JPH0875727A - Salt intake measuring apparatus - Google Patents

Salt intake measuring apparatus

Info

Publication number
JPH0875727A
JPH0875727A JP21589294A JP21589294A JPH0875727A JP H0875727 A JPH0875727 A JP H0875727A JP 21589294 A JP21589294 A JP 21589294A JP 21589294 A JP21589294 A JP 21589294A JP H0875727 A JPH0875727 A JP H0875727A
Authority
JP
Japan
Prior art keywords
urine
salt
amount
intake
sodium chloride
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP21589294A
Other languages
Japanese (ja)
Other versions
JP3341479B2 (en
Inventor
Toru Niisato
徹 新里
Masamiki Miwa
真幹 三輪
Shigeo Imai
茂雄 今井
Shigeru Takagi
繁 高木
Shigeru Yokoyama
茂 横山
Tatsuya Nagata
達也 永田
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Inax Corp
Original Assignee
Inax Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Inax Corp filed Critical Inax Corp
Priority to JP21589294A priority Critical patent/JP3341479B2/en
Publication of JPH0875727A publication Critical patent/JPH0875727A/en
Application granted granted Critical
Publication of JP3341479B2 publication Critical patent/JP3341479B2/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Abstract

PURPOSE: To provide a salt intake measuring apparatus which enables measuring of a salt intake highly accurately and simply by taking even for accumulation (or the releasing) of salt due to increase or decrease in edema into consideration. CONSTITUTION: The total amount of urine released is sampled in a urine sampling section. The urine is introduced into a urine meter 4 through a pump 3 to determine the amount of the urine. Then, the concentration of sodium ions in the urine is measured with a sodium sensor 5. The discharge amount of sodium chloride in one discharge of urine is computed from a product of the amount of urine and the concentration. A discharge value S1 of the sodium chloride in urination per day is computed by integrating the results. An accumulation or release value of the sodium chloride in vivo is computed from change in physical weight. A total intake S of the sodium chloride is computed by adding or subtracting the discharge value S1 and the amount S2 of the sodium chloride accumulated or released due to the change in physical weight.

Description

【発明の詳細な説明】Detailed Description of the Invention

【0001】[0001]

【産業上の利用分野】本発明は測定期間(例えば24時
間)における塩分の摂取量を測定するための装置に関す
る。
FIELD OF THE INVENTION The present invention relates to a device for measuring salt intake during a measuring period (for example, 24 hours).

【0002】[0002]

【従来の技術】近年塩分(ことに塩化ナトリウム)の過
剰摂取が問題視され、これが成人病の一因となっている
ことが指摘されている。
2. Description of the Related Art Recently, excessive intake of salt (particularly sodium chloride) has been regarded as a problem, and it has been pointed out that this is one of the causes of adult diseases.

【0003】既に塩分摂取量を制限されているような慢
性疾患患者(制限食等の管理が行き届いた入院患者を除
く)にとっては、食事中の塩分量を管理することは手間
がかかり困難なことである。
For patients with chronic diseases whose salt intake is already limited (excluding inpatients who are well-controlled for restricted diets, etc.), it is difficult and difficult to control the amount of salt in the diet. Is.

【0004】塩分摂取量を正確にモニタできないと、医
師側からの食事アドバイスは非常に困難であり、たとえ
できたとしてもタイムラグがあり現実的ではないなどの
問題がある。こうしたことが在宅療養をしている人にと
って、本人の意識改革や食事制限がうまく行かない理由
ともなっている。
If the amount of salt intake cannot be accurately monitored, it is very difficult for a doctor to give a dietary advice, and even if it is possible, there is a problem that there is a time lag and it is not realistic. This is one of the reasons why people who are receiving home medical care cannot change their consciousness or dietary restrictions.

【0005】また、成人病予備軍の人たちや若年者にお
いても、日頃から塩分を控えた食事につとめることは、
慢性疾患への移行を予防するのに非常に効果がある。
[0005] In addition, even people in the adult illness reserve army and young people should continue to eat salt-free meals on a daily basis.
It is very effective in preventing the transition to chronic diseases.

