Development and application of the sodium index to estimate and assess sodium intake for Korean adults
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초록
BACKGROUND/OBJECTIVES: The purpose of this study was to develop a sodium index, which is a tool for estimating and assessing sodium intake easily and quickly, to assist in the prevention of various diseases induced by excess sodium intake in Korean adults. SUBJECTS/METHODS: The 24-h urine collection and dietary behavior surveys were performed on 640 healthy people in 4 regions of South Korea, and an equation for the estimation of 24-h sodium intake was developed. The validity and reliability of the equation were verified with 200 adults. The sodium index was developed by converting the estimated sodium intake using the equation. Finally, the sodium intake status of 1,600 adults was assessed using the sodium index. RESULTS: The equation included sex, age, body mass index, eating habit and dietary behaviors related to sodium intake. In validity test of the equation, the mean bias between sodium intake using 24-h urine analysis and using the equation from the Bland-Altman plots was −1.5 mg/day. The sensitivity and specificity of the equation for estimation of sodium intake were 80.5% and 64.4%, respectively. In the reliability test of the equation, there was no significant difference between the first and second sodium intakes calculated using the equations, and Spearman's correlation coefficient between the 2 sodium intakes was 0.98. Sodium intake can be assessed as ‘very moderate’ for 75–100 on the sodium index, ‘moderate’ for 100–150, ‘careful’ for less than 75 or 150–200, and ‘severe’ for 250 or more. When sodium intake was assessed using the sodium index in 1,600 subjects, 54.3% and 24.3% of the subjects were assessed to be in the ‘careful’ and ‘severe’ categories, respectively. CONCLUSIONS: Using a simple questionnaire, the sodium index can be used to monitor and assess sodium intake status, assisting in nutrition education and counseling in a large population.
Abstract
BACKGROUND/OBJECTIVES: The purpose of this study was to develop a sodium index, which is a tool for estimating and assessing sodium intake easily and quickly, to assist in the prevention of various diseases induced by excess sodium intake in Korean adults. SUBJECTS/METHODS: The 24-h urine collection and dietary behavior surveys were performed on 640 healthy people in 4 regions of South Korea, and an equation for the estimation of 24-h sodium intake was developed. The validity and reliability of the equation were verified with 200 adults. The sodium index was developed by converting the estimated sodium intake using the equation. Finally, the sodium intake status of 1,600 adults was assessed using the sodium index. RESULTS: The equation included sex, age, body mass index, eating habit and dietary behaviors related to sodium intake. In validity test of the equation, the mean bias between sodium intake using 24-h urine analysis and using the equation from the Bland-Altman plots was −1.5 mg/day. The sensitivity and specificity of the equation for estimation of sodium intake were 80.5% and 64.4%, respectively. In the reliability test of the equation, there was no significant difference between the first and second sodium intakes calculated using the equations, and Spearman's correlation coefficient between the 2 sodium intakes was 0.98. Sodium intake can be assessed as ‘very moderate’ for 75–100 on the sodium index, ‘moderate’ for 100–150, ‘careful’ for less than 75 or 150–200, and ‘severe’ for 250 or more. When sodium intake was assessed using the sodium index in 1,600 subjects, 54.3% and 24.3% of the subjects were assessed to be in the ‘careful’ and ‘severe’ categories, respectively. CONCLUSIONS: Using a simple questionnaire, the sodium index can be used to monitor and assess sodium intake status, assisting in nutrition education and counseling in a large population.
