scholarly journals Characterization of salt consumption among hypertensives according to socio-demographic and clinical factors

2013 ◽  
Vol 21 (5) ◽  
pp. 1013-1021 ◽  
Author(s):  
Milena Sia Perin ◽  
Marilia Estevam Cornelio ◽  
Roberta Cunha Matheus Rodrigues ◽  
Maria Cecilia Bueno Jayme Gallani
Keyword(s):  
Salt Intake ◽  
Sodium Intake ◽  
Dietary Recall ◽  
Clinical Variables ◽  
Salt Consumption ◽  
Male Sex ◽  
The Relationship ◽  
Sodium Consumption ◽  
Total Sodium

OBJECTIVE: to evaluate the relationship between the behaviors of salt consumption and socio-demographic and clinical variables. METHOD: sodium consumption was evaluated using the methods: self-reporting (considering 3 different behaviors related to salt consumption), 24- hr dietary recall, discretionary salt, food frequency questionnaire, estimation of total sodium intake and 24-hr urinary excretion of sodium (n=108). RESULTS: elevated salt intake according to the different measurements of consumption of the nutrient was associated with the variables: male sex, low level of schooling and monthly income, being Caucasian, and being professionally inactive; and with the clinical variables: elevated Body Mass Index, tensional levels, ventricular hypertrophy and the number of medications used. CONCLUSION: the data obtained shows a heterogenous association between the different behaviors related to salt consumption and the socio-demographic and clinical variables. This data can be used to optimize the directing of educational activities with a view to reducing salt consumption among hypertensives.

Sodium Knowledge, Beliefs, and Behaviors in Patients on Chronic Hemodialysis

2019 ◽  
Vol 49 (1-2) ◽  
pp. 25-32
Author(s):  
Zorica Kauric-Klein
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Health Care Providers ◽  
Salt Intake ◽  
Sodium Intake ◽  
Chronic Hemodialysis ◽  
Care Providers ◽  
And Behaviors ◽  
The Relationship ◽  
Total Sodium

Introduction: There is a clear relationship between sodium intake and blood pressure in patients on chronic hemodialysis (HEMO). To date, there are few studies that assess sodium knowledge, beliefs, and behaviors in patients on chronic HEMO. The purpose of this research study was to determine sodium knowledge, beliefs and behaviors in patients on chronic HEMO. Methods: A descriptive correlational study was conducted using an investigator developed online sodium knowledge, beliefs, and behaviors survey. Participants were recruited via nephrology social media websites. Findings: One hundred and fourteen participants completed the survey, the majority of participants (n = 39, 34.2%) were between the ages of 36 and 50 years, 55.3% (n = 63) were female, and 70% (n = 80) were white. Fifty-four participants (47%) could not identify their recommended salt intake limit. Participants answered an average of 4 out of 7 questions pertaining to sodium knowledge correctly (SD 1.5). Increased age was associated with total sodium knowledge (r = 0.33, p= 0.01) and length of time on HEMO was related to total sodium knowledge (r = –0.20, p = 0.04). In terms of beliefs, 38% (n = 44) were unsure or did not believe that salt intake was related to blood pressure and 30% (n = 33) did not feel it was related to fluid gains. Forty-two participants (37%) responded that they were not informed by a health care provider to cut down their salt intake. Discussion: Knowledge about sodium levels is lacking in patients on chronic HEMO. Patients may be more likely to decrease their sodium intake if they know their recommended sodium levels. Health care providers are not doing enough to educate patients on the need to decrease sodium intake and reinforce the relationship between sodium intake, fluid gains, and blood pressure. Findings from this study are useful to help develop educational programs to target these knowledge needs.

scholarly journals Obesity, Sodium Homeostasis, and Arterial Hypertension in Children and Adolescents

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4032
Author(s):  
Małgorzata Wójcik ◽  
Agnieszka Kozioł-Kozakowska
Keyword(s):  
Arterial Hypertension ◽  
Children And Adolescents ◽  
Salt Intake ◽  
Sodium Intake ◽  
Secretory Activity ◽  
Traditional Theory ◽  
Salt Consumption ◽  
Hypertension Development ◽  
The Relationship ◽  
Hypertension In Children