【0006】このようなことから、トイレを使った通常
の排泄行為の中で無拘束非侵襲で塩分摂取量の測定を行
い、これにより慢性患者の予後の管理または成人病の予
防ができれば、非常に意義深い。
[0006] Therefore, if the salt intake is measured without restraint during normal excretion using a toilet, and if the prognosis of chronic patients can be controlled or adult diseases can be prevented, it will be extremely useful. Meaningful.

【0007】特開平5−232107号公報には、1日
当りの尿量と尿中の成分濃度とを検出し、これらの値の
積から塩分等の排泄量を演算するようにした装置が記載
されている。
Japanese Unexamined Patent Publication (Kokai) No. 5-232107 discloses a device which detects the amount of urine per day and the concentration of components in urine, and calculates the amount of excretion of salt and the like from the product of these values. ing.

【0008】[0008]

【発明が解決しようとする課題】病院などの栄養士によ
る制限食をとっている人は、塩分の摂取量を正確に把握
できるが、在宅療養を続けている外来患者は、食事内容
の日誌をつけるなどして、塩分を制限した食事メニュー
になるよう努力するが、患者自身に摂取量がフィードバ
ックされないため、なかなか目標とするNa摂取を実施
することが難しいのが現状である。
[Problems to be Solved by the Invention] Although a person who takes a restricted diet by a nutritionist such as a hospital can accurately grasp the amount of salt intake, an outpatient who continues home medical treatment keeps a diary of diet content. Although efforts are being made to create a salt-limited diet menu, the current situation is that it is difficult to achieve the targeted Na intake because the intake is not fed back to the patient himself.

【0009】また、従来の制限食や塩分濃度計による測
定などは、一般に非常に手間がかかり、煩わしい。ま
た、毎日のことなので、タイムリーに(少なくとも翌日
までに)フィードバックされないと、塩分の管理は難し
い。
Further, the conventional restricted diet and measurement with a salt concentration meter are generally very troublesome and troublesome. Also, since it is a daily event, salt management is difficult unless timely feedback is given (at least by the next day).

【0010】最近ではNaイオン電極を使ったスープ等
の液体中の塩分濃度計が市販されているが、これもごく
一部の食事内容に対して有効であるだけであり、一日に
摂取する総Na量の管理という点では問題がある。
Recently, salt concentration meters in liquids such as soups using Na ion electrodes have been marketed, but this is also effective for only a small part of the meal content, and it is taken daily. There is a problem in managing the total amount of Na.

【0011】特開平5−232107号公報の装置によ
ると、塩分等の排泄量は手軽かつ正確に測定することが
可能であるが、浮腫による塩分蓄積量が勘案されていな
い。
According to the apparatus disclosed in Japanese Patent Laid-Open No. 5-232107, the excretion amount of salt and the like can be measured easily and accurately, but the amount of salt accumulation due to edema is not taken into consideration.

【0012】本発明は、浮腫の増減による塩分の蓄積
(あるいは放出)をも勘案することにより塩分摂取量を
高精度にしかも手軽に測定することができる塩分摂取量
測定装置を提供することを目的とする。
An object of the present invention is to provide a salt intake measuring device capable of accurately and easily measuring a salt intake by taking into consideration the accumulation (or release) of salt due to the increase or decrease of edema. And

【0013】[0013]

【課題を解決するための手段】本発明は、塩分の排泄量
と体重の増減に伴う塩分の蓄積又は放出量とから塩分の
摂取量を演算するよう構成したものであり、請求項1の
塩分摂取量測定装置は、測定期間中に排泄された尿の量
の検出装置と、尿中の塩分濃度Cの検出装置と、該測定
期間における体重変化の検出装置と、これらの検出装置
の検出値に基づき、次式により該測定期間中における塩
分摂取量を演算する演算装置とを備えてなるものであ
る。
According to the present invention, the intake of salt is calculated from the amount of excreted salt and the amount of accumulated or released salt associated with increase and decrease in body weight. The intake amount measuring device is a device for detecting the amount of urine excreted during the measurement period, a device for detecting the salt concentration C in urine, a device for detecting the change in body weight during the measurement period, and the detection values of these detecting devices. Based on the above, a calculation device for calculating the amount of salt intake during the measurement period by the following equation is provided.