참고문헌 (35)
- He FJ, "A comprehensive review on salt and health and current experience of worldwide salt reduction programmes", J Hum Hypertens, 23, pp.363~384 (2009)
- Cook NR, "Long term effects of dietary sodium reduction on cardiovascular disease outcomes : observational follow-up of the trials of hypertension prevention(TOHP)", BMJ, 334, pp.885~888 (2007)
- Asaria P, "Chronic disease prevention : health effects and financial costs of strategies to reduce salt intake and control tobacco use", Lancet, 370, pp.2044~2053 (2007)
- Tsugane S, "Salt, salted food intake, and risk of gastric cancer : epidemiologic evidence", Cancer Sci, 96, pp.1~6 (2005)
- Wong MM, "The science of salt: a regularly updated systematic review of salt and health outcomes (August to November 2015)", J Clin Hypertens(Greenwich), 18, pp.1054~1062 (2016)
- WHO Global Action Plan for the Prevention and Control of Noncommunicable Diseases 2013–2020, "World Health Organization", WHO, ~ (2013)
- Jung J, "Policy trends of sodium reduction", Food Sci Ind, 49, pp.2~7 (2016)
- 2015 Dietary Reference Intakes for Koreans, "The Korean Nutrition Society", Ministry of Health and Welfare (KR), ~ (2015)
- 2020 Dietary Reference Intakes for Koreans, "The Korean Nutrition Society", Ministry of Health and Welfare (KR), ~ (2020)
- Korea Health Statistics 2019: Korea National Health and Nutrition Examination Survey (KNHANES VIII-1), "Ministry of Health and Welfare (KR)", Korea Centers for Disease Control and Prevention, ~ (2020)
- Sodium Intakes around the World, "Elliot P", WHO, ~ (2006)
- Reducing Salt Intake in Populations: Report of a WHO Forum and Technical Meeting, "World Health Organization", WHO, ~ (2007)
- Kawasaki T, "A simple method for estimating 24 h urinary sodium and potassium excretion from second morning voiding urine specimen in adults", Clin Exp Pharmacol Physiol, 20, pp.7~14 (1993)
- Tanaka T, "A simple method to estimate populational 24-h urinary sodium and potassium excretion using a casual urine specimen", J Hum Hypertens, 16, pp.97~103 (2002)
- Brown IJ, "INTERSALT co-operative research group estimating 24-h urinary sodium excretion from casual urinary sodium concentrations in western populations : the INTERSALT study", Am J Epidemiol, 177, pp.1180~1192 (2013)
- Rhee MY, "Estimation of 24-hour urinary sodium excretion using spot urine samples", Nutrients, 6, pp.2360~2375 (2014)
- Kong JS, "Estimation model for habitual 24-hour urinary-sodium excretion using simple questionnaires from normotensive Koreans", PLoS One, 13, pp.e0192588~ (2018)
- Simko MD, "Nutrition Assessment: A Comprehensive Guide for Planning Intervention" (1995), ASPEN
- Holbrook JT, "Sodium and potassium intake and balance in adults consuming self-selected diets", Am J Clin Nutr, 40, pp.786~793 (1984)
- Rhodes DG, "The USDA Automated Multiple-Pass Method accurately assesses population sodium intakes", Am J Clin Nutr, 97, pp.958~964 (2013)
- Allès B, "Nutrient patterns and their food sources in older persons from France and Quebec : dietary and lifestyle characteristics", Nutrients, 8, pp.225~ (2016)
- Bland JM, "Statistical methods for assessing agreement between two methods of clinical measurement", Lancet, 1, pp.307~310 (1986)
- Rhee MY, "Estimating 24-hour urine sodium from multiple spot urine samples", J Clin Hypertens(Greenwich), 19, pp.431~438 (2017)
- Seong TJ, "Validity and Reliability" (1995), Hakjisa
- Ji C, "Comparisons of spot vs 24-h urine samples for estimating population salt intake : validation study in two independent samples of adults in Britain and Italy", Nutr Metab Cardiovasc Dis, 24, pp.140~147 (2014)
- 손숙미, "나트륨 섭취량 추정을 위한 음식섭취빈도조사지와 NA Index를 이용한 간이음식섭취빈도조사지의 개발 및 타당성 검증에 관한 연구", 대한지역사회영양학회지, 10(5), pp.677~692 (2005), 대한지역사회영양학회
- Obuchowski NA, "Determining sample size for ROC studies : What is reasonable for the expected difference in tests' ROC areas?", Acad Radiol, 10, pp.1327~1328 (2003)
- 한보람, "가임기 여성을 위한 엽산섭취빈도조사지 개발 및 평가", 대한지역사회영양학회지, 17(2), pp.156~166 (2012), 대한지역사회영양학회[DOI]
- Uechi K, "Advantage of multiple spot urine collections for estimating daily sodium excretion : comparison with two 24-h urine collections as reference", J Hypertens, 34, pp.204~214 (2016)
- Allen NB, "The validity of predictive equations to estimate 24-hour sodium excretion The MESA and CARDIA urinary sodium study", Am J Epidemiol, 186, pp.149~159 (2017)
- 박양희, "한국인의 성별, 연령별, 지역별 나트륨과 칼륨 섭취 현황 및 기여음식 : 2010-2012년 국민건강영양조사 분석", 대한지역사회영양학회지, 21(6), pp.558~573 (2016), 대한지역사회영양학회
- 강민지, "부산지역 대학생의 짠맛 선호도에 따른 소금 섭취 식행동 차이와 상관성 분석", 한국식품조리과학회지, 31(4), pp.477~484 (2015), 한국식품조리과학회
- He FJ, "Salt intake is related to soft drink consumption in children and adolescents : a link to obesity?", Hypertension, 51, pp.629~634 (2008)
- 김현희, "24시간 소변분석을 통한 직장인의 나트륨 섭취 추정량 및 관련 변수와의 상관성 분석", Journal of Nutrition and Health, 46(1), pp.26~33 (2013), 한국영양학회[DOI]
- 정연선, "한국 성인들의 24시간 소변 분석법에 근거한 고나트륨군의 혈압과 고나트륨 섭취관련 위험인자에 관한 연구", 대한지역사회영양학회지, 19(6), pp.537~549 (2014), 대한지역사회영양학회