Background: The relationship between obesity, arterial hypertension, and excessive salt intake has been known for a long time; however, the mechanism of this relationship remains not clear. Methods: The paper presents a current literature review on the relationship between salt consumption and the development of arterial hypertension in children and adolescents with obesity. Results: In addition to the traditional theory of hypertension development due to the increase in intravascular volume and disturbances of sodium excretion, recent studies indicate the existence of a complex mechanism related to excessive, pathological secretory activity of adipocytes, insulin resistance, and impaired function of the renin–angiotensin–aldosterone axis. That makes obese children and adolescents particularly vulnerable to the development of salt-sensitive arterial hypertension. Studies performed in many countries have shown that children and adolescents consume more sodium than recommended. It is worth noting, however, that the basis for these recommendations was the extrapolation of data from studies conducted on adults. Moreover, more important than sodium intake is the Na/K ratio and water consumption. Conclusion: Regardless of the population-wide recommendations on reducing salt intake in children, specific recommendations for overweight and obese patients should be developed.

scholarly journals Sodium intake and dietary sources of sodium in undergraduate students from Novi Sad, Serbia

2016 ◽  
Vol 73 (7) ◽  
pp. 651-656 ◽  
Author(s):  
Jelena Jovicic-Bata ◽  
Maja Grujicic ◽  
Slavica Radjen ◽  
Budimka Novakovic
Keyword(s):  
Undergraduate Students ◽  
Sodium Intake ◽  
Sodium Content ◽  
Bakery Products ◽  
Food Groups ◽  
High Sodium ◽  
Dietary Recall ◽  
Novi Sad ◽  
The University ◽  
Total Sodium

Background/Aim. Data on sodium intake and sources of sodium in the diet in Serbia are limited. The aim of this study was to estimate the sodium intake and identify the sources of sodium in the diet of undergraduate students attending the University of Novi Sad. Methods. Students completed a questionnaire to gather data on their gender, age and university faculty attended, and then a 24 h dietary recall. The sodium intake of the students was calculated using the dietary recall data and data on the sodium content of foods. The contribution of different food groups as well as of specific foodstuffs to the total sodium intake was calculated. Results. The mean estimated sodium intake of the students was 3,938.5 ? 1,708.1 mg/day. The sodium intake of 89.1% of the surveyed students exceeded the guideline for sodium intake, the majority of the sodium coming from processed foods (78.9% of the total sodium intake). The food groups that contributed the most to the total sodium intake of the students were meat and meat products (21.7%) and cereals and cereal-based products (18.6%). Bread and other bakery products were responsible for 13.1% of the total sodium intake. Conclusion. High sodium intake in students of the University of Novi Sad puts them at high risk of developing high blood pressure. The food industry should work towards reformulating products with high sodium content, especially bread and other bakery products. Efforts should be taken to reduce sodium intake among undergraduate students in Novi Sad.

scholarly journals Can Meals Outside Homes Impact Sodium Intake?

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Ana Maria Pita Ruiz ◽  
Margareth Guimarães Lima ◽  
Lhais de Paula Barbosa Medina ◽  
Renata Luz Pinto ◽  
Marilisa Berti de Azevedo Barros ◽  
...  
Keyword(s):  
Salt Intake ◽  
Sodium Intake ◽  
Age Groups ◽  
Population Based ◽  
Cross Sectional Study ◽  
Nutrition Survey ◽  
Cross Sectional ◽  
Salt Consumption ◽  
Adolescents And Adults ◽  
Study Participants

ABSTRACT Background The WHO currently recommends a daily sodium intake of 2 g and has established the goal of a 30% reduction in mean salt intake by 2025. Objective We sought to estimate sodium intake in study participants according to the locations of where they consumed meals and their demographic and socioeconomic characteristics and practices related to salt consumption. Methods A population-based, cross-sectional study was conducted with a sample of 2574 individuals aged ≥10 y who answered the 2015 Campinas-Brazil Nutrition Survey. Mean sodium intake was estimated using a 24-h recall log and associations with the independent variables were tested using generalized regression analysis stratified by age group. Results Sodium intake was higher in male participants as well as adolescents and adults who reported eating ≥1 meal outside the home (6.07% and 7.06% increase, respectively). Per meal, sodium was consumed more outside the home at breakfast, during an afternoon snack, and at dinner among adolescents. No significant differences were found in the analysis by type of meal among the adults and seniors. Conclusions Sodium intake exceeded the WHO recommendation in all age groups analyzed. Having ≥1 meal outside the home was associated with greater sodium intake among adolescents and adults. Measures to regulate the food industry and dietary/nutritional education strategies targeting consumers are important to reducing the sodium intake of the population.

