scholarly journals Sodium Intake from Foods Exceeds Recommended Limits in the Spanish Population: The ANIBES Study

Nutrients ◽  
2019 ◽  
Vol 11 (10) ◽  
pp. 2451 ◽  
Author(s):  
Teresa Partearroyo ◽  
Mª de Lourdes Samaniego-Vaesken ◽  
Emma Ruiz ◽  
Javier Aranceta-Bartrina ◽  
Ángel Gil ◽  
...  
Keyword(s):  
Sodium Intake ◽  
Meat Products ◽  
Spanish Population ◽  
Food Groups ◽  
Dietary Salt ◽  
Salt Reduction ◽  
Adverse Health Effects ◽  
Tablet Device ◽  
Socioeconomic Data ◽  
Sodium Consumption

Excessive sodium consumption is associated with adverse health effects. An elevated dietary intake of salt (sodium chloride) has been related to high blood pressure or hypertension, a major but modifiable risk factor for cardiovascular disease, as well as to other ill health conditions. In the present work, our aim was to describe the contribution of foods to sodium consumption within the Spanish population in a representative sample from the “anthropometric data, macronutrients and micronutrients intake, practice of physical activity, socioeconomic data and lifestyles in Spain” (ANIBES) study (9–75 years), to identify high consumer groups, as well as the major food groups that contribute to sodium intake in the Spanish diet. Intakes were assessed by 3-day food records collected on a tablet device. Sodium intakes across the ANIBES study population exceeded recommendations, as total intakes reached 2025 ± 805 mg of sodium per day, that is approximately 5.06 g/day of salt (excluding discretionary salt, added at the table or during cooking). Sodium intakes were higher in males than in females and within the youngest groups. Main dietary sources of sodium were meat and meat products (27%), cereals and grains (26%), milk and dairy products (14%) and ready-to-eat meals (13%). Given the established health benefits of dietary salt reduction, it would be advisable to continue and even improve the current national initiatives of awareness and educational campaigns and particularly food reformulation to decrease overall salt intakes across the Spanish population.

scholarly journals Projected effects on salt purchases following implementation of a national salt reduction policy in South Africa

2020 ◽  
pp. 1-18
Author(s):  
Rhoda N. Ndanuko ◽  
Maria Shahid ◽  
Alexandra Jones ◽  
Terry Harris ◽  
Joel Maboreke ◽  
...  
Keyword(s):  
South Africa ◽  
South African ◽  
Salt Content ◽  
Meat Products ◽  
Food Product ◽  
Food Groups ◽  
Food Category ◽  
Cross Sectional ◽  
Salt Reduction ◽  
Sectional Analysis

Abstract Objective: To assess the contribution of different food groups to total salt purchases and to evaluate the estimated reduction in salt purchases if mandatory maximum salt limits in South African legislation were being complied with. Design: This study conducted a cross-sectional analysis of purchasing data from Discovery Vitality members. Data were linked to the South African FoodSwitch database to determine the salt content of each food product purchased. Food category and total annual salt purchases were determined by summing salt content (kg) per each unit purchased across a whole year. Reductions in annual salt purchases were estimated by applying legislated maximum limits to product salt content. Setting: South Africa Participants: The study utilised purchasing data from 344,161 households, members of Discovery Vitality, collected for a whole year between January and December 2018. Results: Vitality members purchased R12.8 billion worth of food products in 2018, representing 9,562 products from which 264,583 kg of salt were purchased. The main contributors to salt purchases were bread and bakery products (23.3%); meat and meat products (19%); dairy (12.2%); sauces, dressings, spreads and dips (11.8%); and convenience foods (8.7%). The projected total quantity of salt that would be purchased after implementation of the salt legislation was 250,346 kg, a reduction of 5.4% from 2018 levels. Conclusions: A projected reduction in salt purchases of 5.4% from 2018 levels suggests that meeting the mandatory maximum salt limits in South Africa will make a meaningful contribution to reducing salt purchases.

scholarly journals Foods contributing to sodium intake and urinary sodium excretion in a group of Australian women

