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Salt Preference and Sodium Intake among Pregnant Women

임부의 염분 기호도와 식이섭취, 소디움 섭취 실태

  • Received : 2016.10.31
  • Accepted : 2016.12.14
  • Published : 2016.12.20

Abstract

Purpose: This study was to estimate salt preference and sodium intake of pregnant women, and identify the relationship between salt preference and sodium intake. Methods: Research design was a cross sectional correlational survey with 197 pregnant women who visited outpatient clinics for antenatal care. The sodium intake levels were estimated by the amounts of sodium intake using the 24-hour recall method and sodium concentration in spot urine. The data were analyzed using descriptive statistics, t-test, ANOVA and Pearson's correlation. Results: Sodium intake using 24-hour recall method was $3,504{\pm}1,359mg$. Sodium intake levels had statistically significant differences depending on income. The average amount of sodium in spot urine was $2,882{\pm}878mg/day$. Sodium excretion levels had statistically significant differences depending on whether participants had preexisting hypertension in their family history and Body Mass Index (BMI) pre-conception. Salt preference was $62.61{\pm}20.96$ out of 180 points. Salt preference had significant differences depending on income, parity, gestational age, BMI pre-conception and showed negative correlation with sodium quantity in spot urine. Conclusion: Sodium intake in pregnant women recommended by World Health Organization recommended is 175%. Salt preference was not significantly different between sodium intake levels, however it was negatively correlated with sodium quantity in spot urine among pregnant women.

