Department of Public Health and Informatics, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Department of Epidemiology and Research, National Heart Foundation Hospital and Research Institute, Dhaka, Bangladesh.
Nagoya J Med Sci. 2021 Aug;83(3):589-599. doi: 10.18999/nagjms.83.3.589.
High dietary salt intake increases the risk of noncommunicable diseases (NCDs). NCDs are increasing among the urban poor in Bangladesh, but the data of their dietary salt intake are yet scarce. This study aimed to explore the amount of dietary salt intake among adults in an urban slum area in Dhaka, Bangladesh. A cross-sectional community-based study was conducted. We randomly selected 100 residents (39 men and 61 women) aged 20-59 years without history of NCDs. A modified World Health Organization standard instrument was used for behavioral risk factor assessment and physical measurements. Dietary salt intake was estimated from the measurement of sodium (Na) excretion in spot urine samples.The estimated mean dietary salt intake was 7.8 ± 2.5 g/day, and the mean Na/potassium (K) ratio in urine was 4.9 ± 3.4. More than half (54%) of them always took additional salt in their meals, but only 6% of them consumed 5 or more servings of fruits and vegetables per day. A quarter of them perceived salt reduction not at all important. Increased mean salt intakes were marginally associated with lower waist circumference and lower waist-hip ratio. Dietary salt intake among urban slum residents was higher than the recommended level of 5 g/day; however, its association with NCD risk factors was not significant. Further studies are required to identify the urban poor specific factors.
高盐饮食会增加非传染性疾病(NCDs)的风险。孟加拉国城市贫困人口中 NCDs 的发病率正在上升,但有关其盐摄入量的数据仍很匮乏。本研究旨在探索孟加拉国达卡市一个城市贫民窟地区成年人的盐摄入量。这是一项横断面社区为基础的研究。我们随机选择了 100 名年龄在 20-59 岁之间、无 NCD 病史的居民(39 名男性和 61 名女性)。使用改良的世界卫生组织标准工具进行行为风险因素评估和身体测量。通过测量尿液中钠(Na)的排泄量来估计盐摄入量。估计的平均盐摄入量为 7.8±2.5g/天,尿液中钠/钾(K)比值为 4.9±3.4。超过一半(54%)的人总是在饭菜中额外加盐,但只有 6%的人每天食用 5 份或更多份水果和蔬菜。四分之一的人认为减少盐摄入量完全不重要。盐摄入量的增加与腰围和腰臀比的降低呈轻微相关。城市贫民窟居民的盐摄入量高于推荐的 5g/天的水平,但与 NCD 风险因素之间的关联并不显著。需要进一步研究以确定城市贫困人口的具体因素。