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秘鲁半城市地区的钠和钾摄入量:基于人群的 24 小时尿液收集评估。

Sodium and Potassium Consumption in a Semi-Urban Area in Peru: Evaluation of a Population-Based 24-Hour Urine Collection.

机构信息

Center of Excellence in Chronic Diseases (CRONICAS), Universidad Peruana Cayetano Heredia, Lima 18, Peru.

Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London W2 1PG, UK.

出版信息

Nutrients. 2018 Feb 22;10(2):245. doi: 10.3390/nu10020245.

Abstract

Despite the negative effects of high sodium and low potassium consumption on cardiovascular health, their consumption has not been quantified in sites undergoing urbanization. We aimed to determine the sodium and potassium consumption in a semi-urban area in Peru with a cross-sectional study. 24-h urine samples were collected. The outcomes were mean consumption of sodium and potassium, as well as adherence to their consumption recommendation: <2 g/day and ≥3.51 g/day, respectively. Bivariate analyses were conducted to identify socio-economic and clinical variables associated with the consumption recommendations of 602 participants, complete urine samples were found in 409: mean age of participants was 45.7 (standard deviation (SD): 16.2) years and 56% were women. The mean sodium and potassium consumption was 4.4 (SD: 2.1) and 2.0 (SD: 1.2) g/day. The sodium and potassium recommendation was met by 7.1% and 13.7% of the study sample; none of the participants met both recommendations. People not adherent to the sodium recommendation had higher diastolic (73.1 mmHg vs. 68.2 mmHg, = 0.015) and systolic (113.1 mmHg vs. 106.3 mmHg, = 0.047) blood pressure than those who comply with the recommendation. Public health actions ought to be implemented in areas undergoing urbanization to improve sodium and potassium consumption at the population level.

摘要

尽管高钠和低钾摄入对心血管健康有负面影响,但在城市化进程中,这些物质的摄入量尚未得到量化。我们旨在确定秘鲁一个半城市化地区的钠和钾摄入量,并进行了一项横断面研究。收集 24 小时尿液样本。结果为钠和钾的平均摄入量以及对其摄入量建议的依从性:<2g/天和≥3.51g/天。进行了单变量分析,以确定与 602 名参与者的摄入建议相关的社会经济和临床变量,在 409 名完成尿液样本的参与者中:参与者的平均年龄为 45.7(标准差(SD):16.2)岁,56%为女性。钠和钾的平均摄入量分别为 4.4(SD:2.1)和 2.0(SD:1.2)g/天。建议的钠和钾摄入量分别被研究样本的 7.1%和 13.7%的人所满足;没有一个参与者同时满足两个建议。不符合钠摄入建议的人舒张压(73.1mmHg 比 68.2mmHg,=0.015)和收缩压(113.1mmHg 比 106.3mmHg,=0.047)均高于符合建议的人。在城市化进程中,应该在地区实施公共卫生行动,以提高人群的钠和钾摄入量。

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