Korean Journal of Community Nutrition

Original Articles

[English]
Cost-benefit Analysis of Sodium Intake Reduction Policy in Korea: Chulhee Lee, Dae Il Kim, Jeonglim Hong, Eunmi Koh, Baeg Won Kang, Jong Wook Kim, Hye Kyung Park, Cho Il Kim; Korean J Community Nutr 2012;17(3):341-352. Published online June 30, 2012; DOI: https://doi.org/10.5720/kjcn.2012.17.3.341

It is well established that excessive sodium intake is related to a higher incidence of chronic diseases such as hypertension, stroke, coronary heart disease, cardiovascular disease and gastric cancer. Although the upper limit of the current sodium intake guideline by WHO is set at 2,000 mg/day for adults, sodium intake of Koreans is well over 4,700 mg/capita/day implying an urgent need to develop and implement sodium intake reduction policy at the national level. This study investigated the cost-effectiveness of the sodium intake reduction policy, for the first time, in Korea. Analyses were performed using most recent and representative data on national health insurance statistics, healthcare utilization, employment information, disease morbidity/mortality, etc. The socioeconomic benefits of the policy, resulting from reduced morbidity of those relevant diseases, included lower medical expenditures, transportation costs, caregiver cost for inpatients and income losses. The socioeconomic benefits from diminished mortality included reductions in earning losses and welfare losses caused by early deaths. It is estimated that the amount of total benefits of reducing sodium intake from 4.7 g to 3.0 g is 12.6 trillion Korean Won; and the size of its cost is 149 billion Won. Assuming that the effect of sodium intake reduction would become gradually evident over a 5-year period, the implied rate of average return to the sodium reduction policy is 7,790% for the following 25 years, suggesting a very high cost-effectiveness. Accordingly, development and implementation of a mid-to-long term plan for a consistent sodium intake reduction policy is extremely beneficial and well warranted.

Citations

Citations to this article as recorded by

Self-Reported Diet Management and Adherence to Dietary Guidelines in Korean Adults with Hypertension
Jee-Seon Shim, Kyungwon Oh, Sun Jae Jung, Hyeon Chang Kim
Korean Circulation Journal.2020; 50(5): 432. CrossRef
Progress on sodium reduction in South Korea
Hye-Kyung Park, Yoonna Lee, Baeg-Won Kang, Kwang-il Kwon, Jong-Wook Kim, Oh-Sang Kwon, Laura K Cobb, Norman R C Campbell, Drew E Blakeman, Cho-il Kim
BMJ Global Health.2020; 5(5): e002028. CrossRef
Customers' Perceptions of Operational Status of and Needs for Sodium Reduction in the Industry Foodservice in Seoul
Na-Young Yi
Korean Journal of Community Nutrition.2020; 25(1): 21. CrossRef
Systematic Review on International Salt Reduction Policy in Restaurants
Jingmin Ding, Yuewen Sun, Yuan Li, Jing He, Harriet Sinclair, Wenwen Du, Huijun Wang, Puhong Zhang
International Journal of Environmental Research and Public Health.2020; 17(24): 9570. CrossRef
Association between dietary sodium intake and disease burden and mortality in Koreans between 1998 and 2016: The Korea National Health and Nutrition Examination Survey
Clara Yongjoo Park, Garam Jo, Juhee Lee, Gitanjali M. Singh, Jong-Tae Lee, Min-Jeong Shin
Nutrition Research and Practice.2020; 14(5): 501. CrossRef
Development of standards for reducing the sodium content and salinity of Korean fermented soybean sauces and representative Korean foods high in sodium
Lin Jiang, Eun-Kyung Shin, Jung-Sook Seo, Yeon-Kyung Lee
Journal of Nutrition and Health.2019; 52(2): 185. CrossRef
Socioeconomic burden of sugar-sweetened beverages consumption in Korea
Jee-Seon Shim, Nam Hoon Kang, Jung Sug Lee, Ki Nam Kim, Hae Kyung Chung, Hae Rang Chung, Hung-Ju Kim, Yoon-Sook Ahn, Moon-Jeong Chang
Nutrition Research and Practice.2019; 13(2): 134. CrossRef
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Jeong-Hwa Choi, Young-Ran Heo
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Hyunwoo Oh, Hyo Young Lee, Dae Won Jun, Seung Min Lee
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Yong-Joo Kim, Ji-Suk Jeong, Eun-Ha Kim, Byeong-Gil Son, Geun-Bae Go
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Nutrition knowledge, eating attitudes, nutrition behavior, self-efficacy of childcare center foodservice employees by stages of behavioral change in reducing sodium intake
Yun Ahn, Kyung Won Kim, Kyungmin Kim, Jinwon Pyun, Ikhyun Yeo, Kisun Nam
Journal of Nutrition and Health.2015; 48(5): 429. CrossRef
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Hyo Ju Kim, Eun Ju Yang
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Juhyeon Kim, Hei-Ryeo Yoon, Nam-E Kang
Journal of The Korean Society of Food Culture.2014; 29(6): 511. CrossRef
Comparison of sodium content of workplace and homemade meals through chemical analysis and salinity measurements
Eun-Kyung Shin, Yeon-Kyung Lee
Nutrition Research and Practice.2014; 8(5): 558. CrossRef
Effects of Dietary Education on Low-sodium Diet Adaptation
Hae Young Kim, Juhyeon Kim
Journal of the Korean Society of Food Culture.2014; 29(2): 212. CrossRef
Excessive Sodium Intake and Related Factors According to Energy Intakes Among Korean Elderly: A Nationwide Cross-Sectional Study
Young-Jin Tak, Jeong-Gyu Lee, Yun-Jin Kim, Sangyeoup Lee, Dong-Wook Jung, Yu-Hyeon Yi, Young-Hye Cho, Eun-Jung Choi, Seung-Hun Lee, Hye-Lim Hwang, A-Ra Cho
Journal of the Korean Geriatrics Society.2014; 18(4): 185. CrossRef

