Unbalanced intakes of sodium and potassium among Tunisian adults: A cross‐sectional study

The prevention and management of hypertension are untimely associated with a lowering of sodium intake. The present study aimed to evaluate the sodium and potassium intake levels of Tunisian population through measurement of 24‐hr urinary sodium excretions. A randomly, multistage, cross‐sectional st...

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Autores principales: Doggui, Radhouene, El Ati, Jalila, Sassi, Sonia, Ben Gharbia, Houda, Al‐Jawaldeh, Ayoub, El Ati‐Hellal, Myriam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8020952/
https://www.ncbi.nlm.nih.gov/pubmed/33841839
http://dx.doi.org/10.1002/fsn3.2197
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author Doggui, Radhouene
El Ati, Jalila
Sassi, Sonia
Ben Gharbia, Houda
Al‐Jawaldeh, Ayoub
El Ati‐Hellal, Myriam
author_facet Doggui, Radhouene
El Ati, Jalila
Sassi, Sonia
Ben Gharbia, Houda
Al‐Jawaldeh, Ayoub
El Ati‐Hellal, Myriam
author_sort Doggui, Radhouene
collection PubMed
description The prevention and management of hypertension are untimely associated with a lowering of sodium intake. The present study aimed to evaluate the sodium and potassium intake levels of Tunisian population through measurement of 24‐hr urinary sodium excretions. A randomly, multistage, cross‐sectional study was conducted in an urban region (Bizerte) in Tunisia during 2015. The target population involved adults aged from 25 to 64 years. Sodium, potassium, and creatinine concentrations were determined in each urine sample using indirect potentiometric method. From the 420 selected participants, only 194 gave urine samples complying completeness criteria. A multivariate regression model was used to assess the variables related to sodium and potassium excretion. The daily mean excretion of sodium and potassium was 138.3 ± 46.5 mmol/d (corresponding to 8.1 ± 2.7 g/d of salt intake) and 61.0 ± 22.7 mmol/d, respectively. More than 87.1% of the participants (89.8% for men vs. 84.9% for women; p = .31) exceeded the WHO recommendation of 5 g/d. The upper limit of 10 g salt intake per day was still exceeded by 26.3%. After adjusted analysis, sex (for women, coef = −1.6; (95% CI: −2.4, −0.7)), level of instruction (≥30 kg/m(2), coef = +1.1; (95% IC: 0.4–2.0)), and body mass index (≥30 kg/m(2), coef = +1.1; (95% CI: 0.1, 2.0)) were associated with the sodium excretion. High sodium intake and inadequate potassium intake were found among participants. This consumption profile complies with the diet westernization context occurring in Tunisia. The initiated strategy focused on the downward of sodium in bread (the main source of salt intake) seems to be promising.
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spelling pubmed-80209522021-04-08 Unbalanced intakes of sodium and potassium among Tunisian adults: A cross‐sectional study Doggui, Radhouene El Ati, Jalila Sassi, Sonia Ben Gharbia, Houda Al‐Jawaldeh, Ayoub El Ati‐Hellal, Myriam Food Sci Nutr Original Research The prevention and management of hypertension are untimely associated with a lowering of sodium intake. The present study aimed to evaluate the sodium and potassium intake levels of Tunisian population through measurement of 24‐hr urinary sodium excretions. A randomly, multistage, cross‐sectional study was conducted in an urban region (Bizerte) in Tunisia during 2015. The target population involved adults aged from 25 to 64 years. Sodium, potassium, and creatinine concentrations were determined in each urine sample using indirect potentiometric method. From the 420 selected participants, only 194 gave urine samples complying completeness criteria. A multivariate regression model was used to assess the variables related to sodium and potassium excretion. The daily mean excretion of sodium and potassium was 138.3 ± 46.5 mmol/d (corresponding to 8.1 ± 2.7 g/d of salt intake) and 61.0 ± 22.7 mmol/d, respectively. More than 87.1% of the participants (89.8% for men vs. 84.9% for women; p = .31) exceeded the WHO recommendation of 5 g/d. The upper limit of 10 g salt intake per day was still exceeded by 26.3%. After adjusted analysis, sex (for women, coef = −1.6; (95% CI: −2.4, −0.7)), level of instruction (≥30 kg/m(2), coef = +1.1; (95% IC: 0.4–2.0)), and body mass index (≥30 kg/m(2), coef = +1.1; (95% CI: 0.1, 2.0)) were associated with the sodium excretion. High sodium intake and inadequate potassium intake were found among participants. This consumption profile complies with the diet westernization context occurring in Tunisia. The initiated strategy focused on the downward of sodium in bread (the main source of salt intake) seems to be promising. John Wiley and Sons Inc. 2021-02-26 /pmc/articles/PMC8020952/ /pubmed/33841839 http://dx.doi.org/10.1002/fsn3.2197 Text en © 2021 The Authors. Food Science & Nutrition published by Wiley Periodicals LLC This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research
Doggui, Radhouene
El Ati, Jalila
Sassi, Sonia
Ben Gharbia, Houda
Al‐Jawaldeh, Ayoub
El Ati‐Hellal, Myriam
Unbalanced intakes of sodium and potassium among Tunisian adults: A cross‐sectional study
title Unbalanced intakes of sodium and potassium among Tunisian adults: A cross‐sectional study
title_full Unbalanced intakes of sodium and potassium among Tunisian adults: A cross‐sectional study
title_fullStr Unbalanced intakes of sodium and potassium among Tunisian adults: A cross‐sectional study
title_full_unstemmed Unbalanced intakes of sodium and potassium among Tunisian adults: A cross‐sectional study
title_short Unbalanced intakes of sodium and potassium among Tunisian adults: A cross‐sectional study
title_sort unbalanced intakes of sodium and potassium among tunisian adults: a cross‐sectional study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8020952/
https://www.ncbi.nlm.nih.gov/pubmed/33841839
http://dx.doi.org/10.1002/fsn3.2197
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