scholarly journals Dietary Sodium Intake and Sodium Density in the United States: Estimates From NHANES 2005–2006 and 2015–2016

2020 ◽  
Vol 33 (9) ◽  
pp. 825-830
Author(s):  
Jiun-Ruey Hu ◽  
Shivani Sahni ◽  
Kenneth J Mukamal ◽  
Courtney L Millar ◽  
Yingfei Wu ◽  
...  

Abstract BACKGROUND In the United States, current guidelines recommend a total sodium intake <2,300 mg/day, a guideline which does not consider kilocalorie intake. However, kilocalorie intake varies substantially by age and sex. We hypothesized that compared with sodium density, total sodium intake overestimates adherence to sodium recommendations, especially in adults consuming fewer kilocalories. METHODS In the National Health and Nutrition Examination Survey (NHANES), we estimated the prevalence of adherence to sodium intake recommendations (<2,300 mg/day) and corresponding sodium density intake (<1.1 mg/kcal = 2,300 mg at 2,100 kcal) by sex, age, race/ethnicity, and kilocalorie level. Adherence estimates were compared between the 2005–2006 (n = 5,060) and 2015–2016 (n = 5,266) survey periods. RESULTS In 2005–2006, 23.1% (95% confidence interval [CI]: 21.5, 24.9) of the US population consumed <2,300 mg of sodium/day, but only 8.5% (CI: 7.6, 9.4) consumed <1.1 mg/kcal in sodium density. In 2015–2016, these figures were 20.9% (CI: 18.8, 23.2) and 5.1% (CI: 4.4, 6.0), respectively. In 2015–2016, compared with 2005–2006, adherence by sodium density decreased more substantially (odds ratio = 0.59; CI: 0.48, 0.72; P < 0.001) than adherence by total sodium consumption (odds ratio = 0.85; CI: 0.73, 0.98; P = 0.03). The difference in adherence between total sodium and sodium density goals was greater among those with lower kilocalorie intake, namely, older adults, women, and Hispanic adults. CONCLUSIONS Adherence estimated by sodium density is substantially less than adherence estimated by total sodium intake, especially among persons with lower kilocalorie intake. Further efforts to achieve population-wide reduction in sodium density intake are urgently needed.

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Jiun-ruey Hu ◽  
Shivani Sahni ◽  
Kenneth J Mukamal ◽  
Courtney Millar ◽  
Yingfei Wu ◽  
...  

Introduction: Current guidelines for sodium reduction focus on total daily sodium consumption (<2300 mg/d) for an intake of 2100 kcal. However, calorie consumption varies substantially. Here, we quantify mean sodium intake, calorie intake, and sodium density across demographic groups in the US and over time. Hypothesis: We hypothesized that, compared to sodium density, total sodium may overestimate adherence to sodium recommendations, especially in older adults. Methods: In the National Health and Nutrition Examination Survey (NHANES), weighted mean sodium and energy intake was estimated in US adults as the average of two 24-hour dietary recalls. Sodium density was calculated as the mg of sodium per 1,000 kcal consumed. The prevalence of adherence to sodium intake (<2300 mg/d) and sodium density (<1.1 mg/kcal) limits was quantified by age group, self-reported sex, self-reported race/ethnicity, Calorie level (<2100 kcal, ≥2100 kcal), and self-reported high blood pressure. Adherence prevalence estimates were compared between 2005-2006 and 2015-2016 survey periods by logistic regression adjusted for age, sex, and race/ethnicity. Methods: In 2015-2016, 24.8% of the US population (mean age 38 yr, 51% female, 12% black) adhered to the recommended <2300 mg/d sodium intake, but only 5.6% achieved the recommended 1.1 mg/kcal sodium density (Table). In 2005-2006, these figures were 26.5% and 8.9%, respectively. While there was no change in adherence by total sodium consumption (P = 0.11), adherence by sodium density was significantly lower in 2015-2016 than 2005-2006 (P < 0.001). The difference in adherence between total sodium and sodium density goals was greater among older adults (≥70 years), women, Hispanic adults, and adults consuming <2100 kcal per day. Conclusions: In 2015-2016, <6% of US adults consumed sodium densities at recommended levels. The prevalence of those achieving these goals is lower compared to 10 years prior. Further efforts to regulate population sodium intake are urgently needed.


