle J.; James, Katherine A.; Tjonneland, Anne; Wellenius, Gregory A.; Raaschou-Nielsen, Ole; Meliker, Jaymie.
In: Toxics, Vol. 9, No. 11, 282, 2021.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Relationship between urine creatinine and urine osmolality in spot samples among men and women in the danish diet cancer and health cohort
AU - Ozdemir, Selinay
AU - Sears, Clara G.
AU - Harrington, James M.
AU - Poulsen, Aslak Harbo
AU - Buckley, Jessie
AU - Howe, Chanelle J.
AU - James, Katherine A.
AU - Tjonneland, Anne
AU - Wellenius, Gregory A.
AU - Raaschou-Nielsen, Ole
AU - Meliker, Jaymie
N1 - Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021
Y1 - 2021
N2 - Assays of urine biomarkers often use urine creatinine to account for urinary dilution, even though creatinine levels are influenced by underlying physiology and muscle catabolism. Urine osmolality—a measure of dissolved particles including ions, glucose, and urea—is thought to provide a more robust marker of urinary dilution but is seldom measured. The relationship between urine osmolality and creatinine is not well understood. We calculated correlation coefficients between urine creatinine and osmolality among 1375 members of a subcohort of the Danish Diet, Cancer, and Health Cohort, and within different subgroups. We used linear regression to relate creatinine with osmolality, and a lasso selection procedure to identify other variables that explain remaining variability in osmolality. Spearman correlation between urine creatinine and osmolality was strong overall (ρ = 0.90; 95% CI: 0.89–0.91) and in most subgroups. Linear regression showed that urine creatinine explained 60% of the variability in urine osmolality, with another 9% explained by urine thallium (Tl), cesium (Cs), and strontium (Sr). Urinary creatinine and osmolality are strongly correlated, although urine Tl, Cs, and Sr might help supplement urine creatinine for purposes of urine dilution adjustment when osmolality is not available.
AB - Assays of urine biomarkers often use urine creatinine to account for urinary dilution, even though creatinine levels are influenced by underlying physiology and muscle catabolism. Urine osmolality—a measure of dissolved particles including ions, glucose, and urea—is thought to provide a more robust marker of urinary dilution but is seldom measured. The relationship between urine osmolality and creatinine is not well understood. We calculated correlation coefficients between urine creatinine and osmolality among 1375 members of a subcohort of the Danish Diet, Cancer, and Health Cohort, and within different subgroups. We used linear regression to relate creatinine with osmolality, and a lasso selection procedure to identify other variables that explain remaining variability in osmolality. Spearman correlation between urine creatinine and osmolality was strong overall (ρ = 0.90; 95% CI: 0.89–0.91) and in most subgroups. Linear regression showed that urine creatinine explained 60% of the variability in urine osmolality, with another 9% explained by urine thallium (Tl), cesium (Cs), and strontium (Sr). Urinary creatinine and osmolality are strongly correlated, although urine Tl, Cs, and Sr might help supplement urine creatinine for purposes of urine dilution adjustment when osmolality is not available.
KW - Biomonitoring
KW - Urine creatinine
KW - Urine dilution
KW - Urine normalization
KW - Urine osmolality
U2 - 10.3390/toxics9110282
DO - 10.3390/toxics9110282
M3 - Journal article
C2 - 34822673
AN - SCOPUS:85119077468
VL - 9
JO - Toxics
JF - Toxics
SN - 2305-6304
IS - 11
M1 - 282
ER -
ID: 286487980