• 제목/요약/키워드: high sodium intake

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Associations between food consumption/dietary habits and the risks of obesity, type 2 diabetes, and hypertension: a cross-sectional study in Jakarta, Indonesia

  • Noviana Astuti Irna Sakir;Su Bin Hwang;Hyeon Ju Park;Bog-Hieu Lee
    • Nutrition Research and Practice
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    • 제18권1호
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    • pp.132-148
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    • 2024
  • BACKGROUND/OBJECTIVES: This study aimed to assess the current mean daily intake of 10 food groups, analyze the sociodemographic factors associated with food consumption, and determine the associations between food consumption/dietary intake and the prevalence rates of obesity, type 2 diabetes (T2D), and hypertension (HTN) in Jakarta, Indonesia. SUBJECTS/METHODS: A total of 600 participants aged 20-85 yrs were included in this cross-sectional study. Food consumption and dietary habits were assessed using a food frequency questionnaire. To determine the association between food consumption/dietary habits and the abovementioned diseases, logistic regression analysis was performed. RESULTS: The average vegetable and fruit intake was lower, while sugar and salt consumption were higher than that recommended by Indonesia's national dietary guidelines. A high intake of ultra-processed foods (UPFs) was associated with young age, men, "single" status, a high education level, and employment with a high monthly income. Obesity and T2D were positively correlated with high intakes of cereals and tubers, UPFs, sugars, fats, and oils. Conversely, an inverse association was found between legume, vegetable, and fruit consumption and obesity risk. An inverse correlation was also observed between vegetable consumption and T2D risk. Moreover, a high salt intake was inversely correlated with fruit consumption in terms of HTN risk. Non-indulgence in habitual late-night snacking and refrainment from consuming more than one dish at each meal were also negatively related to the prevalence of obesity, T2D, and HTN. Inverse correlations were also observed between the prevalence rates of T2D and HTN and abstaining from adding sugar to beverages. CONCLUSION: Foods high in fat, sugar, and sodium were strongly associated with the risks of obesity, T2D, and HTN. Additionally, poor eating habits were also associated with disease development.

식품 중 삭카린나트륨과 수크랄로스의 사용실태 파악 및 한국인의 삭카린나트륨과 수크랄로스의 섭취 수준 평가 (Use of Sodium Saccharin and Sucralose in Foodstuffs and the Estimated Daily Intakes of Both Products in Korea)

  • 서희재;최성희
    • 한국식품과학회지
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    • 제45권5호
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    • pp.642-651
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    • 2013
  • 식품 중에 함유되어 있는 삭카린나트륨(sodium saccharin)과 수크랄로스(sucralose)의 섭취 안전성을 평가하고자, 삭카린나트륨 함유식품 339 품목, 수크랄로스 함유식품 590 품목을 서울, 경기, 충청, 경상지역에서 구입한 후 HPLC-UVD와 HPLC-ELSD로 각각 분석하여 그 함량을 모니터링 하고, 국민건강 영양조사 식이섭취량 자료를 이용하여 삭카린나트륨과 수크랄로스의 국민평균 섭취량, 연령별 섭취량, 상위 $95^{th}$ percentile 섭취량을 추정하였다. 삭카린나트륨은 절임류와 음료류에서 주로 검출되어 이 두 품목의 검출율이 총 검출율의 85%를 차지하였으며, 가장 많이 함유되어 있는 품목은 159.40 ppm이 검출된 절임류 이었다. 수크랄로스는 23.9%의 검출율을 나타내었으며, 껌류, 유제품, 음료의 검출율이 전체 검출율의 66.0%를 차지하였다. 수크랄로스의 평균 함량이 가장 높은 식품 유형은 과자류로서 320.5 ppm이 검출되었다. 삭카린나트륨의 국민평균 섭취량은 $59.02{\mu}g/kg{\cdot}bw/day$로 나타나 ADI 대비 1.18% 수준이었고, 기여식품은 김치(39.8%), 절임류(27.8%), 과실채소음료(15.7%), 탄산음료(11.7%)로서, 이 네 품목의 섭취량이 전체 삭카린나트륨 섭취량의 95.0%를 차지하였다. 연령별로는 6세 이하의 어린이가 체중 당 삭카린나트륨 섭취량이 가장 높은 것으로 나타나, 1-2세는 ADI 대비 1.90%, 3-6세는 ADI 대비 1.79%이었고, 상위 $95^{th}$ percentile 섭취자의 섭취량은 264.37 ${\mu}g/kg{\cdot}bw/day$, ADI 대비 5.29%로 나타나 매우 안전한 수준이었다. 식품을 통한 수크랄로스의 국민 평균 섭취량은 83.22 ${\mu}g/kg{\cdot}bw/day$ (ADI의 0.55%)로 나타났고, 기여하는 식품은 유제품, 음료류, 아이스크림, 탁주 등이었다. 연령별로는 6세 이하 어린이들의 체중 당 수크랄로스 섭취량이 가장 높아, 1-2세는 ADI의 2.18%, 3-6세는 ADI의 1.76% 수준이었다. 이상의 결과로 볼 때 우리나라 국민이 식품을 통해 섭취하는 삭카린나트륨, 수크랄로스의 국민평균 섭취량, 연령별섭취량, 상위섭취자($95^{th}$ percentile 섭취자)의 섭취량 모두 JECFA가 설정한 ADI의 16% 이하로 매우 안전하다는 것을 알 수 있었다.

