scholarly journals Sodium and Potassium Intake, the First Step to Control Arterial Hypertension

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Maria Guedes-Marques ◽  
Emanuel Ferreira ◽  
Francisco Ferrer ◽  
Dilva Silva ◽  
Jorge Fortuna ◽  
...  

In Portugal, Hypertension affects 43% of adults. Salt intake reduction and potassium increase are recommended for prevention and treatment of hypertension. This study was designed to determine how dietary sodium and potassium affects blood pressure (BP). Cross-sectional study of 41 patients was made in Centro Hospitalar de Coimbra. Patients BP, as well as their 24-hour urinary excretion of sodium (UNa) and potassium (UK); UNa/UK ratio was calculated. There were highly significant differences for both diastolic BP (DBP) and sistolic BP (SBP) means according to 24h-UNa and UNa/UK values (p 0.001). There was a highly correlation between BP and 24h-UNa, as well as, UNa/UK; stronger with this latest factor. Among BP values, SBP was strongly influenced by 24h-UNa and UNa/UK than DBP (Pearson 0.608 > 0.578 and 0.675 > 0.633, respectively). So, increased potassium intakeshould be considered as a recommendation for prevention and treatment of hypertension, especially in those who are unable to reduce their intake of sodium.

2021 ◽  
Vol 119 ◽  
pp. 04003
Author(s):  
Maria Elarbaoui ◽  
Ali Jafri ◽  
Younes Elkardi ◽  
Houria Makhlouki ◽  
Basma Ellahi ◽  
...  

In Morocco, the high consumption of dietary sodium increases the risk of non-communicable diseases (NCDs) and predisposes to cardiovascular diseases (CVDs) and hypertension. This study aims to assess the dietary sodium and potassium intake in a random sample of Moroccan adult students as a benchmark informing a national strategy for reducing salt intake. This cross-sectional study was conducted with 103 adults aged 18 to 25 years recruited in Casablanca. The 24-hour urinary excretion was used to measure the sodium and potassium. Creatinine excretion was used to validate the completeness of the urine collections. The average urinary sodium excretion was 3125.77 ± 121.99 mg/day, 13.5% consumed less than 5g/day, while 69% consumed more than 5 g/day of which 17.5% consumed more than twice the recommendations. For the average urinary potassium excretion was 1826.1 ± 61.2 mg/day, and more than 98% of the students consumed less than the adequate intake. The results of this pilot study show that the population studied has a high sodium intake and low potassium intake which does not meet World Health Organization (WHO) recommendations, which requires implementing an action plan to reduce salt.


2020 ◽  
Author(s):  
Arman Arab ◽  
Fariborz Khorvash ◽  
Zahra Heidari ◽  
Gholamreza Askari

Abstract Aim: There is a paucity of evidence regarding the association between sodium and potassium with migraine. To explore the possible relationship between 24-h urinary sodium and potassium with clinical features of migraine patients, we conducted a cross-sectional study using a sample of the Iranian population. Methods: In this cross-sectional study, 262 participants aged 20-50 years, with a diagnosis of migraine were included. One 24-h urine sample was collected by each subject to estimate sodium and potassium intake. Clinical features of migraine including frequency, duration, severity, migraine headache index score (MHIS), and headache impact test (HIT) were assessed. The serum nitric oxide values were assessed using the Griess method. Multiple linear regression analysis was used and beta (β) and 95% corresponding confidence interval (CI) were reported. Results: The 24-h urinary sodium was significantly associated with frequency (Model 3: β=1.86, 95%CI (0.10, 3.62); P=0.038), duration (Model 2: β=0.38, 95%CI (0.11, 0.66); P=0.006) and MHIS (Model 3: β=0.19, 95%CI (0.01, 0.37); P=0.034). Also, there was a significant association between Na/K ratio and MHIS (Model 2: β=0.16, 95%CI (0.003, 0.33); P=0.045). There was no significant relationship between 24-h urinary potassium and any of the intended variables (all P values <0.05). Conclusion: Our findings suggest that reducing sodium intake and increasing potassium intake could be used as a useful and novel approach to improve clinical findings of migraine and associated burden of disease. Additional studies are needed to replicate these findings and to discover mechanisms that mediate the association between sodium and potassium intake with migraine headache.