2019 ◽  
Vol 132 (10) ◽  
pp. 1199-1206.e5 ◽  
Author(s):  
Adam M. Brouillard ◽  
Aldi T. Kraja ◽  
Michael W. Rich

2016 ◽  
Vol 17 (1) ◽  
Author(s):  
Lei Fang ◽  
Cara McDaniel

AbstractUsing data from the Multinational Time Use Study, this paper documents the trend and level of time allocation, with a focus on home hours, for the US and European countries. Three patterns emerge. First, home hours per person have declined in both the US and European countries over the past 50 years. Second, female time allocation contributes more to the difference in time allocation per person between the US and European countries than does male time allocation. Third, the time allocation between the US and European countries is more similar for prime-age individuals than for young and old individuals.


KIRYOKU ◽  
2021 ◽  
Vol 5 (1) ◽  
pp. 63-73
Author(s):  
Rifka Pratama

Abstrak Sejarah mencatat sentimen rasial yang tertuang dalam produk undang-undang Amerika Serikat seperti Chinese Exclusion Act 1882, pada masanya turut menyasar para imigran dan warga keturunan Jepang. Beragam tindakan kekerasan verbal maupun fisik dan diskriminasi dialami imigran Asia, dalam konteks ini Cina dan Jepang, ketika itu. Lebih lanjut, merebaknya Covid-19 dalam kurun dua tahun ini kembali memunculkan masalah sosial serupa bagi komunitas imigran dan warga keturunan Asia, termasuk Jepang. Isu berhembus memojokan para pendatang dan warga keturunan Asia sebagai tertuduh pembawa virus Covid-19. Dengan demikian, aksi-aksi rasis, diskriminatif, dan xenophobic terrekam pada dua konteks waktu yang berbeda. Dengan mengumpulkan data-data melalui metode studi pustaka dan kemudian mengolahnya, diketahui terdapat perbedaan dan kesamaan fenomena di tengah sentimen-sentimen yang menarget imigran maupun warga keturunan Jepang di Amerika. Perbedaan yang dimaksud merujuk pada aspek pemicu. Pada masa-masa awal kedatangannya, sentimen terhadap imigran Jepang di Amerika Serikat dipicu oleh masalah kesempatan kerja dan kecurigaan bernuansa politik. Sementara itu, pada kurun waktu pandemi Covid-19 sentimen anti-Asian dipicu oleh isu penyebaran virus Covid-19. Di sisi lain, terdapat kesamaan dalam munculnya sentimen-setimen anti-Asian dulu dan kini yaitu tersebarnya informasi palsu dan provokatif, merebaknya prasangka dan diskriminasi rasial, adanya peran tokoh publik dalam menyebarkan kebencian, dan adanya kebijakan hukum yang diambil oleh otoritas untuk merespon isu terkait.  Kata Kunci: Amerika Serikat, Jepang, Imigran, Xenophobia, Covid-19 AbstractChinese Exclusion Act of 1882, which was one of the US Federal Laws restricting immigration, was meant to target Chinese immigrants at that time. Being among the Asian communities in the US, the Japanese immigrants were unsurprisingly affected. Racial discrimination and hatred began to arise as the implementation of the law was going on. Various acts of verbal and physical violence suffered by the Asian (Chinese and Japanese) immigrants at that time. Further, the outbreak of Covid-19 in the past two years has raised similar social problems for the immigrant communities and people of Asian descent including Japanese. The issue of cornering the immigrants and the residents of this descent as being accused of carrying the Covid-19 virus arises. Various acts of hatred begin to target the immigrants and citizens of Asian descent. Applying the library research method and processing the relevant data, there found differences and similarities amidst the sentiments targeting the immigrants and citizens of Japanese descent in America. The difference refers to the triggering aspect. In the early days of their arrival, the anti-Japanese immigrant sentiment in the United States was more motivated by the problems of job opportunity and political suspicions. Meanwhile, during the Covid-19 pandemic, anti-Asian sentiment was triggered by the issue of the spread of the Covid-19 virus. On the other hand, there are similarities to the emergence of anti-Asian sentiments today including the spread of false and provocative information, the spread of racial prejudice and discrimination, the role of public figures in spreading hatred, and the existence of legal policies taken by authorities to respond to the related issues.  Keywords: the United States, Japanese, Immigrants, Xenophobia, Covid-19


2020 ◽  
Vol 19 (3) ◽  
pp. 2497
Author(s):  
V. G. Vilkov ◽  
S. A. Shalnova ◽  
Yu. A. Balanova ◽  
S. E. Evstifeeva ◽  
A. E. Imaeva ◽  
...  