【0014】(塩分摂取量)=(尿量)×(尿中の塩分
濃度)+(体重変化量)×(生体内の塩分濃度) 請求項2の塩分摂取量測定装置は、請求項1において、
さらに、演算された塩分摂取量を記録する記録装置を備
えたことを特徴とするものである。
(Salt intake amount) = (Urine amount) × (Salt concentration in urine) + (Amount of body weight change) × (Salt concentration in living body) The salt intake measuring device according to claim 2 is the same as in claim 1. ,
Furthermore, it is characterized by comprising a recording device for recording the calculated salt intake.

【0015】請求項3の塩分摂取量測定装置は、請求項
1又は2において、さらに、演算された塩分摂取量を標
準量と対比し、摂取量が標準量を上回るときにアドバイ
ス信号を出力する比較装置を備えたことを特徴とするも
のである。
A salt intake measuring device according to a third aspect of the present invention further comprises comparing the calculated salt intake with a standard amount and outputting an advice signal when the intake amount exceeds the standard amount. It is characterized in that a comparison device is provided.

【0016】[0016]

【作用】本発明においては、例えば1日当りの全尿量と
尿中の塩分濃度との積により1日当りの塩分排泄量を演
算する。また、体重の増減から体内の蓄積塩分量の増減
を演算する。この塩分排泄量に対し蓄積塩分量の増減を
加算(又は減算)することにより、1日当りの塩分摂取
量を求める。なお、体内の塩分濃度は生体のホメオスタ
シスにより厳密に一定になるようにコントロールされて
おり、成人の塩分濃度は7.90〜8.12g/リット
ル即ち0.79%〜0.812%の間で各人毎に一定値
となっている。
In the present invention, the salt excretion amount per day is calculated, for example, by the product of the total urine amount per day and the salt concentration in urine. Further, the increase / decrease in the accumulated salt content in the body is calculated from the increase / decrease in body weight. The amount of salt intake per day is obtained by adding (or subtracting) the increase or decrease of the accumulated salt amount to this salt excretion amount. The salt concentration in the body is controlled to be strictly constant by the homeostasis of the living body, and the adult salt concentration is 7.90 to 8.12 g / liter, that is, 0.79% to 0.812%. It is a fixed value for each person.

【0017】ただし、本発明においては、次の及び
を前提としている。
However, the present invention is based on the following.

【0018】 大便に伴って排泄される塩分の量は、
小便によって排泄される量に比べ著しく少ないので無視
できるものとする。
The amount of salt excreted with stool is
It is remarkably small compared to the amount excreted by urine and should be neglected.

【0019】 マラソン等の非常に大きな運動負荷が
あった場合は別であるが、発汗により失われる塩分量は
微量なので無視できるものとする。
Except when there is a very large exercise load such as a marathon, the amount of salt lost by sweating is so small that it can be ignored.

【0020】かかる本発明の塩分摂取量測定装置による
と、塩分の排泄量だけでなく、浮腫の増減に伴う塩分の
蓄積又は放出量をも勘案して測定期間(例えば24時
間)における塩分摂取量を高精度にかつ手軽に知ること
が可能となる。
According to the salt intake measuring apparatus of the present invention, the salt intake during the measurement period (for example, 24 hours) is taken into consideration not only the excretion of salt but also the accumulation or release of salt due to the increase or decrease of edema. It is possible to easily and accurately know.

【0021】なお、計測が食事前か後かで誤差が生じる
ため、ライフスタイルに応じいずれかに統一した測定
(例えば早朝第一尿)を心がけるようにする。もし仮に
食事に関して24時間前のサンプリング条件と異なる場
合、食事と翌日の排便量をほぼイコールと考え、補正し
て参考データとすることもできる。また、食事摂取の有
無は入力してメモリに記憶させるのが好適である。
Since an error occurs in the measurement before or after eating, try to make a unified measurement (eg, early morning first urine) depending on the lifestyle. If the meal is different from the sampling conditions 24 hours before, it is possible to consider the meal and the amount of defecation on the next day to be almost equal and correct the data to use as reference data. Further, it is preferable that the presence or absence of food intake is input and stored in the memory.

