期刊论文详细信息
Nutrition Journal
Sodium intake in US ethnic subgroups and potential impact of a new sodium reduction technology: NHANES Dietary Modeling
Priscilla Samuel1  Lisa Spence1  Sanjiv Agarwal2  Victor L Fulgoni3 
[1] Tate & Lyle Ingredients Americas LLC, Decatur, IL, USA;NutriScience LLC, 901 Heatherwood Drive, East Norriton, PA, USA;Nutrition Impact LLC, Battle Creek, MI, USA
关键词: Sodium reduction technology;    NHANES;    Sodium reduction modeling;    Ethnic subgroups;    Sodium intake;   
Others  :  1132387
DOI  :  10.1186/1475-2891-13-120
 received in 2014-10-02, accepted in 2014-12-11,  发布年份 2014
PDF
【 摘 要 】

Background

Because excessive dietary sodium intake is a major contributor to hypertension, a reduction in dietary sodium has been recommended for the US population. Using the National Health and Nutrition Examination Survey (NHANES) 2007–2010 data, we estimated current sodium intake in US population ethnic subgroups and modeled the potential impact of a new sodium reduction technology on sodium intake.

Methods

NHANES 2007–2010 data were analyzed using The National Cancer Institute method to estimate usual intake in population subgroups. Potential impact of SODA-LO® Salt Microspheres sodium reduction technology on sodium intake was modeled using suggested sodium reductions of 20-30% in 953 foods and assuming various market penetrations. SAS 9.2, SUDAAN 11, and NHANES survey weights were used in all calculations with assessment across age, gender and ethnic groups.

Results

Current sodium intake across all population subgroups exceeds the Dietary Guidelines 2010 recommendations and has not changed during the last decade. However, sodium intake measured as a function of food intake has decreased significantly during the last decade for all ethnicities. “Grain Products” and “Meat, Poultry, Fish, & Mixtures” contribute about 2/3rd of total sodium intake. Sodium reduction, using SODA-LO® Salt Microspheres sodium reduction technology (with 100% market penetration) was estimated to be 185–323 mg/day or 6.3-8.4% of intake depending upon age, gender and ethnic group.

Conclusions

Current sodium intake in US ethnic subgroups exceeds the recommendations and sodium reduction technologies could potentially help reduce dietary sodium intake among those groups.

【 授权许可】

   
2014 Fulgoni et al.; licensee BioMed Central.

【 预 览 】
附件列表
Files Size Format View
20150303174207429.pdf 814KB PDF download
Figure 3. 75KB Image download
Figure 2. 59KB Image download
Figure 1. 35KB Image download
【 图 表 】

Figure 1.

Figure 2.

Figure 3.

