Dietary sources of sodium in China, Japan, the United Kingdom, and the United States, women and men aged 40 to 59 years: the INTERMAP study.

Dietary sources of sodium in China, Japan, the United Kingdom, and the United States, women and men aged 40 to 59 years: the INTERMAP study.
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DOI:
10.1016/j.jada.2010.02.007
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发表时间:
2010-05
影响因子:
--
通讯作者:
Stamler J
Stamler J
中科院分区:
其他
文献类型:
--
作者:
Anderson CA;Appel LJ;Okuda N;Brown IJ;Chan Q;Zhao L;Ueshima H;Kesteloot H;Miura K;Curb JD;Yoshita K;Elliott P;Yamamoto ME;Stamler J

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一些国家的公共卫生运动鼓励全人口减少钠(盐)的摄入量,但过量摄入量仍然是一个主要问题。过量的钠摄入与不良血压独立相关,是高血压前期/高血压流行的一个关键因素。确定现代饮食中钠的食物来源对于有效减少全世界的钠摄入量至关重要。我们使用INTERMAP研究的数据来确定不同东亚和西方人口样本中钠的主要食物来源。InterMAP是一项国际性、横断性、流行病学研究,涉及4680名年龄在40至59岁之间的个体,他们来自日本(4个样本)、中华人民共和国中国(3个农村样本)、英国(2个样本)和美国(8个样本);4个深入的、多次24小时膳食召回/人被用来确定食物中占膳食钠摄入量最大的部分。在中国的样本中,大多数(76%)的膳食钠来自家庭烹饪中添加的盐,南方的样本比北方的样本少约50%。在日本,大多数(63%)的膳食钠来自酱油(20%)、商业加工的鱼/海鲜(15%)、咸汤(15%)和腌制蔬菜(13%)。加工食品,包括面包/谷物/谷物,在英国(95%)和美国(由于方法原因,低估了71%)对钠的摄入量有很大贡献。为了预防和控制高血压前期/高血压,改善健康,中国农村居民饮食中去除多余钠的努力应该集中在减少家庭烹饪中的盐。为了避免在日本、英国和美国摄入过量的钠,商业加工食品中的盐必须减少。
Public health campaigns in several countries encourage population-wide reduced sodium (salt) intake, but excessive intake remains a major problem. Excessive sodium intake is independently related to adverse blood pressure and is a key factor in the epidemic of prehypertension/ hypertension. Identification of food sources of sodium in modern diets is critical to effective reduction of sodium intake worldwide. We used data from the INTERMAP Study to define major food sources of sodium in diverse East Asian and Western population samples. INTERMAP is an international, cross-sectional, epidemiologic study of 4, 680 individuals ages 40 to 59 years from Japan (four samples), People’s Republic of China (three rural samples), the United Kingdom (two samples), and the United States (eight samples); four in-depth, multipass 24-hour dietary recalls/person were used to identify foods accounting for most dietary sodium intake. In the People’s Republic of China sample, most (76%) dietary sodium was from salt added in home cooking, about 50% less in southern than northern samples. In Japan, most (63%) dietary sodium came from soy sauce (20%), commercially processed fish/seafood (15%), salted soups (15%), and preserved vegetables (13%). Processed foods, including breads/cereals/grains, contributed heavily to sodium intake in the United Kingdom (95%) and the United States (for methodological reasons, underestimated at 71%). To prevent and control prehypertension/hypertension and improve health, efforts to remove excess sodium from diets in rural China should focus on reducing salt in home cooking. To avoid excess sodium intake in Japan, the United Kingdom, and the United States, salt must be reduced in commercially processed foods.
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