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[English]
Influencing Factors on the Dietary supplements Consumption among Children in Korea: Jeeyeon Lee, Dohee Kim, Yoonna Lee, Eunmi Koh, Youngsoo Jang, Hyeyoung Lee, Youngae Jang, Cho il Kim; Korean J Community Nutr 2011;16(6):740-750. Published online December 31, 2011; DOI: https://doi.org/10.5720/kjcn.2011.16.6.740

Abstract PDF PubReader

With a recent increase in dietary supplements (DS) consumption among children in Korea, this study was performed to examine the influencing factors on children's DS consumption. A nationwide survey was conducted employing 3 representative samples of children for summer & fall of 2008 and spring of 2009 by stratified multistage sampling of 120 survey sites per season based on the 2005 census population. Approximately 30 households from each survey site were screened for residing children of 0-19 years and about 1,700 households remained as eligible samples per season. Trained dietitians visited households to perform face-to-face interview to children and/or parents regarding DS consumption including health functional foods (HFF), vitamins/minerals (V/M) supplements and other food supplements during 1 month prior to interview. Out of 5,328 children responded, 18.7% reported DS consumption. Consumption rate was higher in boys (19.9% vs. 17.3% in girls, P < 0.05) and youngsters (22.8% compared to 15.0% in adolescents, P < 0.001). Children from higher income family (P < 0.001), those living in apartments (P < 0.001), those residing in metropolitan area (P < 0.001), and those of mothers with higher education (P < 0.001) were more likely to take DS. Also, mother's employment status and occupation were significantly associated with children's DS consumption. The most popular DS was HFF (72.1%), which was consumed more in children of higher income family. It is revealed that socioeconomic factors affect children's DS consumption significantly. Also it is necessary to estimate children's V/M intake from DS and foods together especially because there are tolerable upper limits set for V/M for safety purposes.

Citations

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Jinkyung Choi
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Jung-Hwa Choi, Youjin Je
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Dong Soo Kang, Kun Song Lee
Pediatric Gastroenterology, Hepatology & Nutrition.2014; 17(3): 178. CrossRef
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Ji Hye Han, Hyun Sook Lee, Sun Hyo Kim
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Dietary Supplements Use and Related Factors of Preschoolers in 3 Korean Cities
Hye Sil Kim, Hye Young Lee, Mi Kyung Kim
Pediatric Gastroenterology, Hepatology & Nutrition.2013; 16(2): 104. CrossRef

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[English]
Major Sources of Sodium Intake of the Korean Population at Prepared Dish Level: Based on the KNHANES 2008 & 2009: Miyong Yon, Yoonna Lee, Dohee Kim, Jeeyeon Lee, Eunmi Koh, Eunjeong Nam, Hyehyung Shin, Baeg won Kang, Jong Wook Kim, Seok Heo, Hea young Cho, Cho il Kim; Korean J Community Nutr 2011;16(4):473-487. Published online August 31, 2011; DOI: https://doi.org/10.5720/kjcn.2011.16.4.473

Abstract PDF PubReader

We attempted to define the sources of sodium intake for the Korean population at prepared dish level to provide a basis for developing sustainable nutrition policies and feasible programs for sodium intake reduction. Dietary intake data from 2008 and 2009 Korea National Health and Nutrition Examination Survey was used in the analysis for sodium intake sources. Sodium intake from individual dish consumed by each subject was calculated and used in delineating major sodium sources at dish and dish group level for sub-populations of different sex and age. Also, sodium intake was compared between eaters and non-eaters of some specific dish groups with considerable contribution to total sodium intake. The number of subjects included in the analysis was 18,022 and mean sodium intake was 4,600 mg/capita/day. Major sources of sodium intake at dish group level were in the following order: kimchi (1125 mg, 24.5%), noodles (572 mg, 12.4%), soups (488 mg, 10.6%), stews (399 mg, 8.7%), and cooked rice (284 mg, 6.2%). The magnitude of contribution to total sodium intake by soups and stews was different by age group. Sodium intake difference between eaters and non-eaters was much larger for kimchi group (2,343 mg for male, 1,452 mg for female) than for soups or stews. Interaction between consumption of aforementioned specific dish groups and age was highly significant (p < 0.0005) for both sexes. This study revealed an importance of having not only the control over sodium content of foods/dishes, but also the customized approach for different groups of population to accomplish an appreciable reduction in sodium intake.

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