고혈압환자에서 치료상태에 따른 영양소 및 나트륨 섭취 양상 (Nutrients and Salt Consumption of Hypertension Patients According to Treatment Status)

  • 임정은;조미란;인창식;서병관;고형균;조여원
    • Journal of Nutrition and Health
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    • 제38권9호
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    • pp.706-716
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    • 2005
  • High blood pressure is an important determinant of the incidence of coronary heart disease, stroke, congestive heart failure, renal failure, and peripheral vascular disease. Recommendations for control of high blood pressure emphasize lifestyle modification, including weight control, reduced sodium intake, increased physical activity. Subjects who were normotensive (n=19, $47.2\pm9.0$ y, BP l16/81 mmHg) ,treatment hypertensive (n=33, $54.2\pm6.9$ y, BP 132/85 mmHg) and non-treatment hypertensive (n=14, $50.1\pm11.0$ y, 149/94 mmHg) recruited. Anthropometric assessment (height weight waist circumference, hip circumference, fat$\%$, fat mass, and lean body mass) and dietary assessments (using 3-days food records, daily nutrient intakes were inuysed by CAN PRO 2.0 were carried out. Blood and 24-hour urine were collected). Test of recognition for salt taste threshold were performed. In non-treatment hypertensive male subjects, weight, $\%$IBW, BMI, and waist circumference were significantly higher than those of normotensive and treatment hypertensive subjects (p<0.05) .Food habits were not significantly different among the three groups. Intakes of vitamin A, vitamin B,, and vitamin B, were significantly higher in normotensive group (p<0.05). Intakes of sodium and salt taste recognition threshold were the highest in normotensive group and the lowest in treatment hypertensive group (p<0.05). Blood levels of lipids and minerals were not significantly different among the three groups. Urinary calcium level of normotensive group were significantly higher than that of treatment hypertensive and non-treatment hypertensive groups (p<0.05). These results indicate that continuous management of hypertension by drug and non-drug treatment affects salt taste recognition threshold and reduced the consumption of sodium. However, dietary sodium intake exceed recommended sodium intake to prevent and treat hypertension. It is necessary to develop the lifestyle modification program that may have beneficial effects on hypertension treatment.