2012 ◽  
Vol 16 (10) ◽  
pp. 1837-1842 ◽  
Author(s):  
Jennifer B Keogh ◽  
Kylie Lange ◽  
Rebecca Hogarth ◽  
Peter M Clifton
Keyword(s):  
Sodium Intake ◽  
Meat Products ◽  
South Australia ◽  
Community Setting ◽  
Urinary Sodium Excretion ◽  
Community Dwelling ◽  
Food Sources ◽  
Food Groups ◽  
Creatinine Excretion ◽  
Food Records

AbstractObjectivesTo identify food sources of Na in a group of community-dwelling women in Adelaide, South Australia. A secondary aim was to measure Na excretion in this group.DesignSurvey.SettingCommunity setting, Adelaide, South Australia.SubjectsSeventy healthy women (mean age 48·6 (sd8·1) years, mean BMI 28·6 (sd6·3) kg/m2) living in metropolitan Adelaide, South Australia and participating in a validation study of an FFQ. Dietary intake was derived from two 4 d weighed food records. Foods from the 4 d weighed food records were grouped according to foods or food groups to establish contributors to Na intake. Na excretion was measured in two 24 h urine samples. Completeness of urine collections was verified using creatinine excretion.ResultsBread alone contributed 19·0 % of Na intake, with an overall contribution from the breads and cereals group of 32·5 %. Meat products contributed 14·4 % of intake, the dairy and eggs group (excluding cheese) 9·6 % and combination dishes (e.g. pizza, quiche, sandwiches and stir fry dishes) 8·4 %. Na excretion was 126 (sd42) mmol/d, i.e. approximately 7·6 (sd2.5) g salt/d. Seventy per cent of participants (n48) had Na excretion ≥100 mmol/d (146 (sd34) mmol/d).ConclusionsEffective Na reduction could be achieved by reducing the amount in staple foods such as bread and meat products.

scholarly journals Progress on sodium reduction in South Korea

2020 ◽  
Vol 5 (5) ◽  
pp. e002028 ◽  
Author(s):  
Hye-Kyung Park ◽  
Yoonna Lee ◽  
Baeg-Won Kang ◽  
Kwang-il Kwon ◽  
Jong-Wook Kim ◽  
...  
Keyword(s):  
South Korea ◽  
Sodium Intake ◽  
Home Monitoring ◽  
Monitoring And Evaluation ◽  
Dietary Sodium ◽  
Food Sources ◽  
Sodium Reduction ◽  
Salt Reduction ◽  
Low Sodium ◽  
Sodium Consumption

IntroductionHigh dietary sodium is a leading contributor to hypertension, and hypertension is the leading underlying cause of death globally. There is a robust body of evidence supporting the health benefits of sodium reduction. Sodium intake in South Korea is high, with about half the population consuming >4000 mg/day, twice the recommended upper limit.MethodsIn 2012, South Korea implemented its National Plan to Reduce Sodium Intake, with a goal of reducing population sodium consumption by 20%, to 3900 mg/day, by 2020. The plan included five key components: (1) a consumer awareness campaign designed to change food consumption behaviours; (2) increased availability of low-sodium foods at schools and worksites; (3) increased availability of low-sodium meals in restaurants; (4) voluntary reformulation of processed foods to lower sodium content; and (5) development of low-sodium recipes for food prepared at home. Monitoring and evaluation included tracking sodium intake and sources of dietary sodium using the Korea National Health and Nutrition Examination Survey.ResultsBy 2014, South Korea had reduced dietary sodium consumption among adults by 23.7% compared to a survey conducted in 2010 prior to implementation of a nationwide salt reduction campaign that used this comprehensive, multipronged approach. The reductions in sodium intake were accompanied by reductions in population blood pressure and hypertension prevalence. Although causal associations between the sodium reduction programme and reduced sodium intake cannot be made, the declines occurred with the introduction of the programme.ConclusionMulticomponent interventions have great potential to reduce population sodium intake. Lessons learnt from South Korea could be applied to other countries and are likely very relevant to other Asian countries with similar food sources and consumption profiles.

scholarly journals Addition of essential oils and inulin for production of reduced salt and fat ham

