Warning: mkdir(): Permission denied in /home/virtual/lib/view_data.php on line 81

Warning: fopen(upload/ip_log/ip_log_2024-11.txt): failed to open stream: No such file or directory in /home/virtual/lib/view_data.php on line 83

Warning: fwrite() expects parameter 1 to be resource, boolean given in /home/virtual/lib/view_data.php on line 84
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
Skip Navigation
Skip to contents

Korean J Community Nutr : Korean Journal of Community Nutrition

OPEN ACCESS

Articles

Page Path
HOME > Korean J Community Nutr > Volume 21(6); 2016 > Article
Research Article
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 Chungorcid
Korean Journal of Community Nutrition 2016;21(6):558-573.
DOI: https://doi.org/10.5720/kjcn.2016.21.6.558
Published online: December 31, 2016

Department of Foods & Nutrition, Kookmin University, Seoul, Korea.

Corresponding author: Sang-Jin Chung. Department of Foods and Nutrition, Kookmin University, 77 Jeongneung-ro, Seongbuk-gu, Seoul 02707, Korea. Tel: (02) 910-4777, Fax: (02) 910-5249, schung@kookmin.ac.kr
• Received: September 27, 2016   • Revised: December 15, 2016   • Accepted: December 23, 2016

Copyright © 2016 The Korean Society of Community Nutrition

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • 196 Views
  • 0 Download
  • 18 Crossref
prev next
  • Objectives
    The purpose of this study was to evaluate the main sources of dietary sodium and potassium intake in Koreans by gender, age and regions.
  • Methods
    We used the data from 2010-2012 KNHANES. A total of 20,387 subjects aged 8 years and older were included. Intakes were compared by gender, age (8-18, 19-49 and >50 years) and geographical regions in Korea. Dishes were classified into 28 dish groups based on cooking methods. Statistical analysis was performed by using the SAS 9.3 and SUDAAN 11.0.1 software.
  • Results
    The mean sodium intake of Koreans was 4866.5 ± 35.9 mg/day, which was 2.4 times higher than the adequate intake (AI) of sodium for Koreans. We found that daily sodium intakes were significantly different by age, gender and regions. Men and aged over 50 years had significantly higher sodium intake than women and other age groups. The mean potassium intake in Koreans was 3002.2 ± 19.4 mg/day and daily potassium intakes were significantly different by age, gender and regions. Women and age 50 years and over had significantly higher potassium intakes than men and other age groups. The average Na/K ratio was 2.89 ± 0.01 and was highest in men and in the age group of 19-49 years. The major sources of dietary sodium were soup and stew, followed by Kimchi, noodles and dumpling, pickled vegetables and seasonings, which represented 63.1 % of total sodium intakes. Soup and stew or Kimchi were the primary sources of dietary sodium intake. The major sources of dietary potassium were cooked rice, followed by soup and stew, Kimchi, fruits and beverages.
  • Conclusions
    Sodium and potassium intakes and the major sources of those were significantly different by gender, age groups and regions. Therefore, different approaches based on gender, age and regions are needed to decrease sodium intake and increase potassium intake.
  • 1. Meneton P, Jeunemaitre X, de Wardener HE, MacGregor GA. Links between dietary salt intake, renal salt handling, blood pressure, and cardiovascular diseases. Physiol Rev 2005; 85(2): 679-715.ArticlePubMed
  • 2. Shin HH. Dietary sodium intake and cardiovascular disease. Korean J Community Nutr 2002; 7(3): 391-393.
  • 3. Cappuccio FP, Kalaitzidis R, Duneclift S, Eastwood JB. Unravelling the links between calcium excretion, salt intake, hypertension, kidney stones and bone metabolism. J Nephrol 2000; 13(3): 169-177.PubMed
  • 4. Tannen RL. Effects of potassium on blood pressure control. Ann Intern Med 1983; 98(5 Pt 2): 773-780.ArticlePubMed
  • 5. Prospective Studies Collaboration. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 2002; 360(9349): 1903-1913.ArticlePubMed
  • 6. Statistics Korea. Causes of Death Statistics [Internet]. 2014; [cited 2015 Dec 02]]. Available from: http://kostat.go.kr/portal/eng/index.action.
  • 7. Korea Centers for Disease Control and Prevention. Korea Health Statistics 2014 : Korea National Health and Nutrition Examination Survey (KNHANES VI-2) [Internet]. Korean Ministry of Health and Welfare; 2014; [cited 2016 Dec 08]]. Available from: https://knhanes.cdc.go.kr/knhanes/index.do.
  • 8. Yon M, Lee Y, Kim D, Lee J, Koh E, Nam E. Major sources of sodium intake of the Korean population at prepared dish level: based on the KNHANES 2008 & 2009. Korean J Community Nutr 2011; 16(4): 473-487.Article
  • 9. Song BH, Hwang SH, Lee JD, Kim HJ, Chung HR, Moon HK. A study on the mineral contents of Korean common food and analytical methods 1. sodium. J Food Hyg Saf 1991; 6(3): 139-145.
  • 10. Kwak HS, Kim MS, Lee YS, Jeong YH. Long-term change in consumer acceptance for salt reduced ‘udon noodle soup’ over repeated intake at home. Int J Food Sci Technol 2015; 50(2): 541-548.Article
  • 11. Campese VM, Romoff MS, Levitan D, Saglikes Y, Friedler RM, Massry SG. Abnormal relationship between sodium intake and sympathetic nervous system activity in salt-sensitive patients with essential hypertension. Kidney Int 1982; 21(2): 371-378.ArticlePubMed