【0022】前回と計測条件が異なり、今回の排便量が
わかっている場合であって、前回が食事前で今回が食事
後の場合には、今回の排便量を今回測定した排便後の体
重データから求める。また、前回が食事後で今回が食事
前の場合には、今回の排便量を前回の体重データから減
じて求める。
When the measurement conditions are different from the previous time and the current bowel movement is known, and the previous time is before meal and the current time is after meal, the current bowel movement data for the current measurement of the current bowel movement is obtained. Ask from. If the previous meal is after meal and this meal is before meal, the current bowel movement is subtracted from the previous weight data.

【0023】なお、請求項2によると、塩分摂取データ
を記録することにより長期的な塩分摂取量を知ることが
できる。請求項3によると、被験者に対しアドバイスを
与えることができ、塩分摂取量を被験者自身で減らすよ
うに努力することが可能となる。
According to the second aspect, it is possible to know a long-term salt intake amount by recording the salt intake data. According to claim 3, advice can be given to the subject, and it becomes possible for the subject to make an effort to reduce the salt intake.

【0024】[0024]

【実施例】図1は実施例装置のブロック図であり、洋風
便器1の便鉢1aに採尿部2が設けられている。この採
尿部2において放出尿の全量を採取し、この尿をポンプ
3を介して尿量計4に導き、尿量を定量する。次いで、
尿をナトリウムセンサ5に導き、尿中のナトリウムイオ
ン濃度を検出する。尿量及び濃度データは演算器6に入
力され、その積から1回の尿排泄に伴う塩化ナトリウム
の排泄量を演算する。この排泄塩化ナトリウム量はメモ
リ7に入力され、記憶される。なお、ナトリウムセンサ
5にてナトリウムイオン濃度が検出された後の尿は便器
1に排出される。
FIG. 1 is a block diagram of an apparatus according to an embodiment, in which a toilet bowl 1a of a Western-style toilet 1 is provided with a urine collecting section 2. The urine collection unit 2 collects the total amount of the released urine, guides the urine to the urine meter 4 via the pump 3, and quantifies the urine volume. Then
The urine is led to the sodium sensor 5 to detect the sodium ion concentration in the urine. The urine amount and concentration data are input to the calculator 6, and the product thereof is used to calculate the amount of sodium chloride excreted with one urine excretion. The amount of excreted sodium chloride is input to and stored in the memory 7. The urine after the sodium ion concentration is detected by the sodium sensor 5 is discharged to the toilet 1.

【0025】便器1の便座8にはロードセル等の体重セ
ンサ9が設けられている。また、便器1の前方近傍のト
イレルーム床面に体重センサ10が設けられている。便
座8に着座し、かつ両足を体重センサ10に載せること
により、着座者の体重が検出される。これら体重センサ
9,10の検出信号は演算器11に入力される。この演
算器11では、複数個の体重センサからの信号を加算
し、平滑化することにより、体の動きや重心の変化によ
る体重の変動を平準化する。この演算器11の出力はメ
モリ7に入力され、記憶される。
The toilet seat 8 of the toilet 1 is provided with a weight sensor 9 such as a load cell. A weight sensor 10 is provided on the floor of the toilet room near the front of the toilet 1. By sitting on the toilet seat 8 and placing both feet on the weight sensor 10, the weight of the seated person is detected. The detection signals of these weight sensors 9 and 10 are input to the calculator 11. In this computing unit 11, the signals from the plurality of weight sensors are added and smoothed, so that the fluctuation of the weight due to the movement of the body or the change of the center of gravity is leveled. The output of the arithmetic unit 11 is input to the memory 7 and stored therein.