2019 ◽  
pp. 1031-1036
Author(s):  
Rosicleide dos Santos Silva ◽  
Alcione dos Santos Lima ◽  
Leandro Paulo da Silva ◽  
Robson do Nascimento Silva ◽  
Emmanuel Moreira Pereira ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Essential Oils ◽  
Sodium Intake ◽  
Meat Products ◽  
Microbiological Quality ◽  
Quality Parameters ◽  
Inverse Association ◽  
Salt Reduction ◽  
Promising Alternative ◽  
Increased Risk

It has been estimated that approximately 75% of the human’s sodium intake is added during industrial manufacturing. Processed meats can also contain relatively high amounts of saturated fats, and high levels of fat, associated with increased risk of obesity, diabetes and cancers, especially colon cancers. In contrast, dietary fiber intake (ex. inulin) has been associated with health benefits, including a suggested protective effect against colorectal cancer due to an inverse association with colorectal cancer risk. Nutritional and health concerns indicate that consumption of these two elements should be reduced. This study aimed to develop a ham with reduced levels of salt and fat. We added essential oils of oregano and rosemary to preserve the ham as a substitute for fat, for which inulin was also added. Six ham formulations were prepared (control, fat reduction + inulin, salt reduction, salt reduction + essential oils, salt reduction + no fat, and salt reduction + no fat + essential oils). The physical-chemical and microbiological quality parameters were evaluated. The addition of inulin did not interfere with the chemical composition of the formulated ham, presenting itself as a promising alternative for reducing the addition of fat in baked ham. The administration of essential oils in combination caused a significant decrease in native flora of cooked ham. These results suggest that a combination of essential oils and inulin may be a promising alternative in the production of meat products with lower salt and fat levels.

scholarly journals Estimating Usual Sodium Intake and Sodium-to-Potassium Molar Ratios From Urine Excretion Among Canadian Adults: An Analysis of the Canadian Health Measures Survey

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 1020-1020
Author(s):  
Anthea Christoforou ◽  
Alena (Praneet) Ng ◽  
Jodi Bernstein ◽  
Mary L'Abbe
Keyword(s):  
Sodium Excretion ◽  
Sodium Intake ◽  
Population Level ◽  
Urine Samples ◽  
Dietary Sodium ◽  
Dietary Salt ◽  
Salt Reduction ◽  
Men And Women ◽  
Spot Urine ◽  
Molar Ratios

Abstract Objectives High dietary sodium is now well established to be a major risk factor for hypertension, cardiovascular disease and mortality. Monitoring population sodium intakes is critical for evaluating progress towards Health Canada's dietary salt reduction targets. Given that approximately 90% of ingested sodium is excreted in the urine, accurate estimations of average daily urinary sodium is critical for determining population sodium intake. However, until recently, nationally representative surveys from Canada have only collected a single “spot” (casual) urine sample which are prone to bias due to large day-to-day variation amongst individuals. The aim of this study was to estimate average population sodium intake using the latest version of the Canadian Heath Measures Survey, Cycle 5 (2016–2017) which, for the first time includes 2 non-consecutive days of spot urine samples from a representative sample of the Canadian population. Methods The INTERSALT equations, validated for western populations, was used to estimate 24hr intakes of sodium amongst adults ≥19 years of age, excluding pregnant women (n = 3032). Individual sodium-to-potassium molar ratios (Na: K) were also calculated, given their importance in predicting hypertension risk. The second day of spot urines was used to control for within-person variation in both sodium excretion and NA: K molar ratios, using the National Cancer Institute method for estimating usual dietary intake, adjusting for respondents’ fasting status. Results Mean sodium excretion was 3142 ± 30 mg/day and 3154 ± 30 mg/dayin men and women, respectively. In both men and women only 14% of participants consumed less than the recommended 2300 mg of sodium/day. The Na: K was approximately 1.4 in both men and women with only 15–20%, at or below, an optimal Na: K of 1. Conclusions This is the first study from Canada to estimate sodium and NA: K at the population level, using two days of spot urine samples, providing robust baseline data for continued monitoring. Our findings reveal a need for ongoing efforts to reduce population sodium and improve potassium intakes in order to reduce cardiovascular risk. Funding Sources Canadian Institutes of Health Research.

