Korean Circulation Journal

  • 제44권1호
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  • Pages.30-36
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  • 2014
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  • 1738-5520(pISSN)
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  • 1738-5555(eISSN)
대한심장학회 (The Korean Society of Cardiology)
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High Sodium Intake in Women with Metabolic Syndrome

  • Rhee, Moo-Yong (Cardiovascular Center, Dongguk University Ilsan Hospital) ;
  • Kim, Ji-Hyun (Cardiovascular Center, Dongguk University Ilsan Hospital) ;
  • Kim, Yong-Seok (Cardiovascular Center, Dongguk University Ilsan Hospital) ;
  • Chung, Jin-Wook (Division of Cardiology, Department of Internal Medicine, College of Medicine, Dongguk University) ;
  • Bae, Jun-Ho (Division of Cardiology, Department of Internal Medicine, College of Medicine, Dongguk University) ;
  • Nah, Deuk-Young (Division of Cardiology, Department of Internal Medicine, College of Medicine, Dongguk University) ;
  • Kim, Young-Kwon (Cardiovascular Center, Dongguk University Ilsan Hospital) ;
  • Lee, Myoung-Mook (Cardiovascular Center, Dongguk University Ilsan Hospital) ;
  • Lim, Chi-Yeon (Clinical Trial Center, Dongguk University Ilsan Hospital) ;
  • Byun, Jae-Eon (Nutrition Safety Policy Division, Food Nutrition and Dietary Safety Bureau, Ministry of Food and Drug Safety) ;
  • Park, Hye-Kyung (Nutrition Safety Policy Division, Food Nutrition and Dietary Safety Bureau, Ministry of Food and Drug Safety) ;
  • Kang, Baeg-Won (Nutrition Safety Policy Division, Food Nutrition and Dietary Safety Bureau, Ministry of Food and Drug Safety) ;
  • Kim, Jong-Wook (Nutrition Safety Policy Division, Food Nutrition and Dietary Safety Bureau, Ministry of Food and Drug Safety) ;
  • Kim, Sun-Woong (Department of Statistics, Survey Research Center, Dongguk University)
  • 투고 : 2013.06.26
  • 심사 : 2013.11.18
  • 발행 : 2014.01.30
⟨ 이전 논문 다음 논문 ⟩

초록

Background and Objectives: Metabolic syndrome and high sodium intake are associated with frequent cardiovascular events. Few studies have estimated sodium intake in subjects with metabolic syndrome by 24-hour urine sodium excretion. We evaluated sodium intake in individuals with metabolic syndrome. Subjects and Methods: Participants were recruited by random selection and through advertisement. Twenty four-hour urine collection, ambulatory blood pressure measurements, and blood test were performed. Sodium intake was estimated by 24-hour urine sodium excretion. Participants receiving antihypertensive medications were excluded from analysis. Results: Among the 463 participants recruited, subjects with metabolic syndrome had higher levels of 24-hour urine sodium excretion than subjects without metabolic syndrome (p=0.0001). There was a significant relationship between the number of metabolic syndrome factors and 24-hour urine sodium excretion (p=0.001). The proportion of subjects with metabolic syndrome was increased across the tertile groups of 24-hour urine sodium excretion (p<0.0001). The association of high sodium intake and metabolic syndrome was significant only among women. Among the factors related to metabolic syndrome, body mass index had an independent association with 24-hour urine sodium excretion (p<0.0001). Conclusion: Women with metabolic syndrome exhibited significantly higher sodium intake, suggesting that dietary education to reduce sodium consumption should be emphasized for women with metabolic syndrome.