Keywords

References

  1. Kim HW. Development of the pregnancy nutrition knowledge scale and its relationship with eating habits in pregnant women visiting community health center. Journal of Korean Academy of Nursing. 2009;39(1):33-43. https://doi.org/10.4040/jkan.2009.39.1.33
  2. Women Health Nursing Curriculum Research. Women's health nursing II. 8th ed. Paju: Soomoonsa; 2016. p. 116-117.
  3. Bhutta ZA, Das JK, Rizvi A, Gaffey MF, Walker N, Horton S, et al. Evidence-based interventions for improvement of maternal and child nutrition: What can be done and at what cost? The Lancet. 2013;382(9890):452-477. https://doi.org/10.1016/S0140-6736(13)60996-4
  4. Davidson MC, London ML, Ladewig PW. Olds' maternalnewborn nursing & women's health across the lifespan. 8th ed. New Jersey: Pearson Prentice Hall; 2008. p. 320.
  5. Nowon Health Center. Mother and child health service [Internet]. Seoul: Author; 2014 [cited 2014 July 22]. Available from:http://www.nowon.kr/health/health.jsp?mid=613101.
  6. Korea Centers for Disease Control and Prevention. The Korea national health and nutrition examination survey [Internet]. Osong: Author; 2014 [cited 2014 August 10]. Available from:https://knhanes.cdc.go.kr/knhanes/index.do
  7. Ministry of Food and Drug Safety. The guideline of dietary behaviors and nutrient intakes for women of childbearing age [Internet]. Osong: Author; 2013 [cited 2014 August 24]. Available from:http://www.mfds.go.kr/nutrition/ebook/20121015_1/ecatalog.html
  8. The Korean Nutrition Society. 2015 Dietary reference intake for Koreans. Seoul: Author; 2016.
  9. Shin EK, Lee HJ, Lee JJ, Ann MY, Son SM, Lee YK. Estimation of sodium intake of adult female by 24-hour urine analysis, dietary records and dish frequency questionnaire. Journal of Nutrition and Health. 2010;43(1):79-85. https://doi.org/10.4163/kjn.2010.43.1.79
  10. Kim HJ, Paik HY, Lee SY, Shim JE, Kim YS. Salt usage behaviors are related to urinary sodium excretion in normotensive Korean adults. Asia Pacific Journal of Clinical Nutrition. 2007;16(1):122-128.
  11. Park YS, Son SM, Lim WJ, Kim SB, Chung YS. Comparison of dietary behaviors related to sodium intake by gender and age. Korean Journal of Community Nutrition. 2008;13(1):1-12.
  12. Kim MK, Han JI, Chung YJ. Dietary behavior related to salty food intake of adults living in a rural area according to saline sensitivity. Journal of Nutrition and Health. 2011;44(6):537-550. https://doi.org/10.4163/kjn.2011.44.6.537
  13. The Korean Nutrition Society. Dietary reference intakes for Koreans. First revision. Seoul: Author; 2010.
  14. Lee SK. A study on dietary sodium intake of office workers [master's thesis]. Sungnam: Kyungwon University; 2011. p. 1-53.
  15. Yoon JS, Park JA, Son SM. The iron status and diet quality of pregnant women during the first five months of pregnancy. Korean Journal of Community Nutrition. 2003;8(6):803-813.
  16. Women Health Nursing Curriculum Research. Women's health nursing II. 7th ed. Paju: Soomoonsa; 2012. p. 517.
  17. Kurabayashi T, Mizunuma H, Kubota T, Kiyohara Y, Nagai K, Hayashi K. Pregnancy-induced hypertension is associated with maternal history and a risk of cardiovascular disease in later life: Japanese cross-sectional study. Maturitas. 2013;75(3):227-231. https://doi.org/10.1016/j.maturitas.2013.04.002
  18. Kim HJ. Development of sodium usage behavior questionnaire and a case-control study on dietary factors related to hypertension in Koreans [dissertation]. Seoul: Seoul National University; 2006. p. 67-70.
  19. Ahn EJ, Noh HY, Chung JY, Paik HY. The effect of zinc status on salty taste acuity, salty taste preference, sodium intake and blood pressure in Korean young adults. Journal of Nutrition and Health. 2010;43(2):132-140. https://doi.org/10.4163/kjn.2010.43.2.132
  20. Chang SO. Effect of a 6-month low sodium diet on the salt taste perception and pleasantness, blood pressure and the urinary sodium excretion in female college students. Journal of Nutrition and Health. 2010;43(5):433-442. https://doi.org/10.4163/kjn.2010.43.5.433
  21. Lee JY, Cho DS, Kim HJ. The effect of salt usage behavior on sodium intake and excretion among Korean women. Nutrition Research and Practice. 2012;6(3):232-237. https://doi.org/10.4162/nrp.2012.6.3.232
  22. Kim HH, Jung YY, Lee YK. A comparison of salty taste assessments and dietary attitudes and dietary behaviors associated with high-salt diets in four regions in Korea. Korean Journal of Community Nutrition. 2012;17(1):38-48. https://doi.org/10.5720/kjcn.2012.17.1.38
  23. Park YS. Effects of dietary factors on urinary sodium excretion and establishing simplifies method to estimate salt intake [dissertation]. Seoul: Seoul National University; 1988.
  24. Crume TL, Brinton JT, Shapiro A, Kaar J, Glueck DH, Siega-Riz AM, et al. Maternal dietary intake during pregnancy and offspring body composition: The Healthy Start Study. American Journal of Obstetrics and Gynecology. 2016;215(5):609. e1-8.
  25. Rasmussen KM, Catalano PM, Yaktine AL. New guidelines for weight gain during pregnancy: What obstetrician/gynecologists should know. Current Opinion in Obstetrics and Gynecology. 2009;21(6):521-526. https://doi.org/10.1097/GCO.0b013e328332d24e
  26. Han YS, Lee SS. Association of nutrient intake and pregnancy outcome with gestational weight gain. Journal of Nutrition and Health. 2010;43(2):141-151. https://doi.org/10.4163/kjn.2010.43.2.141
  27. Tkachenko O, Shchekochikhin D, Schrier RW. Hormones and hemodynamics in pregnancy. International Journal of Endocrinology & Metabolism. 2014;12(2):e14098.
  28. Lim HJ. A Study on the sodium and potassium intakes and urinary excretion of adults in Busan. Korean Journal of Community Nutrition. 2012;17(6):737-751. https://doi.org/10.5720/kjcn.2012.17.6.737
  29. Kim HH, Lee YK. Analysis of presumed sodium intake of office workers using 24-hour urine analysis and correlation matrix between variables. Journal of Nutrition and Health. 2013;46(1):26-33. https://doi.org/10.4163/kjn.2013.46.1.26
  30. Lumbers ER, Pringle KG. Roles of the circulating renin-angiotensin-aldosterone system in human pregnancy. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology. 2014;306(2):91-101. https://doi.org/10.1152/ajpregu.00034.2013

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