Risk factors related with high sodium intake among Malaysian adults: findings from the Malaysian Community Salt Survey (MyCoSS) 2017-2018.

Risk factors related with high sodium intake among Malaysian adults: findings from the Malaysian Community Salt Survey (MyCoSS) 2017-2018.
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DOI:
10.1186/s41043-021-00233-2
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发表时间:
2021-05-31
期刊:
Journal of health, population, and nutrition
影响因子:
--
通讯作者:
Aris T
Aris T
中科院分区:
其他
文献类型:
--
作者:
Abdul Aziz NS;Ambak R;Othman F;He FJ;Yusof M;Paiwai F;Abdul Ghaffar S;Mohd Yusof MF;Cheong SM;MacGregor G;Aris T

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高钠摄入量是中风和心血管疾病的一个确定的危险因素。本研究的目的是基于MyCoSS研究中24小时尿钠排泄来探讨高钠摄入的相关因素。这项横断面调查是在马来西亚18岁及以上的成年人中进行的。采用多阶段分层抽样方法代表全国。共收集了900名应答者24小时的尿液。采用间接离子选择电极(ISE)法测定钠摄入量。采用描述性和logistic回归分析,根据24小时尿钠排泄量确定高钠摄入的相关因素。共有798名受访者(76%的回复率)完成了24小时尿液收集过程。Logistic回归分析显示,高钠摄入量与肥胖[aOR 2.611 (95% CI 1.519, 4.488)]、男性[aOR 2.436 (95% CI 1.473, 4.030)]、成年男性腰围为0.90 cm [aOR 2.260 (95% CI 1.020, 5.009)]、成年女性腰围为0.80 cm [aOR 1.210 (95% CI 0.556, 2.631)]、年轻成人[aOR 1.977 (95% CI 1.094, 3.574)]、生活在城市地区[aOR 1.701 (95% CI 1.094, 2.645)]相关。研究发现,肥胖、腰围较大的男性、生活在城市地区、属于年轻成人年龄组的成年人钠摄入量高于其他人群。因此,应强调减少这些高危人群的盐摄入量,以降低患心血管疾病的风险。
High sodium intake was an established risk factor for stroke and cardiovascular diseases. The objective of this study was to investigate factors associated with high sodium intake based on 24-h urinary sodium excretion from the MyCoSS study. The cross-sectional survey was conducted among adults aged 18 years and above in Malaysia. A multi-stage stratified sampling was used to represent nationally. Twenty-four-hour urine was collected from a total of 900 respondents. Indirect ion-selective electrode (ISE) method was used to measure sodium intake. Descriptive and logistic regression analysis was applied to determine factors associated with high sodium intake based on 24-h urinary sodium excretion. A total of 798 respondents (76% response rate) completed the 24-h urine collection process. Logistic regression revealed that high sodium intake associated with obese [aOR 2.611 (95% CI 1.519, 4.488)], male [aOR 2.436 (95% CI 1.473, 4.030)], having a waist circumference of > 90cm for adult males [aOR 2.260 ( 95% CI 1.020, 5.009) and >80cm for adult females [aOR 1.210 (95% CI 0.556, 2.631)], being a young adult [aOR 1.977 (95% CI 1.094, 3.574)], and living in urban areas [aOR 1.701 (95% CI 1.094, 2.645)]. Adults who are obese, have a large waist circumference, of male gender, living in urban areas, and belonging to the young adult age group were found to have higher sodium intake than other demographic groups. Hence, reduction of salt consumption among these high-risk groups should be emphasised to reduce the risk of cardiovascular diseases.
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