Korean Journal of Community Nutrition

Original Articles

[English]
Association between Sodium Excretion and Obesity of Adults in Gwangju: Mijin Jo, Young Ran Heo; Korean J Community Nutr 2018;23(1):38-47. Published online February 28, 2018; DOI: https://doi.org/10.5720/kjcn.2018.23.1.38

PURPOSE
The aim of this study was to analyze the association between sodium excretion and obesity for healthy adults in the Gwangju area.
METHODS
The participants included 80 healthy adults aged 19 to 69 years in Gwangju. The dietary intake and sodium excretion were obtained using the 24-hour recall method and 24 hour urine collection. The participants were classified into two groups according to the amount of urinary sodium excretion: (â‰¤ 141.75 mmol/dL, > 141.75 mmol/dL).
RESULTS
After adjusting for sex, age, smoking history, and income, the high excretion of sodium group was significantly higher for weight, body mass index, body fat mass, percent body fat, visceral fat area (VFA), waist circumference, hip circumference, and WHR. The energy and nutrients intake were significant after adjusting for sex, age, smoking history, and income. The LSE group had a significantly higher fat intake and Na/K intake ratio. The HSE group had significantly higher fiber intake, and K intake. As the amount of urinary sodium excretion increased, the risk of obesity before correction was 3.57 (95% CI: 1.13â€“11.25) times greater, and the risk of obesity of T3 increased significantly by 3.33 times (95% CI: 1.05â€“10.59). After correcting for sex and age, the obesity risk of T2 increased significantly by 4.23 times (95% CI: 1.11â€“16.06), and after correcting for sex, age, smoking history, and income, the obesity risk of T2 increased significantly by 6.81 times (95% CI: 1.44â€“32.19) the risk of obesity.
CONCLUSIONS
An association exists between sodium excretion and obesity in Korean adults. In this study, the high excretion of sodium group was obese and the risk of obesity was higher than the low excretion of sodium group.

Citations

Citations to this article as recorded by

Preventive Effects of Whole Grain Cereals on Sarcopenic Obesity in High-fat Diet-induced Obese Mice
Mi-Bo Kim, Sein Lee, Changhee Kim, Jae-Kwan Hwang
Food Engineering Progress.2018; 22(4): 358. CrossRef

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[English]
A Study on the Sodium and Potassium Intakes and Urinary Excretion of Adults in Busan: Hwa Jae Lim; Korean J Community Nutr 2012;17(6):737-751. Published online December 31, 2012; DOI: https://doi.org/10.5720/kjcn.2012.17.6.737

Abstract PDF PubReader

The purpose of this study was to assess sodium and potassium intakes and urinary excretion of adults in Busan and to evaluate the relationship of urinary sodium/potassium excretion (UNa/UK) to the status of anthropometric, blood pressure, urine analysis, and nutrient intake of subjects. Nutrient intake by 24-h recall, 24-h UNa/UK were measured with 87 adults aged 20-59 yrs (42 men and 45 women). The mean intakes of sodium and potassium were 3915.4 mg and 3093.9 mg, respectively. The mean 24-h UNa/UK was 3457.0/1680.4 mg. UNa showed significant positive correlations with sodium intake (p < 0.001, p < 0.001), sodium/potassium ratio (p < 0.001, p < 0.01), UK (p < 0.001, p < 0.001), and UNa/UK ratio (p < 0.05, p < 0.01) in men and women and with age, BMI, systolic blood pressure (SBP) and diastolic blood pressure in women (p < 0.05, p < 0.05, p < 0.05, p < 0.05). The UK showed significant positive correlations sodium intake (p < 0.001, p < 0.001), UNa (p < 0.001, p < 0.001) in men and women and with sodium density in men (p < 0.001) and with age, intakes of protein and potassium in women (p < 0.01, p < 0.05, p < 0.05). Mean SBP was lowest in the second quartile and highest in the fourth quartile of UNa. Mean UNa in the second, third, and fourth quartiles were 2821.1 mg, 3621.3 mg, and 5456.4 mg, respectively. Mean SBP in the second, third, and fourth quartiles were 115.8 mmHg, 120.7 mmHg, and 125.9 mmHg, respectively. Based on the results, UNa was related to sodium intake, UK, and SBP. We conclude that nutritional education for the reduction of high sodium intake is needed in the general population to prevent and control adverse blood pressure levels.