Relationship of nutrient intakes and bone mineral density of elderly women in Daegu, Korea

  • Choi, Mi-Ja;Park, Eun-Jin;Jo, Hyun-Ju
    • Nutrition Research and Practice
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    • 제1권4호
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    • pp.328-334
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    • 2007
  • The purpose of this study was to examine the relationship between nutrient intake and bone mineral density (BMD) of elderly women in Daegu, Korea. In this study, the bone mineral densities of 101 elderly women in Daegu were measured, and their nutrient intake, dietary habits, and maternal factors were determined through a survey. The subjects were divided into the normal group, the osteopenia group, and osteoporosis group to find out if there is a correlation between bone mineral density and maternal factors, dietary habits, and nutrient intake through their T-scores, analyzed according to the standards of WHO. Classification by T-scores of the participants were the normal group 25.7%, the osteopenia group 39.6%, the osteoporosis group 34.7%. Menopause age of the osteoporosis group was lower, postmenopausal period was longer, and last delivery age was significantly higher than the normal group (p<0.05). Osteoporosis group had a lower percentage of 'everyday' fruit and vegetable intakes and higher percentage of 'never' dairy intake than of the normal group. Vitamin A, vitamin $B_1$, and vitamin $B_2$ intakes of participants in the osteoporosis group were lower than those in the normal group (p<0.05). In conclusion, nutritional education is necessary to encourage high intake of milk and vegetables and fruits along with calcium, vitamin A, $B_1$, and $B_1$ intakes and low intake of sodium for the prevention of elderly women's osteoporosis.

심부전 환자의 이뇨제 사용, 증상의 중증도 및 신체활동능력과 영양소 섭취 상태와의 관련성 (The Nutrient Intakes and their Relationships with the Use of Diuretics, Symptom Severity and Physical Functioning in Heart Failure Patients)

  • 장준희;이해정;박영주;전국진;김종현
    • 대한지역사회영양학회지
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    • 제21권2호
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    • pp.190-199
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    • 2016
  • Objectives: The purpose of this study was to identify the differences in nutrient intake according to using diuretics, symptom severity and degree of physical functioning in heart failure patients. Methods: A secondary data analysis was conducted by using baseline data of an intervention study for heart failure patients. In this study, 131 heart failure patients were included. Data were collected using medical records, NYHA (New York Heart Association functional classification) class, and 6-minute-walking test and 24-hour diet recall. Data were analyzed using descriptive statistics and Chi-square test by SPSS 21.0. Nutrient intake was assessed using CAN-pro 2.0. Results: Majority of the participants consumed total calorie less than Estimated Energy Requirement (EER) and consumed carbohydrates more than 65% of their total calorie intakes. 24.4% of the participants consumed fat more than 30% of their total calorie intakes and 23.7% consumed saturated fat more than 7% of their total calorie intakes. 100.0% of the participants consumed protein less than 7% of their total calorie intakes and 73.3% of the participants consumed more than recommended intakes of sodium. More than 90.0% of the participants consumed less than adequate intakes of potassium (90.1%) and Vitamin D (91.6%), respectively. 100% and 62.6% of the participants consumed less than Estimated Average Requirement (EAR) of magnesium and Vitamin $B_1$, respectively. Nutrient intakes in heart failure patients were different for potassium intake according to the usage of diuretics. The participants with symptom severity tended to intake protein less properly and the participants walking more than 300.0 m tended to intake sodium improperly high. Conclusions: The findings of this study indicated the need for screening nutrient intakes of heart failure patients. It is necessary to increase the intake of total calories and most nutrients and to restrict sodium intakes among heart failure patients.

Trends in nutrient intakes and consumption while eating-out among Korean adults based on Korea National Health and Nutrition Examination Survey (1998-2012) data

  • Kwon, Yong-Seok;Ju, Se-Young
    • Nutrition Research and Practice
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    • 제8권6호
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    • pp.670-678
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    • 2014
  • BACKGROUND/OBJECTIVES: Eating-out among Korean people has become an important part of modern lifestyle due to tremendous growth of the food service industry and various social and economic changes. This study examined trends in meal patterns and meal sources while eating-out among Korean adults aged 19 years and older. SUBJECTS/METHODS: Data were from the 1998-2012 KNHNES (Korea National Health and Nutrition Examination Survey) by the 24-hour dietary recall method. This study included 55,718 adults aged 19 years and older. For analysis of eating-out frequency, data were categorized by source of meals and serving place. RESULTS: Average frequency of meals consumed away from home increased from 1998 to 2012, although it remained lower than that of meals at home. In addition, male, unmarried, employed, higher educated, and high income individuals more frequently consumed meals away from home. Moreover, sodium intake while eating-out significantly increased from 2,370 mg in 1998 to 2,935 mg in 2012. Lastly, percentage contributions of daily total protein intake, fat intake, and sodium intake from eating-out increased to more than half (53-55%) in 2012 compared with 47-48% in 1998. CONCLUSIONS: As eating-out has grown in popularity, greater recognition of public health and nutritional education aimed at promoting healthy food choices is needed. In addition to developing consumer education for overall healthier eating patterns, individuals who are younger, unmarried, higher educated, and males are especially at risk and require attention.

