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A Study on the Calcium and Sodium Intakes and Urinary Calcium Excretion of Adults in Busan

부산지역 일부 성인들의 칼슘 및 나트륨의 섭취와 소변중 칼슘배설실태에 관한 연구

  • Lim, Hwa-Jae (Department of Food and Nutrition, Dong-eui University)
  • Received : 2011.03.08
  • Accepted : 2011.04.01
  • Published : 2011.04.30

Abstract

The purpose of this study was to assess calcium and sodium intakes and urinary excretion of adults in Busan and to evaluate the relationship between urinary calcium excretion (UCa) and the status of anthropometric, blood pressure, urine analysis, and nutrient intake of subjects. Nutrient intake by 24 hr recall, 24 hr urinary calcium and sodium excretion (UNa) were measured with 87 adults aged 20-59 yrs (42 men and 45 women). The mean calcium intake was 88.0% for men and 103.0% for women of Recommended Intake. The mean sodium intake was 283.4% for men and 250.5% for women of Adequate Intake (AI). The mean 24hr UCa was 127.4 mg in men and 107.3 mg in women. The mean 24 hr UNa was 3650.6mg in men and 3276.4mg in women. The intake and urinary excretion of calcium and sodium were not significantly different by gender. UCa showed significantly positive correlations with sodium intake and UNa in men (p < 0.001, p < 0.05) and women (p < 0.001, p < 0.001) and with age, systolic blood pressure (SBP) and sodium density in women (p < 0.05, p < 0.05, p<0.01). The UCa/creatinine showed significantly positive correlations with age, sodium intake, sodium density, and UNa in women (p < 0.05, p < 0.01, p < 0.01, p < 0.01). When UCa was stratified into quartile (Q1-Q4), age, SBP, UCa, UNa, sodium intake, and AI percentage of sodium (p < 0.01, p < 0.05, p < 0.001, p < 0.001, p < 0.001, p < 0.001) were significantly higher in Q4. The mean intake and AI percentage of sodium in Q4 were 4768.8mg and 329.0. Based on the results, UCa was related to age, SBP, UNa, and sodium intake. Therefore, nutritional education of decreasing sodium intake for decreasing UCa is needed.