scholarly journals Sodium Intake as a Cardiovascular Risk Factor: A Narrative Review

Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 3177
Author(s):  
David A. Jaques ◽  
Gregoire Wuerzner ◽  
Belen Ponte
Keyword(s):  
Risk Factor ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factor ◽  
Salt Intake ◽  
Sodium Intake ◽  
Population Level ◽  
Cardiovascular Outcomes ◽  
Individual Response ◽  
High Sodium ◽  
Salt Consumption

While sodium is essential for human homeostasis, current salt consumption far exceeds physiological needs. Strong evidence suggests a direct causal relationship between sodium intake and blood pressure (BP) and a modest reduction in salt consumption is associated with a meaningful reduction in BP in hypertensive as well as normotensive individuals. Moreover, while long-term randomized controlled trials are still lacking, it is reasonable to assume a direct relationship between sodium intake and cardiovascular outcomes. However, a consensus has yet to be reached on the effectiveness, safety and feasibility of sodium intake reduction on an individual level. Beyond indirect BP-mediated effects, detrimental consequences of high sodium intake are manifold and pathways involving vascular damage, oxidative stress, hormonal alterations, the immune system and the gut microbiome have been described. Globally, while individual response to salt intake is variable, sodium should be perceived as a cardiovascular risk factor when consumed in excess. Reduction of sodium intake on a population level thus presents a potential strategy to reduce the burden of cardiovascular disease worldwide. In this review, we provide an update on the consequences of salt intake on human health, focusing on BP and cardiovascular outcomes as well as underlying pathophysiological hypotheses.

scholarly journals Interventions That Successfully Reduced Adults Salt Intake—A Systematic Review

Nutrients ◽  
2021 ◽  
Vol 14 (1) ◽  
pp. 6
Author(s):  
Tânia Silva-Santos ◽  
Pedro Moreira ◽  
Micaela Rodrigues ◽  
Patrícia Padrão ◽  
Olívia Pinho ◽  
...  
Keyword(s):  
Salt Intake ◽  
Disease Risk ◽  
Sodium Intake ◽  
Cardiovascular Disease Risk ◽  
Nutritional Education ◽  
Salt Consumption ◽  
Randomized Intervention ◽  
Reduced Salt ◽  
Intervention Trials ◽  
Pilot Intervention

Background: Adequate sodium intake is important for lowering blood pressure and thus reducing cardiovascular disease risk and other complications. The aim of this review is to identify recent interventions around the world that have been successful in reducing salt intake. Methods: A search in the PubMed, Web of Science and Scopus databases was performed. We include studies published in the last 10 years; randomized trials, pilot intervention without a control arm or experimental study; adult participants; and interventions that successfully reduced salt intake. Study quality was assessed. Results: We included 21 studies, 16 randomized intervention trials and five nonrandomized intervention studies. Eleven interventions described health and nutritional education, seven interventions described nutritional education plus other interventions, and three studies used salt meters to reduce sodium intake. Conclusion: Health and nutritional education, nutritional education plus other interventions and estimates of salt intake showed success in the reduction of salt consumption. There is no evidence that one type of intervention analyzed is more effective than other in reducing salt consumption, so we must analyze each in which individuals or subpopulations will have the intervention performed and use the most suitable approaches to lead to better results.

Abstract P239: Diet Modifies Cardiometabolic Effects Of DOCA-salt In C57BL/6J Mice

Hypertension ◽  
2020 ◽  
Vol 76 (Suppl_1) ◽  
Author(s):  
Chetan N Patil ◽  
Vanessa Oliveira ◽  
Megan Opichka ◽  
McKenzie L Ritter ◽  
John J Reho ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Energy Efficiency ◽  
Body Mass ◽  
Energy Flux ◽  
Salt Intake ◽  
Sodium Intake ◽  
Sodium Retention ◽  
Digestive Efficiency ◽  
Salt Treatment ◽  
Total Sodium