Medicina ◽  
2019 ◽  
Vol 56 (1) ◽  
pp. 7
Author(s):  
Yuta Sakamoto ◽  
Takeru Oka ◽  
Takashi Amari ◽  
Satoshi Shimo

The authors did not realize the error made in the front matter in the proofreading phase [...]


Author(s):  
Mariyam Khwaja

Background: Healthy dietary practice is an important lifestyle modification and one of the key adjuncts to pharmacotherapy in management of hypertension. A modest reduction in salt intake of 5 gm/day lowered blood pressure by 7/4 mmHg diastolic in hypertensive patients. Despite knowledge about the ill consequences, many people continue to consume high levels of salt in their diet. To motivate people to reduce salt in their diet, a solid understanding of barriers encountered by those under salt reduction recommendation is necessary. Hence, this study was conducted with the aim of identifying the barriers to dietary salt reduction among hypertensive patients.Methods: A community based cross sectional study was conducted on a sample of 356 hypertensive patients in field practice areas (urban and rural) in Department of Community Medicine, JNMC, AMU, Aligarh. A pretested semi-structured questionnaire was used for the study. Compliance to dietary salt intake was assessed by calculating average salt intake per person per day. The tenets of health belief model were used to examine the key determinants of human behavior. Analysis was done by using correlation, proportions, chi-square and multiple linear regression.Results: 31.4% of the participants took salt <5 gm per day. A significant association was noticed with area, religion, social class, family size, perceived benefits and perceived susceptibility. A significant positive correlation was seen with total adherence score and family size.Conclusions: A lot of barriers hinder the compliance to dietary salt reduction. Health Education stressing the role of salt reduction in control of blood pressure is recommended.


PLoS ONE ◽  
2012 ◽  
Vol 7 (1) ◽  
pp. e29836 ◽  
Author(s):  
Christopher Millett ◽  
Anthony A. Laverty ◽  
Neophytos Stylianou ◽  
Kirsten Bibbins-Domingo ◽  
Utz J. Pape

2018 ◽  
Vol 58 (7) ◽  
pp. 2921-2928 ◽  
Author(s):  
Magali Rios-Leyvraz ◽  
Pascal Bovet ◽  
Murielle Bochud ◽  
Bernard Genin ◽  
Michel Russo ◽  
...  

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e043298
Author(s):  
Mithila Faruque ◽  
Lingkan Barua ◽  
Palash Chandra Banik ◽  
Sharmin Sultana ◽  
Animesh Biswas ◽  
...  

ObjectiveTo determine the prevalence of non-communicable disease (NCD) risk factors among nurses and para-health professionals (PHPs) working at primary healthcare centres in Bangladesh. In addition to this, we also investigated the association of these risk factors with the categories of health professions.DesignCross-sectional study and the sampling technique was a census.SettingThe study site was a medical university of Bangladesh where the study population was recruited by NCD Control Programme of Directorate General of Health Services to participate in a 3-day training session from November 2017 to May 2018.ParticipantsA total of 1942 government-employed senior staff nurses (SSNs) and PHPs working at Upazila Health Complexes.Primary and secondary outcome measuresThe data were collected using a modified STEPwise approach to NCD risk factors surveillance questionnaire of the World Health Organisation (V.3.2). The prevalence of NCD risk factors was presented descriptively and the χ² test was used to determine the association between NCD risk factors distribution and categories of health professions.ResultsThe mean age of the participants was 37.6 years (SD 9.5) and most of them (87.6%) had a diploma in their respective fields. Physical inactivity (86.9%), inadequate fruits and/vegetable intake (56.3%) and added salt intake (35.6%) were the most prevalent behavioural risk factors. The prevalence of central obesity, overweight, raised blood glucose and raised BP were 83.5%, 42.6%, 19.2% and 12.8% respectively. Overall, the NCD risk factors prevalence was higher among PHPs compared with SSNs. A highly significant association (p<0.001) was found between risk factors and the categories of health professions for tobacco use, alcohol intake, added salt intake and physical inactivity.ConclusionHigh NCD risk factors prevalence and its significant association with SSNs and PHPs demand an appropriate risk-reduction strategy to minimise the possibility of chronic illness among them.


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