가공식품 나트륨 저감화 가이드라인 (A Guideline for Sodium Reduction of Processed Foods)

  • 김의수;임구상;최경숙;정광호;이미영;류승호;윤은경
    • 식품과학과 산업
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    • 제49권2호
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    • pp.8-17
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    • 2016
  • Sodium is a component of salt and naturally taken in the process of taking in table salt. For food processing, salt is very important. In general, salt adds flavor and taste including a salty taste and rheologically, it plays an important role in forming tissues. Also, it helps in improving preservability of food by controling growth of microorganisms. But excessive intake of salt has been blamed for outbreak of high blood pressure, heart disease, stroke, osteoporosis, kidney stone, stomach cancer and others. For this reason, there are active efforts to reduce sodium of processed foods all around the world. In Korea, a guideline for sodium reduction in 27 items and 44 kinds of foods including confectionery was suggested as part of the 'processed food sodium reduction guideline development project', which has been conducted since 2012.

Maternal high-fructose intake during pregnancy and lactation induces metabolic syndrome in adult offspring

  • Koo, Soohyeon;Kim, Mina;Cho, Hyun Min;Kim, Inkyeom
    • Nutrition Research and Practice
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    • 제15권2호
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    • pp.160-172
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    • 2021
  • BACKGROUND/OBJECTIVES: Nutritional status and food intake during pregnancy and lactation can affect fetal programming. In the current metabolic syndrome epidemic, high-fructose diets have been strongly implicated. This study investigated the effect of maternal high-fructose intake during pregnancy and lactation on the development of metabolic syndrome in adult offspring. SUBJECTS/METHODS: Drinking water with or without 20% fructose was administered to female C57BL/6J mice over the course of their pregnancy and lactation periods. After weaning, pups ate regular chow. Accu-Chek Performa was used to measure glucose levels, and a tail-cuff method was used to examine systolic blood pressure. Animals were sacrificed at 7 months, their livers were excised, and sections were stained with Oil Red O and hematoxylin and eosin (H&E) staining. Kidneys were collected for gene expression analysis using quantitative real-time Polymerase chain reaction. RESULTS: Adult offspring exposed to maternal high-fructose intake during pregnancy and lactation presented with heavier body weights, fattier livers, and broader areas under the curve in glucose tolerance test values than control offspring. Serum levels of alanine aminotransferase, aspartate aminotransferase, glucose, triglycerides, and total cholesterol and systolic blood pressure in the maternal high-fructose group were higher than that in controls. However, there were no significant differences in mRNA expressions of renin-angiotensin-aldosterone system genes and sodium transporter genes. CONCLUSIONS: These results suggest that maternal high-fructose intake during pregnancy and lactation induces metabolic syndrome with hyperglycemia, hypertension, and dyslipidemia in adult offspring.

나트륨 섭취량 추정을 위한 소변 중 Cl-의 간이적 측정방법의 유용성 검증 (Verification of Utility of Simple Mensuration of Cl- from Urine to Estimate the Amount of Sodium Intake)

  • 이성호;이채준;주성미;이현주;라왕연;김순옥
    • 한국식품영양학회지
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    • 제29권1호
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    • pp.27-32
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    • 2016
  • The purpose of this study was to measure concentrations of $K^+$, $Na^+$, $Cl^-$ by ionometer with check salt strip, simple salimeter and Ion-selective electrode (ISE) and compare the results of each mensuration; furthermore, the possibility of inferring the $Na^+$ concentration from $Cl^-$ concentration of urine and the impact of $K^+$ on the concentration of each ion was examined. The results showed that ISE determined $Na^+$ and $Cl^-$ concentrations in the urine are highly interrelated (R=0.9039); in addition, concentrations of $Cl^-$, measured with strip and ISE from urine are highly interrelated (R=0.9338). The concentration of $Na^+$ in urine, inferred by measuring $Cl^-$ concentration with strip, has a high relationship (R=0.8580) with the concentration of $Na^+$ in urine, measured by ISE. The results of our study will increase awareness of $Na^+$ intake and the utility of check salt strip, as well as the possibility of inferred $Na^+$ concentration from measures of $Cl^-$ concentration as a screening test for reducing sodium intake.