The deoxycorticosterone acetate (DOCA)-salt model of hypertension is widely used to investigate the neurohormonal regulation of blood pressure. We investigated the modulatory effect of three common “chow” diets upon cardiometabolic consequences of DOCA-salt treatment in mice. Male C57BL/6J mice (6 wks of age) were randomly assigned to 5L0D (LabDiet 67138, 4.0 g Na/kg), a Soy-free extruded diet (Envigo 2920, 1.5 g Na/kg), or an NIH-31 modified open formula diet (Teklad 7913, 3.1 g Na/kg) and provided with autoclaved deionized water for 3 weeks (n=16/diet). At 9 weeks of age (ie, before DOCA-salt), intake behaviors and energy flux were assessed using metabolic caging and bomb calorimetry. Before DOCA-salt, body mass, digestive efficiency, energy efficiency, total sodium intake, urine volumes, and apparent sodium & potassium retentions (ie, ingested-urine loss) were significantly modified by diet (p<0.05), but calories absorbed per day was not. Mice (n=8/diet) were then implanted with a DOCA pellet (50mg, sc) and provided 0.15 M NaCl as an additional drink option, or underwent sham surgery (n=8/diet). At 12 weeks of age (ie, after DOCA-salt), intake behaviors and energy flux were again assessed before tissue harvest. After DOCA-salt, body mass, energy efficiency, total sodium intake, urine volume, apparent sodium retention, and renal renin mRNA were significantly affected by a diet x DOCA-salt interaction (p<0.05). In contrast, digestive efficiency and apparent potassium retention were modified by diet (p<0.05), and calories absorbed per day, plasma sodium, and plasma potassium were affected by main effects of diet (p<0.05) and DOCA-salt (p<0.05), but these endpoints were not modified by a diet x DOCA-salt interaction. Combined with analyses of tissue masses, expression of various renal electrolyte transporters, blood chemistries, and urinalyses, these many endpoints highlight a multitude of cardiometabolic outcomes of the DOCA-salt model that are sensitive to environmental contexts such as diet. Ongoing work is investigating the modulatory effect of diet upon increases in total body sodium retention and blood pressure induced by DOCA-salt treatment, and roles for varied sodium vs protein contents of the diets in these effects.

scholarly journals Estradiol increases salt intake in female normotensive and hypertensive rats

2002 ◽  
Vol 93 (2) ◽  
pp. 479-483 ◽  
Author(s):  
Eric Kensicki ◽  
Gail Dunphy ◽  
Daniel Ely
Keyword(s):  
Spontaneously Hypertensive Rats ◽  
Significant Positive Correlation ◽  
Salt Intake ◽  
Sodium Intake ◽  
Female Rats ◽  
Hypertensive Rats ◽  
Spontaneously Hypertensive ◽  
Wistar Kyoto ◽  
Higher Doses ◽  
Sodium Consumption

The objective of this study was to examine whether or not estradiol (E2) alters sodium intake in hypertensive and normotensive female rats. It was hypothesized that higher doses of E2 would increase sodium consumption and that this response would be greater in spontaneously hypertensive rats (SHR) compared with Wistar Kyoto (WKY) rats. The study involved female SHR and WKY ( n = 12/group). All animals were ovariectomized. Six of twelve rats from each strain received three progressively larger doses of β-estradiol propionate (each dose lasting 2 wk), whereas the other six rats from each strain received sham implants. Blood E2 levels were measured by radioimmunoassay after each 2-wk period, allowing a 10-day washout period before the next E2 dose. Rats had access to 0.0, 0.5, 1.0, and 1.5% NaCl solutions to drink throughout the experiment. There was a significant positive correlation between sodium intake and plasma E2 ( r = 0.8, P < 0.001). Both strains avoided the 1.5% NaCl, and the increased sodium intake was achieved by an increase in consumption of the 0.5% NaCl. SHR females consumed more sodium than WKY females, which is similar to what has been observed in males of these strains. In conclusion, E2 was positively correlated with sodium intake in both strains of rat, with the hypertensive rats consuming more sodium than the normotensive rats.