【 参考文献 】
  • [1]Cutler JA, Sorlie PD, Wolz M, Thom T, Fields LE, Roccella EJ: Trends in hypertension prevalence, awareness, treatment, and control rates in United States adults between 1988–1994 and 1999–2004. Hypertension 2008, 52:818-27.
  • [2]American Heart Association: Heart Disease and Stroke Statistics—2014 Update. Circulation 2013. doi:10.1161/01.cir.0000441139.02102.80
  • [3]Heidenreich PA, Trogdon JG, Khavjou OA, Butler J, Dracup K, Ezekowitz MD, Finkelstein EA, Hong Y, Johnston SC, Khera A, Lloyd-Jones DM, Nelson SA, Nichol G, Orenstein D, Wilson PW, Woo YJ, American Heart Association Advocacy Coordinating Committee; Stroke Council; Council on Cardiovascular Radiology and Intervention; Council on Clinical Cardiology; Council on Epidemiology and Prevention; Council on Arteriosclerosis; Thrombosis and Vascular Biology; Council on Cardiopulmonary; Critical Care; Perioperative and Resuscitation; Council on Cardiovascular Nursing; Council on the Kidney in Cardiovascular Disease; Council on Cardiovascular Surgery and Anesthesia, and Interdisciplinary Council on Quality of Care and Outcomes Research: Forecasting the future of cardiovascular disease in the United States: a policy statement from the American Heart Association. Circulation 2011, 123:933-44.
  • [4]US Department of Agriculture: Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans. USDA/AR. 2010.
  • [5]Institute of Medicine: Sodium Intake in Populations: Assessment of Evidence. Washington, DC: The National Academies Press; 2013.
  • [6]Aburto NJ, Ziolkovska A, Hooper L, Elliott P, Meerpohl JJ: Effect of lower sodium intake on health: systematic review and meta-analyses. Brit Med J 2013, 346:f1326. doi:10.1136/bmj.f1326
  • [7]US Department of Health and Human Services, Centers for Disease Control and Prevention: Application of lower sodium intake recommendation to adults: United States, 1999–2006. MMWR Morb Mortal Wkly Rep 2009, 58:281-3.
  • [8]Strazzullo P, D’Elia L, Kandala NB, Cappuccio FP: Salt intake, stroke, and cardiovascular disease: meta-analysis of prospective studies. Brit Med J 2009, 339:b4567.
  • [9]Sacks FM, Svetkey LP, Vollmer WM, Appel LJ, Bray GA, Harsha D, Obarzanek E, Conlin PR, Miller ER 3rd, Simons-Morton DG, Karanja N, Lin PH, DASH-Sodium Collaborative Research Group: DASH-Sodium Collaborative Research Group. Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. N Engl J Med 2001, 344:3-10.
  • [10]Appel LJ, Anderson CA: Compelling evidence for public health action to reduce salt intake. N Engl J Med 2010, 362:650-2.
  • [11]US Department of Health and Human Services, US Department of Agriculture: Dietary Guidelines for Americans, 2010. 7th edition. Washington, DC: US Government Printing Office; 2010.
  • [12]World Health Organization: Guideline: Sodium intake for adults and children. Geneva: World Health Organization (WHO); 2012.
  • [13]Institute of Medicine: Strategies to reduce sodium intake in the United States. Washington, DC: The National Academies Press; 2010.
  • [14]Center for Disease Control and Prevention, National Center for Health Statistics: National Health and Nutrition Examination Survey data. Hyattsville, MD: US Department of Health and Human Services, CDC; Available from: http://www.cdc.gov/nchs/nhanes/about_nhanes.htm webcite
  • [15]USDA, Agricultural Research Service, Beltsville Human Nutrition Research Center, Food Surveys Research Group, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention: What we eat in America, NHANES 2007–2008 and 2009–2010. Beltsville (MD): USDA ARS; Available from: http://www.ars.usda.gov/services/docs.htm?docid=13793 webcite
  • [16]USDA, Agricultural Research Service, Food Surveys Research Group: Food and Nutrient Database for Dietary Studies, 4.1. Beltsville, MD; 2010.
  • [17]U.S. Department of Agriculture, Agricultural Research Service: USDA National Nutrient Database for Standard Reference, Release 22. Nutrient Data Laboratory Home Page; 2009. http://www.ars.usda.gov/ba/bhnrc/ndl webcite
  • [18]Ahuja JKA, Montville JB, Omolewa-Tomobi G, Heendeniya KY, Martin CL, Steinfeldt LC, Anand J, Adler ME, LaComb RP, Moshfegh AJ: USDA Food and Nutrient Database for Dietary Studies, 5.0. U.S. Beltsville, MD: Department of Agriculture, Agricultural Research Service, Food Surveys Research Group; 2012.
  • [19]U.S. Department of Agriculture, Agricultural Research Service: USDA National Nutrient Database for Standard Reference, Release 24. Nutrient Data Laboratory Home; 2011. http://www.ars.usda.gov/ba/bhnrc/ndl webcite
