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[2002 - 2003年巴西人群的钠摄入量估计]

[Estimated sodium intake by the Brazilian population, 2002-2003].

作者信息

Sarno Flavio, Claro Rafael Moreira, Levy Renata Bertazzi, Bandoni Daniel Henrique, Ferreira Sandra Roberta Gouvêa, Monteiro Carlos Augusto

机构信息

Programa de Pós-Graduação de Nutrição em Saúde Pública, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Saude Publica. 2009 Apr;43(2):219-25. doi: 10.1590/s0034-89102009005000002. Epub 2009 Feb 13.

Abstract

OBJECTIVE

To estimate the magnitude and distribution of sodium intake in Brazil and to identify major dietary sources contributing to this intake.

METHODS

Estimates were based on data from a Brazilian household budget survey carried between July 2002 and June 2003. A total of 969,989 food purchase records from a probabilistic sample of 48,470 households located in 3,984 census tracts across the country were analyzed. Purchase records were converted into nutrients using food composition charts. Mean sodium availability per person per day and mean adjusted availability considering a 2,000 kcal daily energy intake were calculated, as well as the contribution of selected food groups to total household sodium availability. Estimates are presented according to geographical region, urban or rural status of the household, and income stratum.

RESULTS

Mean daily sodium availability in Brazilian households was 4.5 g per person (or 4.7 g considering a daily calorie intake of 2,000 kcal), thus exceeding by more than two times the recommended levels of intake for this nutrient. Although most of the sodium available for intake across all income strata was derived from kitchen salt or salt-based condiments (76.2%), the fraction derived from processed foods with added salt showed a strong linear increase as household purchasing power increased, representing 9.7% of total sodium intake in the lower quintile of the per capita income distribution and 25.0% in the upper quintile.

CONCLUSIONS

Results indicate that sodium intake in Brazil widely exceeds the maximum recommended intake level for this nutrient in all of the country's macro regions and across all income strata.

摘要

目的

估算巴西钠摄入量的规模和分布,并确定造成该摄入量的主要饮食来源。

方法

估算基于2002年7月至2003年6月间开展的一项巴西家庭预算调查的数据。对来自全国3984个人口普查区的48470户家庭的概率样本中的969989条食品购买记录进行了分析。使用食物成分表将购买记录转换为营养素。计算了每人每天的平均钠供应量以及考虑到每日2000千卡能量摄入的平均调整后供应量,以及选定食物组对家庭总钠供应量的贡献。估算结果按地理区域、家庭的城乡状况和收入阶层列出。

结果

巴西家庭的每日平均钠供应量为每人4.5克(或考虑到每日卡路里摄入量为2000千卡时为4.7克),因此超过了该营养素推荐摄入量水平两倍多。尽管所有收入阶层可摄入的钠大部分来自厨房盐或含盐调味品(76.2%),但随着家庭购买力的提高,来自添加盐的加工食品的钠比例呈强劲线性增长,在人均收入分布的最低五分位数中占总钠摄入量的9.7%,在最高五分位数中占25.0%。

结论

结果表明,巴西的钠摄入量在该国所有宏观区域和所有收入阶层中都广泛超过了该营养素的最大推荐摄入量水平。

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