The Influence of Mixed NaCl-KCl Salt on Sodium Intake and Urinary Excretion of Sodium and Potassium

혼합식염 (NaCl-KCl) 이용 조리시 나트륨${\cdot}$칼륨 섭취와 소변 중 나트륨${\cdot}$칼륨 배설에 관한 연구

  • Park, Su-Jeong (Department of Food and Nutrition, Seoul National University) ;
  • Lee, Sim-Yeol (Department of Home Economics Education, Dongguk University) ;
  • Paik, Hee-Young (Department of Food and Nutrition, Seoul National University)
  • Published : 2007.09.30

Abstract

The purpose of this study was to investigate the influence of mixed NaCl-KCl salt on sodium intake and urinary excretion of sodium and potassium. In this study, 3-day food records for pre-experimental diet and 24-hr urine collected for 2-days, 6-day experimental diet food and 24-hr urine were used to evaluate the relationship between Na metabolism. In the experimental diet food, mixed NaCl-KCl salt was added. During the pre-experimental diet period, intakes of Na and K were 178.2 mEq and 56.4 mEq, respectively. The urinary excretion of Na and K in 24-hr were 139.6 mEq, 27.7 mEq, respectively and urinary Na/K ratio was 6.6. During the experimental diet period, intakes of Na and K were 130.2 mEq and 120.4 mEq, respectively. The urinary excretion of Na and K in 24-hr were 100.2 mEq, 37.1 mEq, respectively and urinary Na/K ratio was 2.8. According to this study, it is concluded that mixed NaCl-KCl salt diet decreased the intake of Na, and increased the intake of K.

고혈압의 유발 원인과 관련이 있는 나트륨의 섭취를 줄일 수 있는 방법을 모색하기 위해 건강한 20대 성인여성 9명을 대상으로 NaCl-KCl 혼합식염으로 조리한 식이를 섭취하도록 한 후 24시간 소변으로 배설되는 나트륨 양을 조사하여 나트륨 섭취량이 평상시보다 어느 정도 감소되는가를 보고자 하였다. 1) 3일간의 일상식이 섭취상태를 조사한 결과 연구대상자들이 섭취한 1일 평균 열량은 1,872.0 kcal였으며 나트륨과 칼륨의 1일 평균 섭취량은 각각 178.2 ${\pm}$ 46.0 mEq, 56.4 ${\pm}$ 21.9 mEq로 나타났다. 2) 실험기간동안 제공된 실험 식이에서 대상자들이 섭취한 열량은 평균 2,031.2 kcal였으며 나트륨의 섭취량은 평균 130.2 mEq이었으며, 칼륨의 섭취량은 평균 120.4 mEq이었다. 3) 조사대상자들의 혈압은 실험 시작 전 수축기 혈압과 이완기 혈압의 평균이 각각 104.6 ${\pm}$ 4.9 mmHg, 69.2 ${\pm}$ 6.3 mmHg였다. 실험식이 섭취 기간 동안 수축기 혈압과 이완기 혈압은 각각 108.1 ${\pm}$ 8.0 mmHg, 70.4 ${\pm}$ 5.7 mmHg로 나타났다. 4) 일상식이 섭취기간동안 소변의 평균 나트륨과 칼륨의 배설량은 각각 139.6 ${\pm}$ 37.3 mEq, 27.7 ${\pm}$ 14.7 mEq이었다. 소변의 나트륨/칼륨 비율은 6.6 ${\pm}$ 4.1이었다. 실험식이 섭취기간동안 소변의 평균 나트륨과 칼륨의 배설량은 각각 100.2 ${\pm}$ 14.5 mEq, 37.1 ${\pm}$ 7.4 mEq이었다. 소변의 나트륨/칼륨 비율은 2.8 ${\pm}$ 0.6이었다. 소변 중 나트륨 배설량과 나트륨/칼륨 비율은 실험식이 섭취기간에 유의적으로 감소하였다 (p < 0.05). 본 연구 결과 NaCl-KCl 혼합식염 식이는 나트륨의 섭취를 감소시키고 칼륨의 섭취를 증가시켜 나트륨/칼륨의 섭취비를 이상적인 수준인 1에 가깝게 변화시켜 주는 것으로 나타나 고혈압의 예방에 효과가 있을 것으로 사료된다. 특히 짠맛에 대한 기호도가 높은 우리나라 사람들에게 짠맛에 대한 기호도를 변화시키지 않고도 실제로 식생활에서 나트륨 섭취를 감소시킬 수 있는 구체적 방안을 제시할 수 있을 것으로 기대된다. 그러나 본 연구는 정상혈압을 가진 성인 여성을 대상으로 하였으므로 고혈압 환자 또는 나트륨과 관련이 있는 환자를 대상으로 한 실험이 이루어져야 할 것이다. 또한 소금 섭취가 높은 대상자들이나 나트륨의 섭취를 제한해야 하는 사람들에게 KCl을 이용한 혼합식염을 공급하여 나트륨 섭취를 감소시킴으로써 얻을 수 있는 건강증진 효과에 대한 후속 연구가 필요하다고 생각된다. 그러나 한편으로는 염화칼륨을 보충제로 과도하게 섭취할 경우 위장장애 등을 일으킬 수 있다고 알려져 있으므로 적절한 섭취량을 찾는 연구가 필요할 것이다.

Keywords

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