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Association between dietary sodium, potassium, and the sodium-to-potassium ratio and mortality: A 10-year analysis.

作者信息

Kwon Yu-Jin, Lee Hye Sun, Park Goeun, Lee Ji-Won

机构信息

Department of Family Medicine, Yonsei University College of Medicine, Yongin Severance Hospital, Seoul, Gyeonggi, South Korea.

Biostatistics Collaboration Unit, Department of Research Affairs, Yonsei University College of Medicine, Seoul, South Korea.

出版信息

Front Nutr. 2022 Nov 11;9:1053585. doi: 10.3389/fnut.2022.1053585. eCollection 2022.


DOI:10.3389/fnut.2022.1053585
PMID:36438773
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9691953/
Abstract

There is inconclusive evidence of the association between dietary sodium, potassium, and the sodium-to-potassium ratio and all-cause and cardiovascular disease mortality. To investigate the association between dietary sodium, potassium, and the sodium-to-potassium ratio and all-cause and cardiovascular disease mortality risks. Data from 143,050 adult participants were analyzed from prospective 10-year community-based cohort analysis. Dietary sodium, potassium, and the sodium-to-potassium ratio at baseline were assessed by a food frequency questionnaire. In Cox proportional hazards regression models, the association between dietary sodium, potassium, and their ratio and all-cause and cardiovascular disease mortality was estimated using hazard ratios and 95% confidence intervals, and their predictive ability as mortality predictors was evaluated using Harrell's c-index. During the mean (range) 10.1 (0.2-15.9) years of follow-up, 5,436 participants died, of whom 985 died of cardiovascular causes. After adjustment for age, sex, body mass index, alcohol intake, smoking, regular exercise, total calorie intake, dyslipidemia, hypertension, diabetes, chronic kidney diseases (CKDs), and potassium or sodium intake, respectively, sodium intake was unassociated with all-cause mortality whereas potassium intake was significantly associated inversely with all-cause (Quintile-5 vs. Quintile-1, hazard ratio, 95% confidence interval, 1.09, 0.97-1.22, and 0.79, 0.69-0.91, respectively). The sodium-to-potassium ratio was not significantly associated with all-cause mortality in the adjusted model, and similar trends were observed for cardiovascular disease mortality.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cb1/9691953/7e9a63a3b090/fnut-09-1053585-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cb1/9691953/407b2bda933f/fnut-09-1053585-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cb1/9691953/1d39b3efeee3/fnut-09-1053585-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cb1/9691953/7e9a63a3b090/fnut-09-1053585-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cb1/9691953/407b2bda933f/fnut-09-1053585-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cb1/9691953/1d39b3efeee3/fnut-09-1053585-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cb1/9691953/7e9a63a3b090/fnut-09-1053585-g003.jpg

相似文献

[1]
Association between dietary sodium, potassium, and the sodium-to-potassium ratio and mortality: A 10-year analysis.

Front Nutr. 2022-11-11

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]

2018-6

[10]
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[2]
Intake of sodium and potassium, sodium-potassium intake ratio, and their relation to the risk of diabetes mellitus.

Sci Rep. 2025-2-5

[3]
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[4]
Longitudinal Changes in Human Milk Minerals and Vitamins in the Chinese Population: A Scoping Review.

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[5]
The correlation between fruit intake and all-cause mortality in hypertensive patients: a 10-year follow-up study.

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[6]
Dietary calcium, phosphorus, and potassium intake associated with erectile dysfunction in the National Health and Nutrition Examination Survey (NHANES) 2001 to 2004.

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[7]
Sodium, potassium intake, and all-cause mortality: confusion and new findings.

BMC Public Health. 2024-1-15

[8]
Effect of low sodium and high potassium diet on lowering blood pressure and cardiovascular events.

Clin Hypertens. 2024-1-2

本文引用的文献

[1]
Dietary Potassium Intake and All-Cause Mortality in Adults Treated with Hemodialysis.

Clin J Am Soc Nephrol. 2021-12

[2]
Dietary Potassium Intake and 20-Year All-Cause Mortality in Older Adults: The Rancho Bernardo Study.

J Nutr Gerontol Geriatr. 2021

[3]
Sodium intake, life expectancy, and all-cause mortality.

Eur Heart J. 2021-6-1

[4]
Effects of low sodium diet versus high sodium diet on blood pressure, renin, aldosterone, catecholamines, cholesterol, and triglyceride.

Cochrane Database Syst Rev. 2020-12-12

[5]
Dietary Potassium Intake and Mortality in a Prospective Hemodialysis Cohort.

J Ren Nutr. 2021-7

[6]
Salt and cardiovascular disease: insufficient evidence to recommend low sodium intake.

Eur Heart J. 2020-9-14

[7]
Sodium and health-concordance and controversy.

BMJ. 2020-6-26

[8]
Health effects of dietary risks in 195 countries, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017.

Lancet. 2019-4-4

[9]
Joint association of urinary sodium and potassium excretion with cardiovascular events and mortality: prospective cohort study.

BMJ. 2019-3-13

[10]
Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980-2017: a systematic analysis for the Global Burden of Disease Study 2017.

Lancet. 2018-11-8

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