한국 성인의 가공식품으로부터의 식품 및 영양소 섭취량 평가 : 제 6기 (2013~2015) 국민건강영양조사를 바탕으로 (The food and nutrient intakes from daily processed food in Korean adults: based on the 6th Korea National Health and Nutrition Examination Survey data (2013~2015))

  • 하애화;김우경
    • Journal of Nutrition and Health
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    • 제52권5호
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    • pp.422-434
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    • 2019
  • 우리나라 국민의 가공식품 섭취 증가로 인해 가공식품으로부터의 영양소 섭취는 개인의 건강을 유지하는 식생활의 중요한 요인으로 작용하게 되었다. 그러므로 본 연구는 가공식품으로부터의 열량 및 영양소의 섭취 기여를 파악하는 것을 목적으로 하였다. 연구결과는 다음과 같다. 나이, 성별, 에너지 섭취량을 보정 한 결과, 가공식품의 섭취량은 남자가 여자보다 유의적으로 많이 섭취하였고, 나이가 증가할수록 적게 섭취하였다. 또한, 소득이 높고, 학력이 높을수록 총 가공식품의 섭취량이 유의적으로 많았다. 가공식품 섭취는 총식품 섭취량의 68.1%로 원재료식품보다 높았고, 곡류, 버섯류, 기타류를 제외한 모든 식품군에서 가공식품 섭취비율이 유의적으로 높았다. 음료 및 주류에서 가공식품 섭취량이 가장 높았다. 가공식품 섭취량이 많은 상위 5개 식품군인 음료 및 주류군, 채소군, 곡류군, 과일군, 유류군에서 다소비 가공식품은 빵, 김치, 사과가공품, 우유, 맥주로 나타났다. 나이, 성별, 에너지 섭취량을 보정 한 결과, 탄수화물을 제외한 조사된 모든 영양소 섭취량 및 영양소 섭취기준 비율은 원재료식품 식품에서보다 가공식품에서 유의적으로 높았다. 총 에너지 대비 탄수화물 섭취 비율은 가공식품에서 낮았고 단백질, 지질로부터의 에너지 섭취비율이 가공식품에서 높았다. 특히 나트륨의 경우, 가공식품에서 섭취가 96.3%로 가공식품으로부터 가장 높게 섭취하는 영양소로 나타났다. 나이, 에너지 섭취량을 보정 한 결과, 가공식품에서 영양소 섭취량은 남성이 여성보다 많았다 (비타민 C, 식이섬유, 철분, 비타민 A 제외). 가공식품에서 비타민 C 섭취량은 여성에서 높았고, 식이섬유, 철분, 비타민 A 섭취량은 성별에 따른 차이가 없었다. 성별, 에너지 섭취량, BMI를 보정 한 결과, 가공식품에서 철, 비타민 A, 비타민 C의 섭취량은 20대에 비하여 30 ~ 64세에서 섭취량이 증가하였고 65세 이상에서는 감소하였다. 가공식품으로부터의 나트륨 섭취량은 30 ~ 49세에 가장 높았고, 50세 이상에서는 섭취량이 감소하였다. 결론적으로 한국 성인의 경우 1일 총 식이 섭취량에서 가공식품 섭취량이 원재료식품보다 많았으며 가공식품으로부터 더 많은 열량과 및 대부분 영양소를 섭취하고 있는 것으로 나타났다. 가공식품의 섭취는 앞으로 더 늘어날 것으로 예상하여 건강한 가공식품의 섭취와 선택에 관한 연구와 영양교육이 필요한 것으로 생각한다.