Salt-Related Knowledge, Attitudes, and Behaviors and Their Relationship with 24-Hour Urinary Sodium Excretion in Chinese Adults.
Salt-Related Knowledge, Attitudes, and Behaviors and Their Relationship with 24-Hour Urinary Sodium Excretion in Chinese Adults.
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与盐有关的知识，态度和行为及其与中国成年人的24小时尿钠排泄的关系。
DOI：
10.3390/nu14204404
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发表时间：
2022-10-20
期刊：
影响因子：
5.9
通讯作者：
He, Feng J.
中科院分区：
文献类型：
--
作者：
Fan, Fang;Li, Yinghua;Li, Li;Nie, Xueqiong;Zhang, Puhong;Li, Yuan;Luo, Rong;Zhang, Gang;Wang, Lanlan;He, Feng J.
中国的盐摄入量很高，这增加了高血压和心血管疾病的风险。本研究旨在评估盐相关知识、态度和行为（KABs）水平及其影响因素，并探讨KABs得分与24 h尿钠排泄量的关系。2018年，我们收集了来自中国六个省的5453名18-75岁的个体的数据。进行了面对面的调查，重点关注与减盐相关的KAB。所有参与者被要求收集一个24小时的尿液样本。在5453名参与者中，5352人完成了尿液采集。KAB总分为31.27（SD = 9.18），由知识4.80（SD = 5.14）、态度9.33（SD = 3.93）和行为17.14（SD = 4.43）三个因素构成。平均24 h尿钠排泄量为187.70（SD = 77.48）mmol，相当于尿钠排泄量为4.32（SD = 1.78）g/d。我们发现，盐相关知识，态度，行为，和整体KAB分数都与24小时尿钠排泄呈负相关。KAB评分每增加1分，24小时尿钠排泄量减少0.851 mmol（95% CI：-1.095，-0.602）。我们还发现，位置（农村/城市），性别，年龄和教育与盐相关的KAB分数。这些结果表明，需要大规模的健康教育，以减少中国人群的盐摄入量。特别是，应集中努力帮助生活在农村地区的教育水平低的人和老年人。
Salt intake in China is very high, which increases the risk of hypertension and cardiovascular disease. This study aimed to assess the levels of salt-related knowledge, attitudes, and behaviors (KABs) and the factors that influence them and to explore the relationship between the scores of salt-related KAB and 24-h urinary sodium excretion. In 2018, we collected data from 5453 individuals aged 18–75 years from six provinces in China. A face-to-face survey was carried out, focusing on the KAB related to salt reduction. All participants were asked to collect one 24-h urine sample. Of the 5453 participants, 5352 completed urine collection. The mean score for overall KAB was 31.27 (SD = 9.18), which was composed of three elements: knowledge 4.80 (SD = 5.14), attitude 9.33 (SD = 3.93), and behavior 17.14 (SD = 4.43). The average 24-h urinary sodium excretion was 187.70 (SD = 77.48) mmol, which was equivalent to a urinary sodium excretion of 4.32 (SD = 1.78) g/d. We found that salt-related knowledge, attitude, behavior, and overall KAB scores were all inversely associated with 24-h urinary sodium excretion. For every one-point increase in the KAB score, the 24-h urinary sodium excretion decreased by 0.851 mmol (95% CI: −1.095, −0.602). We also found that location (rural/urban), sex, age, and education are associated with salt-related KAB scores. These results suggest that large-scale health education is needed to reduce salt intake in the Chinese population. In particular, efforts should be focused on reaching those who live in rural areas with low educational levels and older people.
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影响因子：
2.9
作者：
Du W;Zhang J;Li Y;He FJ;Zhou X;Xu Z;Gao Y;Yin L;Chang X;Yan W;Tan M;MacGregor GA;Luo R;Zhang P;Wang H
通讯作者：
Wang H
影响因子：
5
作者：
Okuda N;Okayama A;Miura K;Yoshita K;Saito S;Nakagawa H;Sakata K;Miyagawa N;Chan Q;Elliott P;Ueshima H;Stamler J
通讯作者：
Stamler J
影响因子：
8.9
作者：
Corvalan, Camila;Reyes, Marcela;Uauy, Ricardo
通讯作者：
Uauy, Ricardo
影响因子：
4.6
作者：
Du, Xiaofu;Fang, Le;Xu, Jianwei;Chen, Xiangyu;Bai, Yamin;Wu, Jing;Wu, Lin;Zhong, Jieming
通讯作者：
Zhong, Jieming
影响因子：
4.5
作者：
Grimes CA;Kelley SJ;Stanley S;Bolam B;Webster J;Khokhar D;Nowson CA
通讯作者：
Nowson CA