Assessment of the Salt-Arterial Pressure Relationship in Mild Hypertensive Subjects by 24-Hour Ambulatory Monitoring

1994 ◽  
Vol 87 (6) ◽  
pp. 635-639 ◽  
Author(s):  
Carmine Zoccali ◽  
Francesca Mallamaci ◽  
Daniela Leonardis
Keyword(s):  
Arterial Pressure ◽  
Salt Intake ◽  
Sodium Intake ◽  
Ambulatory Monitoring ◽  
Systolic Pressure ◽  
Significant Linear Trend ◽  
Low Sodium ◽  
Habitual Intake ◽  
Mild Hypertensive ◽  
The Relationship

1. We have assessed the relationship between salt intake and 24 h ambulatory arterial pressure in middle aged men with essential hypertension. 2. During the run-in phase (1 month) we estimated the habitual sodium intake (the average Na excretion of two 24 h urine collections) of each participant (n = 14). In the randomized and crossover part of the study we contemplated a ‘habitual’ sodium intake phase, in which each individual received a fixed diet (about 30 mmol of Na+ and 65 mmol of K+) with additional salt so as to equalize the average intake of the run-in phase, as well as high sodium phases (habitual intake +50 and + 100 mmol/day) and low sodium phases (habitual intake −50 and −100 mmol/day). After the trial, 10 patients under-went an additional week of fixed salt intake to assess the reproducibility of 24 h ambulatory monitoring. 3. Average 24 h arterial pressure at habitual sodium intake was significantly lower than that at high intake and significantly higher than at low sodium intake. Clinic arterial pressure showed similar trends but only systolic pressure changes at low sodium intake achieved statistical significance. 4. Analysis of the data on an individual basis showed a linear increase in 24 h mean arterial pressure with increasing levels of sodium intake in all but two cases (flat response in one case and a non-linear rise in the other case). The response pattern of clinic measurements was much less homogeneous. In the aggregate, there was a highly significant linear trend for ambulatory arterial pressure to rise with increasing levels of salt intake. The association of clinic pressure with sodium excretion was weaker than that of ambulatory pressure. The reproducibility of 24 h arterial pressure at fixed salt intake was better than that of clinic diastolic pressure. 5. The data support the view that, in the usual range of salt intake, the relationship between arterial pressure and sodium is linear.

Abstract P421: Estimation Of Adult Dietary Sodium Intake And Source In Shandong China 2011: Finding From SMASH Project Baseline Survey

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Liuxia YAN ◽  
Zilong LU ◽  
Jixiang MA ◽  
Xiaolei GUO ◽  
Jiyu ZHANG ◽  
...  
Keyword(s):  
Salt Intake ◽  
Sodium Intake ◽  
Monosodium Glutamate ◽  
Soy Sauce ◽  
Dietary Sodium ◽  
Baseline Survey ◽  
Dietary Salt ◽  
Ministry Of Health ◽  
Cross Sectional ◽  
Dietary Recall

Zilong LU, Liuxia YAN, Jixiang MA, Xiaolei GUO, Jiyu ZHANG, Junli TANG, Huicheng WANG, Xiaoning CAI Background: Moderate population salt reduction could reduce blood pressure and the cardiovascular and stroke mortality in the long-term. In 2002, China’s national average dietary salt intake is twice of the recommendation sodium intake limit by Chinese Nutrition Association. To tackle the health burden of excessive salt intake, the former Ministry of Health has chosen Shandong province as national pilot and launched the Shandong & Ministry of Health Action on Salt and Hypertension (SMASH, 2011[[Unable to Display Character: &#8211;]]2015) project. Objective: To develop and target intervention priority, a cross-sectional population survey was conducted to collect baseline data on sodium intake and sources in Shandong adults in 2011. Methods: We used multi-stage clustering sampling method to select the provincial representative sample for Shandong adults aged 18~69 years old. The selected adults were invited to participate the questionnaire survey and consecutive three-round 24-hour dietary recall. The Chinese 24-hour dietary recall includes two parts, cooking condiment weighting and the food (exclude the condiment) intake diary. The sodium contents in the condiments and food were calculated by using reference values from China Food Composition 2004. Results: Overall, 2140 community adult residents were included in the data analysis. The total average dietary sodium intake estimated by 24-hour dietary recall was 5745mg (95%CI: 5428-6063). Men (6147mg/d, 5824-6471) consumed higher sodium than women (5339 mg/d, 5006-5673) (P<0.05). The majority of dietary sodium (81%) was from cooking condiments including salt, soy sauce, sauce and monosodium glutamate (MSG), with a mean sodium intake of 4640mg (4360-4920). Out of the cooking condiments, salt added during food preparation was the leading source (63%) of sodium intake, up to 3638mg/d (3397-3879) sodium intake. Sodium intake from processed food was account for 10% of the total sodium intake, averaged at 582 mg (498-666) sodium intake for Shandong adults. Conclusion: The Shandong adults consume excessive sodium than the recommendation intake and most is from the condiments added at cooking.

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