scholarly journals A Brief Study of Dietary Salt Intake in an Urban Population

2021 ◽  
Author(s):  
Tahere Soltani ◽  
Seyed Saeed Mazloomy Mahmoodabad ◽  
Azadeh Nadjarzadeh ◽  
Ali Akbar Vaezi ◽  
Seyedeh Mahdieh Namayandeh ◽  
...  
Keyword(s):  
Salt Intake ◽  
Sodium Intake ◽  
Salt Content ◽  
Population Based ◽  
Time Interval ◽  
Dietary Salt ◽  
Related Factors ◽  
Salt Reduction ◽  
Dietary Salt Intake ◽  
The People

Background: The purpose of this study is to investigate the amount of salt consumed by the people living in Yazd, Iran and its related factors based on previous investigations. materials and methods: A general search was performed on electronic databases of Daneshgostar Barakat system, Magiran, SID and English databases such as Scopus, PubMed, Web of sciences, Science direct, and Google scholar search engines using following keywords: "salt intake" OR "sodium intake" OR "salt reduction" OR "salt content" OR "sodium reduction" OR "Diet, Reducing"  regardless of the time interval. A total of 273 articles were obtained from the mentioned website. Papers published up to September 30, 2019 were retrieved. A total of 15 related articles were analyzed, and studies on the amount of salt consumed were evaluated. Results: The amount of salt received by the people of Yazd is higher than the standard of the World Organization and has an increasing trend. Conclusion: A population-based approach for salt intake reduction can lower blood pressure levels and presumably significantly reduce mortality. Therefore, the implementation of a comprehensive plan and intervention for salt consumption is necessary for this population.

scholarly journals Salt Intake in Nigeria: a nationwide population survey

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
A.N Odili ◽  
B.S Chori ◽  
B Danladi ◽  
P.C Nwakile ◽  
J.O Ogedengbe ◽  
...  
Keyword(s):  
Salt Intake ◽  
Sodium Intake ◽  
Population Analysis ◽  
Cost Effective ◽  
Rural Site ◽  
Urban Site ◽  
Funding Source ◽  
Salt Reduction ◽  
High Salt Intake ◽  
The Impact

Abstract Background Population wide salt reduction programmes are cost effective strategies for control of cardiovascular diseases (CVDs). Obtaining a nationwide salt consumption data in a multi-cultural setting as Nigeria's is key for proper implementation and monitoring of such strategy. Methods We measured sodium in 24-hour urine of free-living adult Nigerians selected from an urban and a rural site each from the 6 geopolitical zones of Nigeria to evaluate patterns of salt intake and its associations with blood pressures (BP). Results Across the 12 sites, sodium intake ranged from 97.9 in the rural South-South to 210 mmol/day in the urban site of the same zone. Overall, the median (IQR) daily sodium intake was 143.5 (97.8) mmol; with higher (p=0.0028) levels among the urban 149.7 (113.8) compared to the rural 133.1 (105.2) dwellers. Overall, 20% of the subjects consumed less than the recommended 2g (86mmol) of sodium daily. After adjustment for age, sex and BMI; sodium intake and BP (systolic and diastolic) were positively associated in 8 out of the 12 sites; significantly so in 2 (p<0.05) for systolic. Within population analysis; which included 973 individuals, increasing sodium intake tended (not significantly) to increase SBP but decrease DBP. However, among subjects whose sodium intake was in excess of 257mmol/day, a 100 mmol/day increase in sodium intake was significantly (p=0.04) associated with a 3.3 mmHg increase in SBP. Conclusion Salt intake among Nigerians is higher than the recommended. The impact of sodium intake on BP appears to be evident only among individuals with high salt intake. Funding Acknowledgement Type of funding source: Foundation. Main funding source(s): Wellcome Trust

scholarly journals Knowledge, perception, and practice related to sodium intake among Malaysian adults: findings from the Malaysian Community Salt Study (MyCoSS)

2021 ◽  
Vol 40 (S1) ◽  
Author(s):  
Siew Man Cheong ◽  
Rashidah Ambak ◽  
Fatimah Othman ◽  
Feng J. He ◽  
Ruhaya Salleh ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Logistic Regression Analysis ◽  
Sodium Intake ◽  
Dietary Sodium ◽  
Health Concern ◽  
Sodium Reduction ◽  
Salt Reduction ◽  
Complex Sample ◽  
Health Organization

