Welsh Ericka M, Perveen Ghazala, Clayton Paula, Hedberg Robert
Bureau of Health Promotion, Kansas Department of Health and Environment (Drs Welsh and Perveen and Ms Clayton), and Shawnee County Health Agency (Mr Hedberg), Topeka, Kansas.
J Public Health Manag Pract. 2014 Jan-Feb;20(1 Suppl 1):S9-15. doi: 10.1097/PHH.0b013e31829d48df.
Hypertension is a major risk factor for cardiovascular disease and contributes to nearly half of all cardiovascular disease-related deaths in the United States. Even small reductions in sodium intake may lower blood pressure, help prevent the onset of hypertension, or help control blood pressure among hypertensive adults. Current nationally recommended strategies to reduce sodium intake include increasing public awareness about the amount of sodium added to processed and packaged foods and the health outcomes of a high-sodium diet.
To assess knowledge and behaviors related to sodium consumption among Shawnee County, Kansas, adults.
Multicomponent survey, including random digit-dialed landline telephone interview, clinic-measured blood pressure, and a 24-hour dietary recall, conducted during April-November 2011.
Population-based sample of noninstitutionalized adults 18 years and older living in households with landline telephones in Shawnee County, Kansas.
Knowledge about food sources of sodium and the link between sodium intake and hypertension; consumption of foods away from home and selected high-sodium foods; and addition of salt to foods.
Eighty-three percent of adults strongly agreed or agreed that most of the sodium we eat comes from packaged, processed, store-bought, and restaurant foods, and 93.0% thought that a high-salt diet could cause hypertension. Adults ate slightly more than 3 meals prepared outside the home per week, on average, and 1 in 4 adults added salt very often in cooking or preparing meals. Mean sodium intake among Shawnee County adults was 3508 mg per day.
Despite extensive knowledge regarding food sources of sodium and the link between sodium intake and high blood pressure, mean sodium intake among Shawnee County adults exceeds current recommendations. The Shawnee County Sodium Reduction in Communities Program is currently implementing interventions that support access to and availability of lower-sodium options in Shawnee County.
高血压是心血管疾病的主要危险因素，在美国，近一半的心血管疾病相关死亡都与之有关。即使钠摄入量有小幅减少，也可能降低血压、有助于预防高血压的发生，或有助于控制高血压成年人的血压。目前全国推荐的减少钠摄入的策略包括提高公众对加工食品和包装食品中添加钠的量以及高钠饮食对健康影响的认识。
评估堪萨斯州肖尼县成年人与钠消费相关的知识和行为。
多成分调查，包括随机数字拨号的固定电话访谈、诊所测量血压以及24小时饮食回顾，于2011年4月至11月进行。
以堪萨斯州肖尼县有固定电话的家庭中18岁及以上非机构化成年人为基础的样本。
关于钠的食物来源以及钠摄入与高血压之间联系的知识；外出就餐和特定高钠食物的消费情况；以及在食物中加盐的情况。
83%的成年人强烈同意或同意我们摄入的大部分钠来自包装食品、加工食品、商店购买的食品和餐馆食品，93.0%的人认为高盐饮食会导致高血压。成年人平均每周外出就餐略多于3次，四分之一的成年人在烹饪或准备饭菜时经常加盐。肖尼县成年人的平均钠摄入量为每天3508毫克。
尽管对钠的食物来源以及钠摄入与高血压之间的联系有广泛了解，但肖尼县成年人的平均钠摄入量仍超过当前建议水平。肖尼县社区钠减少计划目前正在实施干预措施，以支持在肖尼县获取和提供低钠选择。