  • 12. Moon HK, Park JH. Comparative analysis and evaluation of dietary intake between with and without hypertension using 2001 Korea National Health and Nutrition Examination Survey (KNHANES). J Nutr Health 2007; 40(4): 347-361.
  • 13. Brunette MG, Mailloux J, Lajeunesse D. Calcium transport through the luminal membrane of the distal tubule. I. Interrelationship with sodium. Kidney Int 1991; 41(2): 281-288.Article
  • 14. Hu G, Tian H. A comparison of dietary and non-dietary factors of hypertension and normal blood pressure in a Chinese population. J Hum Hypertens 2001; 15(7): 487-493.ArticlePubMedPDF
  • 15. Du S, Batis C, Wang H, Zhang B, Zhang J, Popkin BM. Understanding the patterns and trends of sodium intake, potassium intake, and sodium to potassium ratio and their effect on hypertension in China. Am J Clin Nutr 2014; 99(2): 334-343.ArticlePubMed
  • 16. Umesawa M, Iso H, Date C, Yamamoto A, Toyoshima H, Watanabe Y. Relations between dietary sodium and potassium intakes and mortality from cardiovascular disease: the Japan Collaborative Cohort Study for Evaluation of Cancer Risks. Am J Clin Nutr 2008; 88(1): 195-202.ArticlePubMed
  • 17. Noh HM, Park SY, Lee HS, Oh HY, Paek YJ, Song HJ. Association between high blood pressure and intakes of sodium and potassium among Korean adults: Korean National Health and Nutrition Examination Survey, 2007-2012. J Acad Nutr Diet 2015; 115(12): 1950-1957.ArticlePubMed
  • 18. Dahl LK. Salt intake and hypertension, in Hypertension: Physiopathology and Treatment. New York: McGraw-Hill Book Company; 1977. p. 548-559.
  • 19. Lim HJ. A study on the sodium and potassium intakes and urinary excretion of adults in Busan. Korean J Community Nutr 2012; 17(6): 737-751.Article
  • 20. Song DY, Park JE, Shim JE, Lee JE. Trends in the major dish groups and food groups contributing to sodium intake in the Korea National Health and Nutrition Examination Survey 1998-2010. Korean J Nutr 2013; 46(1): 72-85.Article
  • 21. Fregly MJ. Estimates of sodium and potassium intake. Ann Intern Med 1983; 98(5 Pt 2): 792-799.ArticlePubMed
  • 22. Kim YS, Paik HY. Measurement of Na intake in Korean adult females. Korean J Nutr 1987; 20(5): 341-349.
  • 23. Son SM, Huh GY, Lee HS. Development and evaluation of validity of dish frequency questionnaire (DFQ) and short DFQ using Na Index for estimation of habitual sodium intake. Korean J Community Nutr 2005; 10(5): 677-692.
  • 24. Korea Center for Disease Control & Prevention. Guideline for Nutrition Survey: Korea National Health & Nutrition Examination Survey 2010-2012[Internet]. Ministry of Health & Welfare; 2012; [cited 2016 Dec 15]]. Available from: https://knhanes.cdc.go.kr/knhanes/index.do.
  • 25. Ministry of Health and Welfare & The Korean Nutrition Society. Dietary Reference Intakes for Koreans 2015. Sejong: The Korean Nutrition Society; 2015.
  • 26. Jackson SL, King S, Zhao L, Cogswell M. Prevalence of excess sodium intake in the United States - NHANES, 2009-2012. MMWR Morb Mortal Wkly Rep 2016; 64(52): 1393-1397.ArticlePubMed
  • 27. Park YS, Son SM, Lim WJ, Kim SB, Chung YS. Comparison of dietary behaviors related to sodium intake by gender and age. Korean J Community Nutr 2008; 13(1): 1-12.
  • 28. Son SM, Park YS, Lim HJ, Kim SB, Jeong YS. 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 2007; 12(5): 545-558.
  • 29. Korea Health Industry Development Institute. The Third Korean National Health and Nutrition Examination Survey (KNHANES III) 2005-Nutrition Survey(II) [Internet]. Korean Ministry of Health & Welfare; 2006; [cited 2015 Dec 02]]. Available from: http://www.khidi.or.kr/kps.
  • 30. Lee HS, Duffey KJ, Popkin BM. Sodium and potassium intake patterns and trends in South Korea. J Hum Hypertens 2013; 27(5): 298-303.ArticlePubMedPDF
  • 31. Bailey R, Parker E, Rhodes D, Goldman J, Clemens J, Moshfegh A, et al. Estimating sodium and potassium intakes and their ratio in the American diet: Data from the 2011-2012 NHANES. J Nutr 2016; Forthcoming.Article
  • 32. World Health Organization. Diet, nutrition and the prevention of chronic disease. Report of a joint WHO/FAO Expert Consultation [Internet]. WHO; 2003; [cited 2016 Dec 15]]. Available from: http://whqlibdoc.sho.int/trs/WHO_TRS_916.pdf.
  • 33. Yi SS, Curtis C, Angell S, Anderson C, Jung M, Kansagra S. Highlighting the ratio of sodium to potassium in population-level dietary assessments: cross-sectional data from New York City, USA. Public Health Nutr 2014; 17(11): 2484-2488.ArticlePubMedPMC
  • 34. Du S, Batis C, Wang H, Zhang B, Zhang J, Popkin BM. Understanding the patterns and trends of sodium intake, potassium intake, and sodium to potassium ratio and their effect on hypertension in China. Am J Clin Nutr 2014; 99(2): 334-343.ArticlePubMed
  • 35. Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC. Fruit and vegetable intakes, C-reactive protein, and the metabolic syndrome. Am J Clin Nutr 2006; 84(6): 1489-1497.ArticlePubMed
  • 36. Shin D, Joh HK, Kim KH, Park SM. Benefits of potassium intake on metabolic syndrome: The fourth Korean National Health and Nutrition Examination Survey (KNHANES IV). Atherosclerosis 2013; 230(1): 80-85.ArticlePubMed
Table 1