Abstract Background Excessive intake of sodium is a major public health concern. Information on knowledge, perception, and practice (KPP) related to sodium intake in Malaysia is important for the development of an effective salt reduction strategy. This study aimed to investigate the KPP related to sodium intake among Malaysian adults and to determine associations between KPP and dietary sodium intake. Methods Data were obtained from Malaysian Community Salt Survey (MyCoSS) which is a nationally representative survey with proportionate stratified cluster sampling design. A pre-tested face-to-face questionnaire was used to collect information on socio-demographic background, and questions from the World Health Organization/Pan American Health Organization were adapted to assess the KPP related to sodium intake. Dietary sodium intake was determined using single 24-h urinary sodium excretion. Respondents were categorized into two categories: normal dietary sodium intake (< 2000 mg) and excessive dietary sodium intake (≥ 2000 mg). Out of 1440 respondents that were selected to participate, 1047 respondents completed the questionnaire and 798 of them provided valid urine samples. Factors associated with excessive dietary sodium intake were analyzed using complex sample logistic regression analysis. Results Majority of the respondents knew that excessive sodium intake could cause health problems (86.2%) and more than half of them (61.8%) perceived that they consume just the right amount of sodium. Overall, complex sample logistic regression analysis revealed that excessive dietary sodium intake was not significantly associated with KPP related to sodium intake among respondents (P > 0.05). Conclusion The absence of significant associations between KPP and excessive dietary sodium intake suggests that salt reduction strategies should focus on sodium reduction education includes measuring actual dietary sodium intake and educating the public about the source of sodium. In addition, the relationship between the authority and food industry in food reformulation needs to be strengthened for effective dietary sodium reduction in Malaysia.

scholarly journals Systematic review of dietary salt reduction policies: Evidence for an effectiveness hierarchy?

PLoS ONE ◽  
2017 ◽  
Vol 12 (5) ◽  
pp. e0177535 ◽  
Author(s):  
Lirije Hyseni ◽  
Alex Elliot-Green ◽  
Ffion Lloyd-Williams ◽  
Chris Kypridemos ◽  
Martin O’Flaherty ◽  
...  
Keyword(s):  
Systematic Review ◽  
Dietary Salt ◽  
Salt Reduction

scholarly journals Sodium Intake and Incidence of Diabetes Complications in Elderly Patients with Type 2 Diabetes—Analysis of Data from the Japanese Elderly Diabetes Intervention Study (J-EDIT)

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 689
Author(s):  
Chika Horikawa ◽  
Rei Aida ◽  
Shiro Tanaka ◽  
Chiemi Kamada ◽  
Sachiko Tanaka ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Diabetic Retinopathy ◽  
Elderly Patients ◽  
Diabetes Complications ◽  
Vegetable Intake ◽  
Sodium Intake ◽  
Food Groups ◽  
High Sodium ◽  
Increased Risk

This study investigates the associations between sodium intake and diabetes complications in a nationwide cohort of elderly Japanese patients with type 2 diabetes aged 65–85. Data from 912 individuals regarding their dietary intake at baseline is analyzed and assessed by the Food Frequency Questionnaire based on food groups. Primary outcomes are times to diabetic retinopathy, overt nephropathy, cardiovascular disease (CVD), and all-cause mortality during six years. We find that mean sodium intake in quartiles ranges from 2.5 g to 5.9 g/day. After adjustment for confounders, no significant associations are observed between sodium intake quartiles and incidence of diabetes complications and mortality, except for a significant trend for an increased risk of diabetic retinopathy (p = 0.039). Among patients whose vegetable intake was less than the average of 268.7 g, hazard ratios (HRs) for diabetic retinopathy in patients in the second, third, and fourth quartiles of sodium intake compared with the first quartile were 0.87 (95% CI, 0.31–2.41), 2.61 (1.00–6.83), and 3.70 (1.37–10.02), respectively. Findings indicate that high sodium intake under conditions of low vegetable intake is associated with an elevated incidence of diabetic retinopathy in elderly patients with type 2 diabetes.

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