Measuring population sodium intake: a review of methods.

Measuring population sodium intake: a review of methods.
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DOI:
10.3390/nu6114651
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发表时间:
2014-10-28
期刊:
影响因子:
5.9
通讯作者:
McLean RM
McLean RM
中科院分区:
医学2区
文献类型:
--
作者:
McLean RM

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减少人口钠摄入量已被确定为减少非传染性疾病的一项关键举措。监测人口钠摄入量必须与旨在减少钠的公共卫生行动同时进行。目前正在使用许多不同的方法来估计膳食钠摄入量。饮食评估是耗时的,而且由于食谱中钠浓度的报告不足和难以量化,以及随意使用的盐,往往会低估摄入量。24小时尿液采集(被广泛认为是最准确的方法)也很繁琐,而且由于采集不足和缺乏准确识别不完整样本的合适方法而受到限制。尿样取样最近被确定为一种方便和负担得起的替代方法,但作为监测人群摄入量的手段仍然存在很大争议。研究表明,虽然尿钠点不能很好地预测个体24小时的排泄情况,但它可能为监测提供了足够的人群估计。现场尿液采集作为监测钠摄入量的一种手段,在不同人群中的准确性和适用性有待进一步研究。
Reduction of population sodium intake has been identified as a key initiative for reduction of Non-Communicable Disease. Monitoring of population sodium intake must accompany public health initiatives aimed at sodium reduction. A number of different methods for estimating dietary sodium intake are currently in use. Dietary assessment is time consuming and often under-estimates intake due to under-reporting and difficulties quantifying sodium concentration in recipes, and discretionary salt. Twenty-four hour urinary collection (widely considered to be the most accurate method) is also burdensome and is limited by under-collection and lack of suitable methodology to accurately identify incomplete samples. Spot urine sampling has recently been identified as a convenient and affordable alternative, but remains highly controversial as a means of monitoring population intake. Studies suggest that while spot urinary sodium is a poor predictor of 24-h excretion in individuals, it may provide population estimates adequate for monitoring. Further research is needed into the accuracy and suitability of spot urine collection in different populations as a means of monitoring sodium intake.
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