Percentage of subjects with sodium and potassium intakes in accordance with Dietary Guideline for Korean by gender, age, and regions

kjcn-21-558-i001.jpg

1) GI: Goal Intake for sodium for Korea (≤2000 mg)

2) AI: Adequate Intake for potassium for Korea (8-18 year: ≥3000 mg, >19 year: ≥3500 mg)

3) OR: Optimal NA/K ratio by WHO (Na/K <1)

4) N (%): number of people (percent)

Table 2

Comparison of intakes of sodium, and potassium intakes and Na/K ratio by gender, age and region

kjcn-21-558-i002.jpg

1) Adjusted for age and energy intake.

2) Least Square Mean±Standard Error

3) Adjusted for gender and energy intake.

4) Adjusted for gender, age and energy intake.

Table 3

The proportion of sodium and potassium intake by dish groups

kjcn-21-558-i003.jpg
Table 4

Comparison of sodium intake rate of each dish group by gender

kjcn-21-558-i004.jpg

1) Least Square Mean±Standard Error (%)

Table 5

Comparison of sodium intake rate of each dish group by age

kjcn-21-558-i005.jpg

1) Least Square Mean±Standard Error (%)

Table 6

Comparison of sodium intake rate of each dish group by regions

kjcn-21-558-i006.jpg

1) Least Square Mean±Standard Error (%)

Table 7

Comparison of potassium intake rate of each dish group by gender

kjcn-21-558-i007.jpg

1) Least Square Mean±Standard Error (%)