  • [20]Tooze JA, Kipnis V, Buckman DW, Carroll RJ, Freedman LS, Guenther PM, Krebs-Smith SM, Subar AF, Dodd KW: A mixed-effects model approach for estimating the distribution of usual intake of nutrients: the NCI method. Stat Med 2010, 29:2857-68.
  • [21]Lloyd-Jones DM, Hong Y, Labarthe D, Mozaffarian D, Appel LJ, Van Horn L, Greenlund K, Daniels S, Nichol G, Tomaselli GF, Arnett DK, Fonarow GC, Ho PM, Lauer MS, Masoudi FA, Robertson RM, Roger V, Schwamm LH, Sorlie P, Yancy CW, Rosamond WD, American Heart Association Strategic Planning Task Force and Statistics Committee: Defining and setting national goals for cardiovascular health promotion and disease reduction, the American Heart Association’s Strategic Impact Goal through 2020 and beyond. Circulation 2010, 121:586-613.
  • [22]Institute of Medicine: Dietary reference intakes for water, potassium, sodium, chloride, and sulfate. Washington, DC: The National Academies Press; 2005.
  • [23]Brown IJ, Tzoulaki I, Candeias V, Elliott P: Salt intakes around the world: implications for public health. Int J Epidemiol 2009, 38:791-813.
  • [24]Agricultural Research S, U.S. Department of Agriculture: Nutrient Intake from Food: Mean Amount Consumed per Individual, Race/Ethnicity and Age, One Day, 2005–2006. 2008. http://www.ars.usda.gov/ba/bhnrc/fsrg webcite
  • [25]Cogswell ME, Zhang Z, Carriquiry AL, Gunn JP, Kuklina EV, Saydah SH, Yang Q, Moshfegh AJ: Sodium and potassium intakes among US adults: NHANES 2003–2008. Am J Clin Nutr 2012, 96:647-57.
  • [26]Zhang Z, Cogswell ME, Gillespie C, Fang J, Loustalot F, Dai S, Carriquiry AL, Kuklina EV, Hong Y, Merritt R, Yang Q: Association between Usual Sodium and Potassium Intake and Blood Pressure and Hypertension among U.S. Adults: NHANES 2005–2010. PLoS One 2013, 8(10):e75289.
  • [27]Gleiberman L: Sodium, blood pressure, and ethnicity: what have we learned? Am J Hum Biol 2009, 21:679-86.
  • [28]Bernstein AM, Willett WC: Trends in 24-h urinary sodium excretion in the United States, 1957–2003: a systematic review. Am J Clin Nutr 2010, 92:1172-80.
  • [29]Centers for Disease Control and Prevention: Trends in the prevalence of excess dietary sodium intake — United States, 2003–2010. MMWR Morb Mortal Wkly Rep 2010, 62:1021-5.
  • [30]Gunn JP: Sodium intake among adults – United States 2005–2006. MMWR Morb Mortal Wkly Rep 2010, 59:746-9.
  • [31]National Cancer Institute: Sources of Sodium among the US Population, 2005–06. http://appliedresearch.cancer.gov/diet/foodsources/sodium/ webcite. Updated October 18, 2013. Accessed December 11, 2013
  • [32]National Salt Reduction Initiative http://www.nyc.gov/html/doh/html/diseases/salt.shtml webcite
  • [33]He FJ, Pombo-Rodrigues S, MacGregor GAL: Salt reduction in England from 2003 to 2011: its relationship to blood pressure, stroke and ischaemic heart disease mortality. Brit Med J Open 2014, 4:e004549. doi:10.1136/bmjopen-2013-004549
  • [34]He FJ, MacGregor GA: Effect of modest salt reduction on blood pressure: a meta-analysis of randomized trials: implications for public health. J Hum Hypertens 2002, 16:761-70.
  • [35]Bibbins-Domingo K, Chertow GM, Coxson PG, Moran A, Lightwood JM, Pletcher MJ, Goldman L: Projected effect of dietary salt reductions on future cardiovascular disease. N Engl J Med 2010, 362:590-9.
  • [36]Joffres MR, Campbell NR, Manns B, Tu K: Estimate of the benefits of a population-based reduction in dietary sodium additives on hypertension and its related health care costs in Canada. Can J Cardiol 2007, 23:437-43.
  • [37]Asaria P, Chisholm D, Mathers C, Ezzati M, Beaglehole R: Chronic disease prevention: health effects and financial costs of strategies to reduce salt intake and control tobacco use. Lancet 2007, 370:2044-53.
  • [38]Dall TM, Fulgoni VL III, Zhang Y, Reimers KJ, Packard P, Astwood JD: Predicted National Productivity Implications of Calorie and Sodium Reductions in the American Diet. Amer J Health Promotion 2009, 23:423-30.
  • [39]Danaei G, Ding EL, Mozaffarian D, Taylor B, Rehm J, Murray CJL, Ezzati M: The preventable causes of death in the United States: Comparative risk assessment of dietary, lifestyle, and metabolic risk factors. PLoS Med 2009, 6(4):e1000058.
  • [40]Palar K, Sturm R: Potential societal savings from reduced sodium consumption in the U.S. adult population. Am J Health Promot 2009, 24:49-57.
  • [41]Smith-Spangler CM, Juusola JL, Enns EA, Owens DK, Garber AM: Population Strategies to Decrease Sodium Intake and the Burden of Cardiovascular Disease. Ann Intern Med 2010, 152:481-7.
  • [42]Hooper L, Bartlett C, Davey SG, Ebrahim S: Systematic review of long term effects of advice to reduce dietary salt in adults. Brit Med J 2002, 325(7365):628.
  文献评价指标  
  下载次数:23次 浏览次数:1次