Faculty of Nutrition and Food Sciences, University of Porto, 4150-180 Porto, Portugal.
EPI Unit-Institute of Public Health, University of Porto, 4200-450 Porto, Portugal.
Nutrients. 2021 Dec 21;14(1):8. doi: 10.3390/nu14010008.
(1) Background: Excessive salt consumption is associated with an increased risk of hypertension and cardiovascular disease, and it is essential to reduce it to the level recommended by the World Health Organization (<5 g/day). The main objective of this study is to verify the impact of an intervention, which used the Salt Control H equipment to reducing salt consumption; (2) Methods: The study was an 8-week randomized control trial with 114 workers from a public university. The intervention group ( = 57) used the equipment to monitor and control the use of salt during cooking (Salt Control H) at home for 8 weeks. The primary outcome was 24 h urinary sodium excretion as a proxy of salt intake. Secondary outcomes included changes in 24 h urinary potassium excretion, sodium to potassium ratio (Na:K), and blood pressure. (3) Results: There was a decrease in sodium intake after the intervention but with no statistical significance. When analyzing the results by sex and hypertension status, there was a reduction in sodium (-1009 (-1876 to -142), = 0.025) and in Na:K ratio (-0.9 (-1.5 to -0.3), = 0.007) in hypertensive men in the intervention group. (4) Conclusions: Interventions with dosage equipment can be valid approaches in individual salt reduction strategies, especially in hypertensive men.
(1)背景:过量摄入盐与高血压和心血管疾病风险增加有关,因此必须将盐摄入量减少到世界卫生组织(<5 克/天)建议的水平。本研究的主要目的是验证一种干预措施的效果,该干预措施使用盐控制设备来减少盐的摄入量;(2)方法:这是一项为期 8 周的随机对照试验,共有来自一所公立大学的 114 名工作人员参与。干预组(n=57)在家中使用设备监测和控制烹饪过程中的盐用量(盐控制 H),为期 8 周。主要结局指标是 24 小时尿钠排泄量,作为盐摄入量的替代指标。次要结局指标包括 24 小时尿钾排泄量、钠钾比(Na:K)和血压的变化;(3)结果:干预后钠摄入量有所下降,但无统计学意义。按性别和高血压状况进行分析时,干预组中男性高血压患者的钠摄入量(-1009(-1876 至-142),P=0.025)和 Na:K 比值(-0.9(-1.5 至-0.3),P=0.007)均有所降低;(4)结论:剂量设备干预可能是个体减盐策略的有效方法,尤其是对高血压男性。