Table 8

Comparison of potassium intake rate of each dish group by age groups

kjcn-21-558-i008.jpg

1) Least Square Mean±Standard Error (%)

Table 9

Comparison of potassium intake rate of each dish group by regions

kjcn-21-558-i009.jpg

1) Least Square Mean±Standard Error (%)

Figure & Data

REFERENCES

    Citations

    Citations to this article as recorded by  
    • Dietary Habits of Newly Diagnosed Patients with Breast Cancer in Korea
      Jaehoon Shin, Jiyeon Lee, Yooeun Yoon, Hye Sun Lee, Hyungmi Kim, Yu-Jin Kwon, Ji-Won Lee
      Korean Journal of Family Medicine.2024; 45(3): 149.     CrossRef
    • Role of geographic characteristics in the spatial cluster detection of cancer: Evidence in South Korea, 1999–2013
      Insang Song, Eun-Hye Yoo, Inkyung Jung, Jin-Kyoung Oh, Sun-Young Kim
      Environmental Research.2023; 236: 116841.     CrossRef
    • Development and application of the sodium index to estimate and assess sodium intake for Korean adults
      Yeon-Kyung Lee, Taisun Hyun, Heekyong Ro, Young-Ran Heo, Mi-Kyeong Choi
      Nutrition Research and Practice.2022; 16(3): 366.     CrossRef
    • Trends in sodium intake and major contributing food groups and dishes in Korea: the Korea National Health and Nutrition Examination Survey 2013–2017
      Yeseung Jeong, Eui Su Kim, Jounghee Lee, Yuri Kim
      Nutrition Research and Practice.2021; 15(3): 382.     CrossRef
    • Predictive Analysis of Food Behavior and Related Factors Using Spatial Analysis: Based on Community Health Survey Data 2016
      Se-Mi Jeong, Bok-Mi Jung
      The Korean Journal of Community Living Science.2021; 32(2): 189.     CrossRef
    • The association of dietary patterns with insulin resistance in Korean adults: based on the 2015 Korea National Health and Nutrition Examination Survey
      I Seul Kim, Yoon Jung Yang
      Journal of Nutrition and Health.2021; 54(3): 247.     CrossRef
    • Effect of nutrition education in reducing sodium intake and increasing potassium intake in hypertensive adults
      You-Sin Lee, Moo-Yong Rhee, Sim-Yeol Lee
      Nutrition Research and Practice.2020; 14(5): 540.     CrossRef
    • Comparison of Salinity and Sodium Content by the Salinity Measurement Frequency of Soups of Childcare Centers Enrolled in the Center for Children's Food Service Management in Daegu
      Na-Yeong Lee, Yeon-Kyung Lee
      Korean Journal of Community Nutrition.2020; 25(1): 13.     CrossRef
    • Comparison of the sodium content of Korean soup-based dishes prepared at home, restaurants, and schools in Seoul
      Yanghee Park, Jihyun Yoon, Sang-Jin Chung
      Journal of Nutrition and Health.2020; 53(6): 663.     CrossRef
    • Designing optimized food intake patterns for Korean adults using linear programming (II): adjustment of the optimized food intake pattern by establishing stepwise intake goals of sodium
      Kana Asano, Hongsuk Yang, Youngmi Lee, Meeyoung Kim, Jihyun Yoon
      Journal of Nutrition and Health.2019; 52(4): 342.     CrossRef
    • The association between genetic variants of angiopoietin-like 3 and risk of diabetes mellitus is modified by dietary factors in Koreans
      Clara Yongjoo Park, Jiyoung Moon, Garam Jo, Juhee Lee, Oh Yoen Kim, Hannah Oh, Hyunjung Lim, Min-Jeong Shin
      Scientific Reports.2019;[Epub]     CrossRef
    • Analysis of biogenic amines and inorganic elements in Cheonggukjang
      Min-Jeong Seo, Chang-Do Lee, Ji-Na Lee, Hee-Jong Yang, Do-Youn Jeong, Gae-Ho Lee
      Korean Journal of Food Preservation.2019; 26(1): 101.     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
    • Diet-Related Risk Factors for Incident Hypertension During an 11-Year Follow-Up: The Korean Genome Epidemiology Study
      Hye Ah Lee, Hyesook Park
      Nutrients.2018; 10(8): 1077.     CrossRef
    • Study on the prevalence and incidence of urolithiasis in Korea over the last 10 years: An analysis of National Health Insurance Data
      Joon Se Jung, Chang Hee Han, Sangrak Bae
      Investigative and Clinical Urology.2018; 59(6): 383.     CrossRef
    • Dietary status of young children in Korea based on the data of 2013 ~ 2015 Korea National Health and Nutrition Examination Survey
      Eun-kyung Kim, Byengchun Song, Se-Young Ju
      Journal of Nutrition and Health.2018; 51(4): 330.     CrossRef
    • Effects of Sodium Intake on the Association between the Salt-Sensitive Gene, Alpha-Adducin 1 (ADD1), and Inflammatory Cytokines in the Prevalence of Children Obesity
      Mi-Young Park, Myoung-sook Lee
      Journal of Lipid and Atherosclerosis.2018; 7(2): 98.     CrossRef
    • Dietary intakes of adolescents from food insecure households: analysis of data from the 6th(2013-2015) Korea National Health and Nutrition Examination Survey
      Mariam Nakitto, Kana Asano, Injoo Choi, Jihyun Yoon
      Nutrition Research and Practice.2017; 11(6): 507.     CrossRef