키워드

과제정보

연구 과제 주관 기관 : Korea Food and Drug Administration, Korean Society of Cardiology

참고문헌

  1. Intersalt: an international study of electrolyte excretion and blood pressure. Results for 24 hour urinary sodium and potassium excretion. Intersalt Cooperative Research Group. BMJ 1988;297:319-28. https://doi.org/10.1136/bmj.297.6644.319
  2. Cook NR, Cutler JA, Obarzanek E, et al. Long term effects of dietary sodium reduction on cardiovascular disease outcomes: observational follow- up of the trials of hypertension prevention (TOHP). BMJ 2007; 334:885-8. https://doi.org/10.1136/bmj.39147.604896.55
  3. Tuomilehto J, Jousilahti P, Rastenyte D, et al. Urinary sodium excretion and cardiovascular mortality in Finland: a prospective study. Lancet 2001;357:848-51. https://doi.org/10.1016/S0140-6736(00)04199-4
  4. MacGregor GA, Markandu ND, Sagnella GA, Singer DR, Cappuccio FP. Double-blind study of three sodium intakes and long-term effects of sodium restriction in essential hypertension. Lancet 1989;2:1244-7.
  5. Sacks FM, Svetkey LP, Vollmer WM, et al. Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. DASH-Sodium Collaborative Research Group. N Engl J Med 2001;344:3-10. https://doi.org/10.1056/NEJM200101043440101
  6. Jee SH, Jo J. Linkage of epidemiologic evidence with the clinical aspects of metabolic syndrome. Korean Circ J 2012;42:371-8. https://doi.org/10.4070/kcj.2012.42.6.371
  7. Lakka HM, Laaksonen DE, Lakka TA, et al. The metabolic syndrome and total and cardiovascular disease mortality in middle-aged men. JAMA 2002;288:2709-16. https://doi.org/10.1001/jama.288.21.2709
  8. Kim D, Choi SY, Choi EK, et al. Distribution of coronary artery calcification in an asymptomatic Korean population: association with risk factors of cardiovascular disease and metabolic syndrome. Korean Circ J 2008;38:29-35. https://doi.org/10.4070/kcj.2008.38.1.29
  9. Chen J, Gu D, Huang J, et al. Metabolic syndrome and salt sensitivity of blood pressure in non-diabetic people in China: a dietary intervention study. Lancet 2009;373:829-35. https://doi.org/10.1016/S0140-6736(09)60144-6
  10. Kim BK, Lim YH, Kim SG, Kim YM, Shin J. Relationship between sodium intake and blood pressure according to metabolic syndrome status in the Korean National Health and Nutrition Examination Survey. Blood Press Monit 2012;17:120-7. https://doi.org/10.1097/MBP.0b013e328354079b
  11. Stamler J, Elliott P, Chan Q; the INTERMAP Research Group. INTERMAP appendix table, tables of contents (tables A). J Hum Hypertens 2003; 17:665-758.
  12. Yoshita K, Miura K, Okayama A, et al. A validation study on food composition tables for the international cooperative INTERMAP study in Japan. Environ Health Prev Med 2005;10:150-6. https://doi.org/10.1007/BF02900808
  13. Kwon YJ, Kim JY, Kwon KI, et al. Differences between analyzed and estimated sodium contents of food composition table or food exchange list. J Korean Soc Food Sci Nutr 2010;39:535-41. https://doi.org/10.3746/jkfn.2010.39.4.535
  14. World Health Organization. Reducing salt intake in populations: report of a WHO forum and technical meeting 5-7 October 2006, Paris, France. Geneva: World Health Organization;2007.
  15. Rhee MY, Shin SJ, Park SH, Kim SW. Sodium intake of a city population in Korea estimated by 24-h urine collection method. Eur J Clin Nutr 2013;67:875-80. https://doi.org/10.1038/ejcn.2013.87
  16. Knuiman JT, Hautvast JG, van der Heyden L, et al. A multi-centre study on completeness of urine collection in 11 European centres. I. Some problems with the use of creatinine and 4-aminobenzoic acid as markers of the completeness of collection. Hum Nutr Clin Nutr 1986; 40:229-37.