Citations

Citations to this article as recorded by

Comparison between 24-hour diet recall and 24-hour urine collection for estimating sodium and potassium intakes and their ratio among Korean adults
Taisun Hyun, Mi-Kyeong Choi, Young-Ran Heo, Heekyong Ro, Young-Hee Han, Yeon-Kyung Lee
Nutrition Research and Practice.2023; 17(2): 284. CrossRef
Association between Sodium Excretion and Obesity of Adults in Gwangju
Mijin Jo, Young-Ran Heo
Korean Journal of Community Nutrition.2018; 23(1): 38. CrossRef
A Comparison of Sources of Sodium and Potassium Intake by Gender, Age and Regions in Koreans: Korea National Health and Nutrition Examination Survey (KNHANES) 2010-2012
Yang-hee Park, Sang-Jin Chung
Korean Journal of Community Nutrition.2016; 21(6): 558. CrossRef
Salt Preference and Sodium Intake among Pregnant Women
Mi Jeung Im, Dong Sook Cho
Korean Journal of Women Health Nursing.2016; 22(4): 297. CrossRef
Processing and Characteristics of Snacks Make from Extrusion Rice Oryza sativa and Dried Shrimp Acetes chinensis
Hae-Soo Je, Kyung-Hun Kang, Hee-Bum Jung, Si-Young Park, Young-Mi Kang, Tae-Jong Seoung, Jae-Dong Lee, Jin-Hyo Park, Jeong-Gyun Kim
Korean Journal of Fisheries and Aquatic Sciences.2016; 49(3): 293. CrossRef
Contents of Sodium and Potassium for Restaurant Dishes in Seoul
Mi-ra Jang, Mi-sun Hong, Bu-chuhl Choi, Sung-hee Han, Kyeong-ah Lee, Li-la Kim, Jib-ho Lee, Jung-hun Kim, Kweon Jung
Journal of Food Hygiene and Safety.2015; 30(2): 189. CrossRef
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
Nutrient Intake Status of Male and Female University Students in Chuncheon Area
Yoon-Sun Kim, Bok-Ran Kim
Journal of the Korean Society of Food Science and Nutrition.2015; 44(12): 1856. CrossRef
The Risk of Metabolic Syndrome by Dietary Patterns of Middle-aged Adults in Gyeonggi Province
You-Sin Lee, Moo-Yong Lee, Sim-Yeol Lee
Korean Journal of Community Nutrition.2014; 19(6): 527. CrossRef
Benefits of potassium intake on metabolic syndrome: The fourth Korean National Health and Nutrition Examination Survey (KNHANES IV)
Doosup Shin, Hee-Kyung Joh, Kyae Hyung Kim, Sang Min Park
Atherosclerosis.2013; 230(1): 80. CrossRef

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[English]
Dietary Risk Factors Associated with Hypertension in Patients: Sook Mee Son, Gwui Yeop Huh; Korean J Community Nutr 2006;11(5):661-672. Published online October 31, 2006

Abstract PDF: This study was performed to determine the dietary risk factors associated with hypertension. The hypertensive group were composed of 112 hypertensive patients (male 53, female 59) who first visited the hypertension clinic and had been diagnosed as having primary hypertension (SBP > or = 140 mmHg or DBP > or = 90 mmHg). The regular visitors or the subjects on special diets or medical therapies were excluded. The normal group consisted of as subjects (male 41, female 54) matched with age and socioeconomic levels. The subjects having higher intakes (above the 75 percentile) in energy, protein, iron, vitamin A or C showed significantly higher hypertension risk estimated with odds ratio after the covariance factors (age, sex and BMI) were adjusted. More than 2400 mg of sodium (6 g of salt) intake was associated with significantly higher risk of hypertension (odds ratio: 1.773, CI: 1.014 - 3.014 for SBP > or = 140 mmHg; odds ratio: 2.373, CI: 1.359 - 4.215 for DBP > or = 90 mmHg). Hypertensive group showed significantly increased intakes of vegetables and fish and shell fish compared to the normal group. When the vegetable intakes were classified into Kimchi, fresh vegetables and cooked vegetables with seasoning, the hypertensive group was observed as having higher intakes of Kimchi and cooked vegetables with seasoning. The intakes of highest quartile for vegetables (> or = 327 g/day)(odds ratio: 3.164, CI: 1.740 - 5.752), fish and their products (> or = 102 g/day)(odds ratio: 2.756, CI: 1.486 - 5.109), grains(> or = 311 g/day)(odds ratio 2.393, CI: 1.186 - 4.832), meats and their product (> or = 106 g)(odds ratio: 2.210, CI: 1.225 - 3.987) compared to the lower were significantly associated with the higher risk of hypertension estimated with DBP (> or = 90 mmHg) after covariance factors were adjusted. In conclusion, our findings confirm that higher intake of energy or sodium are associated with the increased risk of hypertension. Because increased intake of vegetable or fish was associated with the higher risk of hypertension, in contrast with the finding of western countries, choosing or preparation of vegetables or fish with reduced salt is recommended.

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