Aim. To study the prevalence of hypotension according to several criteria in the Russia and the USA.Material and methods. We used data of Russian population studies performed in 1975-1982 and ESSE-RF study performed in 2012-2014 at the National Medical Research Center for Therapy and Preventive Medicine. A comparison was made with the data of cross-sectional stu - dies of the US population — National Health and Nutrition Examination Survey (NHANES): NHANES II (1976-1980) and Continuous NHANES (2007-2012). We analyzed age, sex, and systolic and diastolic blood pressure. The prevalence of individuals with hypotension was calculated in men and women of five age groups using four different criteria for hypertension.Results. The prevalence of hypotension in studies of different years according to different criteria was as follows: in the Russia — 0,3-9,0% in men and 2-15% in women; in the USA — 5-30% in men and 8-45% in women. In age group >30 years, the prevalence of hypotension in Russia, by most criteria, decreased approximately by 50% in men and did not change in women. In the United States, according to all criteria, the prevalence in men and women has increased 2-3 times.Conclusion. The prevalence of hypotension in the adult population ranges from decimal percentages to 45% and varies many times depending on the selected criterion.


PEDIATRICS ◽  
1987 ◽  
Vol 80 (3) ◽  
pp. 439-441
Author(s):  
PETER R. DALLMAN

Iron deficiency anemia was common and often severe as recently as 15 years ago in the United States.1 During that period, it had become a well-established routine to evaluate all term infants for anemia at about 1 year of age2; screening at the preschool checkup and in adolescence also became widespread. Declining Prevalence of Iron Deficiency Anemia During the past decade, iron deficiency anemia has become less and less common.1,3 The first strong evidence of a relatively low nationwide prevalence of anemia was provided by the second National Health and Nutrition Examination Survey (NHANES II) conducted between 1976 and 1980.4 In that large, representative sampling of the US population, only about 6% of adolescent girls between 15 and 17 years of age were anemic.4


2018 ◽  
Vol 39 (1) ◽  
pp. 215-240
Author(s):  
Vesna Lazić-Smoljanić

This contribution examines the procedural aspects of the enforcement of arbitral awards that were set aside in the jurisdiction where they were rendered. It focuses on recent cases in the United States and the Netherlands, which adopted a different line of reasoning than the approach taken by French judiciary many years ago. According to the latter, an arbitral award set aside in the ‘country of origin’ may be enforced in France in reliance on national law. Namely, French law on enforcement is more favourable than the 1958 New York Convention on the Recognition and Enforcement of Foreign Arbitral. The courts in the United States and in the Netherlands in recent cases have taken a different approach. They examine the judgment setting aside the award and ignore the effects of the annulment in certain circumstances. Even though there are some common denominators, there are substantial differences between the line of reasoning of the courts in the US and the Netherlands. They remain distinct although a more recent decision of the Dutch Supreme Court emphasises an exceptional nature of such enforcement so that the difference between the two approaches may seem somewhat mitigated. However, a closer look reveals that substantial discrepancies between the courts in these two jurisdictions have remained. The article provides for a critical view on the enforcement of annulled arbitral awards in general. In particular, it points to drawbacks of variety of unilateral approaches amongst various jurisdictions. Additionally, it suggests the development of internationally accepted standards for the sake of legal certainty and predictability of arbitration, should the acceptance of the enforcement of annulled arbitral appear a majority view amongst academics and arbitration practitioners.&nbsp;


2020 ◽  
Vol 40 (1) ◽  
pp. 407-435
Author(s):  
Aviva A. Musicus ◽  
Vivica I. Kraak ◽  
Sara N. Bleich

Most Americans consume dietary sodium exceeding age-specific government-recommended targets of 1,500–2,300 mg/day per person. The majority (71%) of US dietary sodium comes from restaurant and packaged foods. Excess sodium intake contributes to hypertension and cardiovascular disease, which is the leading cause of death in the United States. This review summarizes evidence for policy progress to reduce sodium in the US food supply and the American diet. We provide a historical overview of US sodium-reduction policy (1969–2010), then examine progress toward implementing the 2010 National Academy of Medicine (NAM) sodium report's recommendations (2010–2019). Results suggest that the US Food and Drug Administration made no progress in setting mandatory sodium-reduction standards, industry made some progress in meeting voluntary targets, and other stakeholders made some progress on sodium-reduction actions. Insights from countries that have significantly reduced population sodium intake offer strategies to accelerate US progress toward implementing the NAM sodium-reduction recommendations in the future.


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