Association of usual 24-h sodium excretion with measures of adiposity among adults in the United States: NHANES, 2014.
Background: Both excessive sodium intake and obesity are risk factors for hypertension and cardiovascular disease. The association between sodium intake and obesity is unclear, with few studies assessing sodium intake using 24-h urine collection. Objectives: Our objective was to assess the associati...
| Publicado en: | American Journal of Clinical Nutrition Vol. 109; no. 1; pp. 139 - 148 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Jan2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134829412&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 134829412 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00029165 AJC jtl: American Journal of Clinical Nutrition issn: 00029165 maglogo: N pubinfo: dt: Jan2019 vid: 109 iid: 1 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 134829412 134829412 134829412 10.1093/ajcn/nqy285 134829412 ppf: 139 ppct: 9 formats: tig: atl: Association of usual 24-h sodium excretion with measures of adiposity among adults in the United States: NHANES, 2014. aug: au: Zhao, Lixia Cogswell, Mary E Yang, Quanhe Zhang, Zefeng Onufrak, Stephen Jackson, Sandra L Chen, Te-Ching Loria, Catherine M Wang, Chia-Yih Wright, Jacqueline D Terry, Ana L Merritt, Robert Ogden, Cynthia L affil: National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GAIHRC, Inc., Atlanta, GA sug: subj: Adipose Tissue Analysis Sodium Urine Obesity Risk Factors Human United States Young Adult Adult Middle Age Aged Urinalysis Obesity Diagnosis Body Mass Index Waist Circumference Measurement Error Multiple Linear Regression Multiple Logistic Regression Energy Intake Sweetened Beverages Surveys Prevalence Confidence Intervals Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years ab: Background: Both excessive sodium intake and obesity are risk factors for hypertension and cardiovascular disease. The association between sodium intake and obesity is unclear, with few studies assessing sodium intake using 24-h urine collection. Objectives: Our objective was to assess the association between usual 24-h sodium excretion and measures of adiposity among US adults. Methods: Cross-sectional data were analyzed from a sample of 730 nonpregnant participants aged 20–69 y who provided up to 2 complete 24-h urine specimens in the NHANES 2014 and had data on overweight or obesity [body mass index (kg/m²) ≥25] and central adiposity [waist circumference (WC): >88 cm for women, >102 cm for men]. Measurement error models were used to estimate usual sodium excretion, and multiple linear and logistic regression models were used to assess its associations with measures of adiposity, adjusting for sociodemographic, health, and dietary variables [i.e., energy intake or sugar-sweetened beverage (SSB) intake]. All analyses accounted for the complex survey sample design. Results: Unadjusted mean ± SE usual sodium excretion was 3727 ± 43.5 mg/d and 3145 ± 55.0 mg/d among participants with and without overweight/obesity and 3653 ± 58.1 mg/d and 3443 ± 35.3 mg/d among participants with or without central adiposity, respectively. A 1000-mg/d higher sodium excretion was significantly associated with 3.8-units higher BMI (95% CI: 2.8, 4.8) and a 9.2-cm greater WC (95% CI: 6.9, 11.5 cm) adjusted for covariates. Compared with participants in the lowest quartile of sodium excretion, the adjusted prevalence ratios in the highest quartile were 1.93 (95% CI: 1.69, 2.20) for overweight/obesity and 2.07 (95% CI: 1.74, 2.46) for central adiposity. The associations also were significant when adjusting for SSBs, instead of energy, in models. Conclusions: Higher usual sodium excretion is associated with overweight/obesity and central adiposity among US adults pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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