Turck Dominique, Castenmiller Jacqueline, de Henauw Stefaan, Hirsch-Ernst Karen-Ildico, Kearney John, Knutsen Helle Katrine, Maciuk Alexandre, Mangelsdorf Inge, McArdle Harry J, Pelaez Carmen, Pentieva Kristina, Siani Alfonso, Thies Frank, Tsabouri Sophia, Vinceti Marco, Aggett Peter, Fairweather-Tait Susan, Martin Ambroise, Przyrembel Hildegard, Ciccolallo Laura, de Sesmaisons-Lecarré Agnès, Valtueña Martinez Silvia, Martino Laura, Naska Androniki
EFSA J. 2019 Sep 4;17(9):e05778. doi: 10.2903/j.efsa.2019.5778. eCollection 2019 Sep.
Following a request from the European Commission, the EFSA Panel on Nutrition, Novel Foods and Food Allergens (NDA) derived dietary reference values (DRVs) for sodium. Evidence from balance studies on sodium and on the relationship between sodium intake and health outcomes, in particular cardiovascular disease (CVD)-related endpoints and bone health, was reviewed. The data were not sufficient to enable an average requirement (AR) or population reference intake (PRI) to be derived. However, by integrating the available evidence and associated uncertainties, the Panel considers that a sodium intake of 2.0 g/day represents a level of sodium for which there is sufficient confidence in a reduced risk of CVD in the general adult population. In addition, a sodium intake of 2.0 g/day is likely to allow most of the general adult population to maintain sodium balance. Therefore, the Panel considers that 2.0 g sodium/day is a safe and adequate intake for the general EU population of adults. The same value applies to pregnant and lactating women. Sodium intakes that are considered safe and adequate for children are extrapolated from the value for adults, adjusting for their respective energy requirement and including a growth factor, and are as follows: 1.1 g/day for children aged 1-3 years, 1.3 g/day for children aged 4-6 years, 1.7 g/day for children aged 7-10 years and 2.0 g/day for children aged 11-17 years, respectively. For infants aged 7-11 months, an Adequate Intake (AI) of 0.2 g/day is proposed based on upwards extrapolation of the estimated sodium intake in exclusively breast-fed infants aged 0-6 months.
应欧盟委员会的要求,欧洲食品安全局营养、新型食品及食品过敏原专家委员会(NDA)制定了钠的膳食参考值(DRV)。对钠平衡研究以及钠摄入量与健康结果之间关系的证据进行了审查,特别是与心血管疾病(CVD)相关的终点和骨骼健康。数据不足以得出平均需求量(AR)或人群参考摄入量(PRI)。然而,通过整合现有证据及相关不确定性,专家委员会认为,每日摄入2.0克钠代表了一个钠水平,对于一般成年人群降低心血管疾病风险有足够的信心。此外,每日摄入2.0克钠可能使大多数一般成年人群维持钠平衡。因此,专家委员会认为,每日2.0克钠对欧盟一般成年人群而言是安全且充足的摄入量。该数值同样适用于孕妇和哺乳期妇女。儿童被认为安全且充足的钠摄入量是根据成人数值推算得出,根据其各自的能量需求进行调整并纳入生长因子,具体如下:1 - 3岁儿童为1.1克/天,4 - 6岁儿童为1.3克/天,7 - 10岁儿童为1.7克/天,11 - 17岁儿童为2.0克/天。对于7 - 11个月大的婴儿,根据对0 - 6个月纯母乳喂养婴儿估计钠摄入量的向上推算,建议适宜摄入量(AI)为0.2克/天。