Reducing Sodium Intake in Children: A Public Health Investment.
Reducing Sodium Intake in Children: A Public Health Investment.
复制标题
减少儿童钠摄入量：公共卫生投资。
DOI：
10.1111/jch.12615
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发表时间：
2015-09
期刊：
影响因子：
--
通讯作者：
Whitsel L
中科院分区：
文献类型：
--
作者：
Appel LJ;Lichtenstein AH;Callahan EA;Sinaiko A;Van Horn L;Whitsel L
血压升高及其主要后果(心血管疾病和中风)的前驱因素始于儿童时期。生命早期较高的血压水平会持续到成年，并与儿童和成人的亚临床靶器官损伤有关。饮食行为，包括选择高钠食物，都是在童年时期养成的。平均而言，2-19岁的儿童每天摄入超过3100毫克的钠，男孩的钠摄入量明显高于女孩。重要的是，研究表明，减少儿童的钠摄入量可以降低血压。鉴于这一证据，美国饮食指南建议减少儿童的钠摄入量。目前的联邦营养标准包括逐步降低学校膳食中的钠水平。最终目标是帮助儿童达到不超过医学研究所和美国膳食指南建议的上限的每日钠摄入量。总而言之，现有的数据足够有力地建议从生命早期开始降低钠的摄入量，作为一种有效和耐受性良好的方法来降低儿童的BP。目前削弱学校膳食营养标准的努力破坏了旨在改善我们儿童和我们国家健康的有效战略。
The antecedents of elevated blood pressure (BP) and its major consequences (cardiovascular disease and stroke) begin in childhood. Higher levels of BP early in life track into adulthood and are associated with subclinical target organ damage in children and adults. Diet behaviors, including the choice of high sodium containing foods, are established during childhood. On average, children, ages 2‐19, consume more than 3,100 mg of sodium per day, with substantially greater sodium intakes in boys than girls. Importantly, studies show that lowering sodium intake in children lowers blood pressure. In view of this evidence, US Dietary Guidelines recommend a reduced sodium intake in children. Current federal nutrition standards include a step‐wise reduction in the sodium levels of school meals. The ultimate goal is to help children achieve daily sodium intakes that do not exceed upper levels recommended by the Institute of Medicine and the Dietary Guidelines for Americans. In summary, available data are sufficiently strong to recommend a lower sodium intake beginning in early in life as an effective and well‐tolerated approach to reducing BP in children. Current efforts to weaken nutrition standards for school meals undermine an effective strategy aimed at improving the health of our children and our nation.
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影响因子：
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作者：
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通讯作者：
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