School of Basic Medical Sciences, Capital Medical University, Beijing, China.
Division of Students Affairs, Capital Medical University, Beijing, China.
Asia Pac J Clin Nutr. 2023 Dec;32(4):460-472. doi: 10.6133/apjcn.202312_32(4).0010.
To investigate the relationship between sodium (Na) and potassium (K) nutritional condition and body compositions in youth aiming to give target population reasonable diet recommendations.
The cross-sectional study was conducted involving 512 healthy youth aged 18 to 31 years from universities in Beijing. Food frequency questionnaire (FFQ) and bioelectrical impedance analyzer (BIA) were used to collect dietary intake information and body compositions.
There was an increasing tendency in fat-related indicators and muscle-related indicators of the dietary Na tertile group (p <0.05). Additionally, Weight, body mass index (BMI), waist circumference (WC), and muscle-related indicators increased with the dietary K tertile group (p <0.05). Across increasing tertiles of dietary Na intake, the odds ratio (OR) was increased significantly (p < 0.05) in fat-related indicators. On the contrary, with the increased dietary Na intake, the OR decreased (p < 0.05) in appendicular skeletal muscle mass index (ASMI) and body lean mass. As tertiles of dietary K intake increased, the OR in both skeletal muscle mass index (SMMI) and lean mass index (LMI) decreased.
High dietary Na is a risk factor for abnormal lipid distribution in college students. High dietary K can maintain skeletal muscle mass and reduce the risk of obesity. Na in the diet has a greater impact on the body composition of young people than K. Low dietary Na and high dietary K still need to be strengthened in science popularization and practice among more college students.
调查青年人的钠(Na)和钾(K)营养状况与身体成分之间的关系,旨在为目标人群提供合理的饮食建议。
本横断面研究纳入了来自北京各大学的 512 名 18 至 31 岁的健康青年。采用食物频率问卷(FFQ)和生物电阻抗分析仪(BIA)收集膳食摄入信息和身体成分数据。
随着膳食 Na 摄入量三分位组的增加,脂肪相关指标和肌肉相关指标呈上升趋势(p<0.05)。此外,体重、体质指数(BMI)、腰围(WC)和肌肉相关指标随着膳食 K 摄入量三分位组的增加而增加(p<0.05)。随着膳食 Na 摄入量的增加,脂肪相关指标的比值比(OR)显著增加(p<0.05)。相反,随着膳食 Na 摄入量的增加,四肢骨骼肌质量指数(ASMI)和体脂含量的 OR 降低(p<0.05)。随着膳食 K 摄入量三分位组的增加,骨骼肌质量指数(SMMI)和瘦体重指数(LMI)的 OR 降低。
高膳食 Na 是大学生异常脂质分布的危险因素。高膳食 K 可以维持骨骼肌质量,降低肥胖风险。饮食中的 Na 对年轻人的身体成分影响大于 K。需要在更多大学生中加强低膳食 Na 和高膳食 K 的科学普及和实践。