【0026】メモリ7に記憶された体重データ及び塩化
ナトリウム量データは演算装置12に入力される。この
演算装置12においては、1回の放尿によって放出され
た塩化ナトリウム量を積算することにより1日当りの放
尿に伴う塩化ナトリウム排泄量S1 を演算する。また、
1日の体重変化(本実施例では、前日の起床直後の体重
から当日の起床直後の体重を減算することにより演算さ
れる体重変化)に対し8.0g/リットルの濃度を乗算
することにより、体内の塩化ナトリウムの蓄積又は放出
量S2 を演算する。そして、この塩化ナトリウム排泄量
1 と体重変化に伴う蓄積又は放出塩化ナトリウム量S
2 とを加算又は減算することにより、1日当り(前日の
起床直後から当日の起床直後までの間)における塩化ナ
トリウムの総摂取量Sを演算する。なお、当然ながら、
体重が前日に比べ増加しているときには、S2 の絶対値
をS1 に加算し、体重が前日に比べ減少しているときに
は、S2 の絶対値をS1 から減算することになる。
The weight data and sodium chloride amount data stored in the memory 7 are input to the arithmetic unit 12. In this arithmetic unit 12, the sodium chloride excretion amount S 1 associated with daily urination is calculated by integrating the amount of sodium chloride released by one urination. Also,
By multiplying the weight change of one day (in this embodiment, the weight change calculated by subtracting the weight immediately after waking up on the day from the weight immediately after waking up on the previous day) by a concentration of 8.0 g / liter, The accumulated or released amount S 2 of sodium chloride in the body is calculated. Then, the sodium chloride excretion amount S 1 and the accumulated or released sodium chloride amount S with the change in body weight S
The total intake S of sodium chloride per day (from immediately after waking up on the previous day to immediately after waking up on the day) is calculated by adding or subtracting 2 and. Of course,
When the weight is increased compared to the previous day, adds the absolute value of S 2 to S 1, when the weight is reduced compared to the previous day would subtract the absolute value of S 2 from S 1.

【0027】このようにして演算された1日当りの塩分
摂取量データは、表示パネル13に表示されると共に、
データ読み書き装置14によってICカード15に記録
される。なお、塩分摂取量が過剰であるときには、表示
パネル13にその旨を示す表示を行なっても良い。ま
た、演算装置12に入力部を接続し、脱水症状が生じて
いることを示すデータを入力することにより、この間の
データを無視する(参考データに止める)ようにしても
良い。
The daily salt intake data calculated in this manner is displayed on the display panel 13 and
It is recorded in the IC card 15 by the data read / write device 14. When the amount of salt intake is excessive, a display to that effect may be displayed on the display panel 13. Further, by connecting an input unit to the arithmetic unit 12 and inputting data indicating that dehydration is occurring, data during this period may be ignored (stopped as reference data).

【0028】[0028]

【発明の効果】請求項1の塩分摂取量測定装置による
と、測定期間中における塩分摂取量を正確にしかも容易
に検出することができる。得られる塩分摂取量データは
リアルタイムのものであるため、被験者の食生活改善に
きわめて効果的である。
According to the salt intake measuring device of the first aspect, the salt intake during the measurement period can be accurately and easily detected. Since the obtained salt intake data is real-time data, it is extremely effective in improving the diet of the subject.

【0029】請求項2の塩分摂取量測定装置によると、
長期間にわたる塩分摂取量データを得ることができる。
According to the salt intake measuring device of claim 2,
Data on long-term salt intake can be obtained.

【0030】請求項3の塩分摂取量測定装置によると、
被験者にアドバイスを与え、食生活改善を促すことがで
きる。
According to the salt intake measuring device of claim 3,
The subject can be advised and the dietary habits can be improved.

【図面の簡単な説明】[Brief description of drawings]

【図1】実施例装置のブロック図である。FIG. 1 is a block diagram of an apparatus according to an embodiment.

【符号の説明】[Explanation of symbols]

1 洋風便器 4 尿量計 5 ナトリウムセンサ 7 メモリ 12 演算装置 1 Western-style toilet 4 Urine meter 5 Sodium sensor 7 Memory 12 Computing device