    • PubReader PubReader
    • Cite
      CITE
      export Copy Download
      Close
      Download Citation
      Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

      Format:
      • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
      • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
      Include:
      • Citation for the content below
      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
      Korean J Community Nutr. 2016;21(6):558-573.   Published online December 31, 2016
      Close
    • XML DownloadXML Download
    We recommend
    Related articles
    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
    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

    Percentage of subjects with sodium and potassium intakes in accordance with Dietary Guideline for Korean by gender, age, and regions

    1) GI: Goal Intake for sodium for Korea (≤2000 mg)

    2) AI: Adequate Intake for potassium for Korea (8-18 year: ≥3000 mg, >19 year: ≥3500 mg)

    3) OR: Optimal NA/K ratio by WHO (Na/K <1)

    4) N (%): number of people (percent)

    Comparison of intakes of sodium, and potassium intakes and Na/K ratio by gender, age and region

    1) Adjusted for age and energy intake.

    2) Least Square Mean±Standard Error

    3) Adjusted for gender and energy intake.

    4) Adjusted for gender, age and energy intake.

    The proportion of sodium and potassium intake by dish groups

    Comparison of sodium intake rate of each dish group by gender

    1) Least Square Mean±Standard Error (%)

    Comparison of sodium intake rate of each dish group by age

    1) Least Square Mean±Standard Error (%)

    Comparison of sodium intake rate of each dish group by regions

    1) Least Square Mean±Standard Error (%)

    Comparison of potassium intake rate of each dish group by gender

    1) Least Square Mean±Standard Error (%)

    Comparison of potassium intake rate of each dish group by age groups

    1) Least Square Mean±Standard Error (%)

    Comparison of potassium intake rate of each dish group by regions

    1) Least Square Mean±Standard Error (%)

    Table 1 Percentage of subjects with sodium and potassium intakes in accordance with Dietary Guideline for Korean by gender, age, and regions

    1) GI: Goal Intake for sodium for Korea (≤2000 mg)

    2) AI: Adequate Intake for potassium for Korea (8-18 year: ≥3000 mg, >19 year: ≥3500 mg)

    3) OR: Optimal NA/K ratio by WHO (Na/K <1)

    4) N (%): number of people (percent)

    Table 2 Comparison of intakes of sodium, and potassium intakes and Na/K ratio by gender, age and region

    1) Adjusted for age and energy intake.

    2) Least Square Mean±Standard Error

    3) Adjusted for gender and energy intake.

    4) Adjusted for gender, age and energy intake.

    Table 3 The proportion of sodium and potassium intake by dish groups

    Table 4 Comparison of sodium intake rate of each dish group by gender

    1) Least Square Mean±Standard Error (%)

    Table 5 Comparison of sodium intake rate of each dish group by age

    1) Least Square Mean±Standard Error (%)

    Table 6 Comparison of sodium intake rate of each dish group by regions

    1) Least Square Mean±Standard Error (%)

    Table 7 Comparison of potassium intake rate of each dish group by gender

    1) Least Square Mean±Standard Error (%)

    Table 8 Comparison of potassium intake rate of each dish group by age groups

    1) Least Square Mean±Standard Error (%)

    Table 9 Comparison of potassium intake rate of each dish group by regions

    1) Least Square Mean±Standard Error (%)


    Korean J Community Nutr : Korean Journal of Community Nutrition
    Close layer
    TOP