Keywords

References

  1. Blackwood AM, Sagnella GA, Cook DG, Cappuccio FP (2001): Urinary calcium excretion, sodium intake and blood pressure in a multi-ethnic population:results of the wandsworth heart and stroke study. J Hum Hypertens 15(4): 229-237 https://doi.org/10.1038/sj.jhh.1001171
  2. Castenmiller JJM, Mensink RP, Kouwenhoven T (1985): The effect of dietary sodium on urinary calcium and potassium excretion in normotensive men with different calcium intake. Am J Clin Nutr 41: 52-60
  3. Cho JH, Paik HY (1992): A comparative study on urinary Ca excretions in young and middle aged Korean women. Korean J Nutr 25(2): 132-139
  4. Choi MK, Lee WY, Park JD (2005): Relation among mineral (Ca, P, Fe, Na, K, Zn) intakes, blood pressure, and blood lipids in Korean adults. Korean J Nutr 38(10): 827-835
  5. Devine A, Criddle RA, Dick IM, Kerr DA, Price RL (1995): A logitudinal study of the effect of sodium and calcium intakes on regional bone density in postmenopausal women. Am J Clin Nutr 62: 740-745
  6. Dawson-Hughes B, Fowler SE, Dalsky G, Gallagher C (1996): Sodium excretion influences calcium homeostasis in elderly men and women. J Nutr 126(9): 2107-2112
  7. Hawk PB, Oser BL, Summerson WH (1954): Practical physiology chemistry. 13th ed. Blackiston Co Inc, Toronto, p.899
  8. Kim HH, Shin EK, Lee HJ, Lee NH, Chun BY, Ahn MY, Lee YK (2009): Evaluation of the effectiveness of a salt reduction program for employees. Korean J Nutr 42(4): 350-357 https://doi.org/10.4163/kjn.2009.42.4.350
  9. Kim SK, Sunwoo JG, Lee EJ (2006): Relation of mineral nutrition status and climacteric symptoms in pre- and postmenopausal women. Korean J Nutr 39(2): 121-132
  10. Kim YA, Sung CJ (1987): The effects of dietary sodium on calcium metabolism healthy young adult women. Korean J Nutr 20(4): 246-257
  11. Kimira M, Kudo Y, Takachi R, Haba R, Watanabe S (2004): Associations between dietary intake and urinary excretion of sodium, potassium, phosphorus, magnesium, and calcium. Nippon Eiseigaku Zasshi 59(1): 23-30 https://doi.org/10.1265/jjh.59.23
  12. Koo JO, Choi HM(1988): The effects of dietary protein and calcium levels on calcium metabolism in young Korean women. Korean J Nutr 21(2): 99-112
  13. Korean Food Industry Association (1988): Household measures of common used food items
  14. Lee HS, Kye SH, Kim BH, Kim CI (2001): Nutrient intake and related factors in middle aged urban adults. Korean J Community Nutr 6(3S): 516-526
  15. Lee JH, Choi MS, Paik IK, Moon SJ, Lim SK, Ahn KJ, Song YD, Lee HC, Huh KB (1992): Nutrient intake and bone mineral density in Korean premenopausal women. Korean J Nutr 25(2): 140-149
  16. Lee LH, Lee IY, Roh YH, Paik HY, Kim KS, Cho JH (1988): A study on Ca, P and Fe excretions in healthy adult Koreans on their usual diet. Korean J Nutr 21(5): 317-323
  17. Lim HJ (2001): A study on the calcium and sodium intakes and urinary calcium excretion of preschool children in Busan. Korean J Nutr 34(7): 786-796
  18. Linkswiler HM, Zemel MB, Hegsted M, Schuette S (1981): Protein induced hypercalciuria. Fed Procr 40(2): 2429-2433
  19. Ministry of Health & Welfare (MOHW)/Korean Health Industry Development Institute (KHID) (2002): Korean National Health & Nutrition Examination Survey (KHANES) 2001
  20. Ministry of Health & Welfare (MOHW)/Korean Health Industry Development Institute (KHID) (2006): Korean National Health & Nutrition Examination Survey (KHANES) 2005
  21. Ministry of Health & Welfare (MOHW)/Korean Health Industry Development Institute (KHID) (2008): Korean National Health & Nutrition Examination Survey (KHANES) 2007
  22. Nordin BEC, Polley KJ, Need AG, Morris HA, Marshall D (1987): The problem of calcium requirement. Am J Clin Nutr 45: 1295-1304
  23. Nordin BEC, Marshall DH (1988): Dietary requirements for calcium. In: Nordin BEC, ed. Calcium in human biology, ILSI Human Nutrition Reviews, Berlin:Springer-Verlag, pp. 447-471
  24. Pan WH, Tseng WP, You FJ, Tai Y, Chou J (1990): Positive relationship between urinary sodium chloride and blood pressure in Chinese health examinees and its association with calcium excretion. J Hypertension 8(9): 873-878 https://doi.org/10.1097/00004872-199009000-00012
  25. Parfitt AM (1983): Dietary risk factors for age-related bone loss and fractures. Lancet 2: 1181-1185
  26. Quereda C, Orte L, Sabater J, Navarro-Antolin J, Villafruela JJ, Ortuno J (1996): Urinary calcium excretion in treated and untreated essential hypertension. J Am Soc Nephronl 7: 1058-1065
  27. Schaafsma G (1992): The scientific basis of recommended dietary allowances for calcium. J Int Med 231: 187-194 https://doi.org/10.1111/j.1365-2796.1992.tb00522.x
  28. Shin EK, Lee HJ, Lee JJ, Ahn MY, Son SM, Lee YK (2010): Estimation of sodium intake of adult female by 24-hour urine analysis, dietary records and dish frequency questionnaire (DFQ 55). Korean J Nutr 43(1): 79-85 https://doi.org/10.4163/kjn.2010.43.1.79
  29. Shortt C, Flynn A (1990): Sodium-calcium inter-relationships with specific reference to osteoporosis. Nutr Res Revr 3: 101-15 https://doi.org/10.1079/NRR19900008
  30. Shortt C, Madden A, Flynn A, Morrissey PA (1988): Influence of dietary sodium intake on urinary calcium excretion in selected Irish individuals. Eur J Clin Nutr 42(7): 595-603
  31. Son SM, Park YS, Lim HJ, Kim SB, Jeong YS (2007): Sodium intakes of Korean adults with 24-hour urine analysis and dish frequency questionnaire and comparison of sodium intakes according to the regional area and dish group. Korean J Community Nutr 12(5): 545-558
  32. Spencer H, Kramer L, Osis D, Norris C (1978): Effect of phosphorus on the absorption of calcium and on the calcium balance in man. J Nutr 108: 447-457
  33. Staessen J, Bulpitt C, Fagard R, Joossens JV, Lijnen P, Amery A (1983): Four urinary cations and blood pressure. A population study in two Belgian towns. Am J Epidemiol 117(6): 676-687
  34. Staessen J, Fagard R, Lijnen P, Amery A (1984): A population study on relationship between blood pressure and the excretion of urinary cations. J Cardiovasc Pharmacol 6: s210-214
  35. The Korean Nutrition Society (2010): Dietary reference intakes for Koreans. Seoul
  36. Walser M (1961): Calcium balances as a fuction of sodium clearances in the dog. Am J Physiol 200(5): 1099-1104
  37. Yoon JS, Park JA, Kim YN (1997): Renin activity, habitual Ca, Na intake hormonal effect on hypertension. Korean J Nutr 30(2): 170-176
  38. Zarkadas M, Reyburn RG, Marliss EB, Block E, Mackey MA (1989): Sodium chloride supplementation and urinary calcium excretion in postmenopausal women. Am J Clin Nutr 50: 1088-1094

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