───────────────────────────────────────────────────── フロントページの続き (72)発明者 今井 茂雄 愛知県常滑市鯉江本町5丁目1番地 株式 会社イナックス内 (72)発明者 高木 繁 愛知県常滑市鯉江本町5丁目1番地 株式 会社イナックス内 (72)発明者 横山 茂 愛知県常滑市鯉江本町5丁目1番地 株式 会社イナックス内 (72)発明者 永田 達也 愛知県常滑市鯉江本町5丁目1番地 株式 会社イナックス内 ─────────────────────────────────────────────────── ─── Continuation of the front page (72) Inventor Shigeo Imai 5-1, Koi Ehonmachi, Tokoname City, Aichi Prefecture Inax Co., Ltd. (72) Inventor Shigeru Takagi 5-1-1, Koi Ehonmachi, Tokoname City, Aichi Inax Co., Ltd. (72) Inventor Shigeru Yokoyama 5-1-1 Koi-honhoncho, Tokoname-shi, Aichi Inax Co., Ltd. (72) Inventor Tatsuya Nagata 5-1-1 Koiehoncho, Tokoname-shi, Aichi Inax Co., Ltd.

Claims (3)

【特許請求の範囲】[Claims] 【請求項1】 測定期間中に排泄された尿の量の検出装
置と、尿中の塩分濃度Cの検出装置と、該測定期間にお
ける体重変化の検出装置と、これらの検出装置の検出値
に基づき、次式により該測定期間中における塩分摂取量
を演算する演算装置とを備えてなる塩分摂取量測定装
置。 (塩分摂取量)=(尿量)×(尿中の塩分濃度)+(体
重変化量)×(生体内の塩分濃度)
1. A device for detecting the amount of urine excreted during a measurement period, a device for detecting a salt concentration C in urine, a device for detecting a change in body weight during the measurement period, and detection values of these detection devices. Based on the following equation, a salt intake measuring device comprising a calculating device for calculating the salt intake during the measurement period. (Salt intake) = (Urine volume) x (Salt concentration in urine) + (Change in body weight) x (Salt concentration in vivo)
【請求項2】 請求項1において、さらに、演算された
塩分摂取量を記録する記録装置を備えたことを特徴とす
る塩分摂取量測定装置。
2. The salt intake measuring device according to claim 1, further comprising a recording device for recording the calculated salt intake.
【請求項3】 請求項1又は2において、さらに、演算
された塩分摂取量を標準量と対比し、摂取量が標準量を
上回るときにアドバイス信号を出力する比較装置を備え
たことを特徴とする塩分摂取量測定装置。
3. The comparison device according to claim 1, further comprising a comparison device that compares the calculated salt intake amount with a standard amount and outputs an advice signal when the intake amount exceeds the standard amount. Measuring device for salt intake.
JP21589294A 1994-09-09 1994-09-09 Salt intake meter Expired - Fee Related JP3341479B2 (en)

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JP21589294A JP3341479B2 (en) 1994-09-09 1994-09-09 Salt intake meter

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP21589294A JP3341479B2 (en) 1994-09-09 1994-09-09 Salt intake meter

Publications (2)

Publication Number Publication Date
JPH0875727A true JPH0875727A (en) 1996-03-22
JP3341479B2 JP3341479B2 (en) 2002-11-05

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Family Applications (1)

Application Number Title Priority Date Filing Date
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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH1082783A (en) * 1996-09-06 1998-03-31 Inax Corp Apparatus for measuring urinative amount
JP2006178586A (en) * 2004-12-21 2006-07-06 Toto Ltd Health management device
US20090157328A1 (en) * 2007-12-14 2009-06-18 Cornell University Method of determing excretion of sodium and other analytes
JP2013036817A (en) * 2011-08-05 2013-02-21 Omron Corp Urine component analysis apparatus and urine component analysis method
JP2020101381A (en) * 2018-12-20 2020-07-02 公立大学法人横浜市立大学 Combined uroflowmeter

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH1082783A (en) * 1996-09-06 1998-03-31 Inax Corp Apparatus for measuring urinative amount
JP2006178586A (en) * 2004-12-21 2006-07-06 Toto Ltd Health management device
US20090157328A1 (en) * 2007-12-14 2009-06-18 Cornell University Method of determing excretion of sodium and other analytes
US9128168B2 (en) * 2007-12-14 2015-09-08 Cornell University Method of determing excretion of sodium and other analytes
JP2013036817A (en) * 2011-08-05 2013-02-21 Omron Corp Urine component analysis apparatus and urine component analysis method
JP2020101381A (en) * 2018-12-20 2020-07-02 公立大学法人横浜市立大学 Combined uroflowmeter

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