Sources of Sodium in US Adults From 3 Geographic Regions.

Background: Most US adults consume excess sodium. Knowledge about the dietary sources of sodium intake is critical to the development of effective reduction strategies.Methods: A total of 450 adults were recruited from 3 geographic locations: Birmingham, AL (n=150); Palo Alto, CA (n=150); and the Mi...

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Published in:Circulation Vol. 135; no. 19; pp. 1775 - 1784
Main Authors: Harnack, Lisa J., Cogswell, Mary E., Shikany, James M., Gardner, Christopher D., Gillespie, Cathleen, Loria, Catherine M., Xia Zhou, Keming Yuan, Steffen, Lyn M., Zhou, Xia, Yuan, Keming
Format: research tables/charts Journal Article
Published: Lippincott Williams & Wilkins 5/9/2017
Online Access:View this record in EBSCOhost
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      dt: 5/9/2017
      vid: 135
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        10.1161/CIRCULATIONAHA.116.024446
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        atl: Sources of Sodium in US Adults From 3 Geographic Regions.
      aug:
        au:
          Harnack, Lisa J.
          Cogswell, Mary E.
          Shikany, James M.
          Gardner, Christopher D.
          Gillespie, Cathleen
          Loria, Catherine M.
          Xia Zhou
          Keming Yuan
          Steffen, Lyn M.
          Zhou, Xia
          Yuan, Keming
        affil: Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis
      sug:
        subj:
          Eating Behavior
          Fast Foods Adverse Effects
          Sodium, Dietary Administration and Dosage
          Alabama
          Sodium, Dietary Adverse Effects
          California
          Male
          Sodium Chloride, Dietary Administration and Dosage
          Aged
          Adult
          Minnesota
          Female
          United States
          Adolescence
          Young Adult
          Sodium Chloride, Dietary Adverse Effects
          Middle Age
          Scales
          Human
          Aged: 65+ years
          Adult: 19-44 years
          Adolescent: 13-18 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Most US adults consume excess sodium. Knowledge about the dietary sources of sodium intake is critical to the development of effective reduction strategies.Methods: A total of 450 adults were recruited from 3 geographic locations: Birmingham, AL (n=150); Palo Alto, CA (n=150); and the Minneapolis-St. Paul, MN (n=150), metropolitan areas. Equal numbers of women and men from each of 4 race/ethnic groups (blacks, Asians, Hispanics, and non-Hispanic whites) were targeted for recruitment. Four record-assisted 24-hour dietary recalls were collected from each participant with special procedures, which included the collection of duplicate samples of salt added to food at the table and in home food preparation.Results: Sodium added to food outside the home was the leading source of sodium, accounting for more than two thirds (70.9%) of total sodium intake in the sample. Although the proportion of sodium from this source was smaller in some subgroups, it was the leading contributor for all subgroups. Contribution ranged from 66.3% for those with a high school level of education or less to 75.0% for those 18 to 29 years of age. Sodium inherent to food was the next highest contributor (14.2%), followed by salt added in home food preparation (5.6%) and salt added to food at the table (4.9%). Home tap water consumed as a beverage and dietary supplement and nonprescription antacids contributed minimally to sodium intake (<0.5% each).Conclusions: Sodium added to food outside the home accounted for ≈70% of dietary sodium intake. This finding is consistent with the 2010 Institute of Medicine recommendation for reduction of sodium in commercially processed foods as the primary strategy to reduce sodium intake in the United States.Clinical Trial Registration: URL: http://www.clinicaltrials.gov. Unique identifier: NCT02474693.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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