  17. Rabi DM, Daskalopoulou SS, Padwal RS, et al. The 2011 Canadian Hypertension Education Program recommendations for the management of hypertension: blood pressure measurement, diagnosis, assessment of risk, and therapy. Can J Cardiol 2011;27:415-33.e1-2. https://doi.org/10.1016/j.cjca.2011.03.015
  18. Lim JH, Kim YK, Kim YS, Na SH, Rhee MY, Lee MM. Relationship between serum uric acid levels, metabolic syndrome, and arterial stiffness in Korean. Koean Circ J 2010;40:314-20. https://doi.org/10.4070/kcj.2010.40.7.314
  19. Lee JS, Park J, Kim J. Dietary factors related to hypertension risk in Korean adults-data from the Korean national health and nutrition examination survey III. Nutr Res Pract 2011;5:60-5. https://doi.org/10.4162/nrp.2011.5.1.60
  20. Weinberger MH, Fineberg NS, Fineberg SE, Weinberger M. Salt sensitivity, pulse pressure, and death in normal and hypertensive humans. Hypertension 2001;37(2 Pt 2):429-32. https://doi.org/10.1161/01.HYP.37.2.429
  21. Hoffmann IS, Cubeddu LX. Salt and the metabolic syndrome. Nutr Metab Cardiovasc Dis 2009;19:123-8. https://doi.org/10.1016/j.numecd.2008.02.011
  22. Yang Q, Liu T, Kuklina EV, et al. Sodium and potassium intake and mortality among US adults: prospective data from the Third National Health and Nutrition Examination Survey. Arch Intern Med 2011;171: 1183-91. https://doi.org/10.1001/archinternmed.2011.257
  23. Baudrand R, Campino C, Carvajal CA, et al. High sodium intake is associated with increased glucocorticoid production, insulin resistance and metabolic syndrome. Clin Endocrinol (Oxf) 2013. [Epub ahead of print]
  24. Khaw KT, Bingham S, Welch A, et al. Blood pressure and urinary sodium in men and women: the Norfolk Cohort of the European Prospective Investigation into Cancer (EPIC-Norfolk). Am J Clin Nutr 2004;80: 1397-403.
  25. He FJ, Marrero NM, MacGregor GA. Salt intake is related to soft drink consumption in children and adolescents: a link to obesity? Hypertension 2008;51:629-34. https://doi.org/10.1161/HYPERTENSIONAHA.107.100990
  26. Karppanen H, Mervaala E. Sodium intake and hypertension. Prog Cardiovasc Dis 2006;49:59-75. https://doi.org/10.1016/j.pcad.2006.07.001
  27. Sung JK, Kim JY. Obesity and preclinical changes of cardiac geometry and function. Korean Circ J 2010;40:55-61. https://doi.org/10.4070/kcj.2010.40.2.55
  28. Ando K, Fujita T. Pathophysiology of salt sensitivity hypertension. Ann Med 2012;44 Suppl 1:S119-26. https://doi.org/10.3109/07853890.2010.549144
  29. Shin SJ, Lim CY, Rhee MY, et al. Characteristics of sodium sensitivity in Korean populations. J Korean Med Sci 2011;26:1061-7. https://doi.org/10.3346/jkms.2011.26.8.1061
  30. Liu K, Cooper R, McKeever J, et al. Assessment of the association between habitual salt intake and high blood pressure: methodological problems. Am J Epidemiol 1979;110:219-26. https://doi.org/10.1093/oxfordjournals.aje.a112806

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  6. Association between Two Resistin Gene Polymorphisms and Metabolic Syndrome in Jilin, Northeast China: A Case-Control Study vol.2017, pp.None, 2017, https://doi.org/10.1155/2017/1638769
  7. Sodium status and the metabolic syndrome: A systematic review and meta-analysis of observational studies vol.59, pp.2, 2014, https://doi.org/10.1080/10408398.2017.1363710
  8. The association between dietary sodium intake, adiposity and sugar-sweetened beverages in children and adults: a systematic review and meta-analysis vol.126, pp.3, 2014, https://doi.org/10.1017/s0007114520004122
  9. High‐fat and high‐sodium diet induces metabolic dysfunction in the absence of obesity vol.29, pp.11, 2021, https://doi.org/10.1002/oby.23264