Food sources of dietary sodium in the Japanese adult population: the international study of macro-/micronutrients and blood pressure (INTERMAP).

Food sources of dietary sodium in the Japanese adult population: the international study of macro-/micronutrients and blood pressure (INTERMAP).
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DOI:
10.1007/s00394-016-1177-1
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发表时间:
2017-04
影响因子:
5
通讯作者:
Stamler J
Stamler J
中科院分区:
医学2区
文献类型:
--
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

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经常有报道称,日本人的钠摄入量高于西方国家。对食物摄入量及其与钠摄入量的关系进行详细分析是支持日本进一步减少钠摄入量的必要条件。我们利用INTERMAP研究的日本参与者的数据,按食物组调查Na与食物摄入量之间的关系。来自INTERMAP研究的日本参与者(531名男性和518名女性,年龄40-59岁),他们没有使用降压药物和/或食用低钠饮食,研究结果来自4次24小时饮食回顾和2次24小时尿液收集。我们开发了一个包含46个食品分类的分类系统;通过每单位体重24小时尿钠排泄量(UNa/BW)对这些组的食物消耗和钠摄入量进行比较。日本高钠食物的平均每日钠摄入量为2552毫克/天。UNa/BW较高的参与者食用了大量的高na日本食品,如咸鱼(P = 0.001)和味噌汤(P < 0.001)。他们也吃了更多的大米(P = 0.001)。UNa/BW较低的参与者食用大量的西餐,如面包(P < 0.001)和牛奶及乳制品(P < 0.001)。详细分析了各种日本和西方食物的摄入量以及钠的摄入量。这些结果可以用来帮助制定有效的方案,以减少钠摄入量和预防高血压前期/高血压在日本人口。
It is often reported that Na intake levels are higher in Japan than in western countries. Detailed analysis of food intake and its association with Na intake are necessary for supporting further decreases in Na consumption in Japan. We investigated the association between Na and food intake by food group using data from the Japanese participants of the INTERMAP Study. Results from the Japanese participants of the INTERMAP Study who did not use antihypertensive medication and/or consume a reduced Na diet were used (531 men and 518 women, aged 40–59 years), obtained from four 24-h dietary recalls and two 24-h urine collections from each participant. We developed a classification system with 46 food group classifications; food consumption and Na intake from these groups were compared across quartiles of participants determined by 24-h urinary Na excretion per unit of body weight (UNa/BW). Average daily Na intake from Japanese high-Na foods was 2552 mg/day. Participants with a higher UNa/BW consumed a significantly greater amount of high-Na Japanese foods, such as salted fish (P = 0.001) and miso soup (P < 0.001). They also had greater amount of rice (P = 0.001). Participants with lower UNa/BW consumed a significantly greater amount of western foods, such as bread (P < 0.001) and milk and dairy products (P < 0.001). Detailed analyses of various Japanese and western food intakes in addition to Na intake were performed. These results can be used to help draw up effective programs for the reduction in Na intake and prevention of prehypertension/hypertension in the Japanese population.
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