• Journal of Nutrition and Health
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• v.20 no.5
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• pp.341-349
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• 1987

Dietary intakes of na include both the amount present in food materials (nondiscretionary Na intake) and the amount added during cooking and eating to increase salty taste and flavor (discretionary Na intake). In the present study, total Na intake was measured by duplicate food sample collected from each subject for 1 day, nondiscretionary Na intake was calculated by dietary intake record, optimum gustation of salt was measured of from pooled 3-day urine collection in healthy female college students, to measure Na intake more accurately and to find suitable method to estimate total Na intake. Mean values of total, discretionary and mondiscretionary Na intakes were 169.6 mEq, 46.2mEq, and 123.4mEq. respectively. Mean 24-hour urinary Na excretion was 137.9mEq., which was about 84.5% of total intake. Subjects with optimum gustation of salt equal to or higher than 0.5% had significantly higher total Na intake and urinary Na excretion compared to subjects with optimum gustation of salt lower than 5%. Total Na intake of subjects were significantly correlated with optimum gustation of salt, non-discretionary and discretionary Na intakes, and urinary Na excretion. Multiple regression analysis showed that the best estimate of total Na intake is obtained when both optimum gustation of salt and non-discredinary Na intake were used as independent variables (r=.7071). Among the equations using one independent variable, regression, equation with urinary Na excretion provides the best approximation (r=.6627) of total Na intake.

• Journal of Nutrition and Health
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• v.25 no.1
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• pp.32-41
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• 1992

A study was conducted to estimate Na intake in 30 young and 62 middle-aged female Koreans. For each subject, nondiscretionary Na intake was estimated from 2-day dietary records optimum gustation of salt was tested using beef broth with different salt concentra-tions. and 24-hour urinary Na excretion was measeured from pooled 2-day urine samples. Total daily Na intake was calculated from 24-hour urinary excretion and discretionary Na intake was calculated as difference between total and nondiscretionary Na intake was calculated as difference between total and nondiscretionary Na intake. Mean daily 24-hour urinary Na excretion of the young and middle-aged women was 184.6mEq and 224.6mEq. Mean values of optimum gustation of salt in young and middle-aged subjects were 0.431% and 0.489% The differences between the two groups were significant. Nodiscre-tionary Na intakes of the two groups were not significantly different, . Calculated total and discretionary Na intake of middle-aged women(245.1mEq) were significantly higher than young women(220.3mEq and 211.0mEq) were significantly higher than young women(210, 3mEq and 169, 7mEq) Percent of discretionary to total Na intake was 85.7% in middle-aged and 79.4% in young women. Age BMI urinary Na and K excretions optimum gustation of salt were signficantly correlated with blood pressure of the subjects. Results of the present study confirms the high level of sodium intake especia-lly of discretionary Na intake among Korean women.

• Journal of Community Nutrition
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• v.1 no.2
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• pp.119-124
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• 1999

The purpose of this study is to investigate the daily variation of Na intake as measured by dietary methods(weighing vs food analysis) and to examine the difference between urniary Na excretion and dietary Na intake in 9 healthy free living women aged 25-64 years living in Taegu, Korea. Information on the dietary Na intake for 5 consecutive days was collected using he weighing method. Twenty four-hour urine samples were collected for the same period to measure the urinary Na excretion. In order to figure out the difference of Na intake with respect to dietary assessment methodology, dietary intake was measured by the weighing method for three of a total 5 days. At the same time, the meals that subjects consumed each day were collected to analyze daily intake of each subject by the food analysis method. The mean Na intake of subjects for 5 consecutive days by the weighing method was 3558. 5mg. The mean of urinary Na excretion for the same period was 2847.5mg/ Na intake and Urinary Na excretion of each subject ranged from 4475.3 to 2838.4, from 4066.4rmg to 1936.1mg respectively. The mean of Na intake for 3 days by the analysis method and the weighing method were 3044.6mg and 3441.6mg, respectively. Each subject showed a great difference among day-to-day variation of Na intake by the weighting method, analysis method and urinary Na excretion method. Therefore, a short term study period may not be valid to estimate the true average Na intake.

• Journal of the East Asian Society of Dietary Life
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• v.3 no.2
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• pp.41-50
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• 1993

This study was intended to investigate the relationship of dietary Na and Ca intake and excretion in blood pressure regulation of free-living adults. Two separate surveys were conducted for 294 subjects in Taegu area, The results of this study are as follows ; When subjects were divided into normotensive and hypertensive, there were significant differences in age, BMI between two groups, When dietary intake were compared between two groups, no significant differences in energy, carbohydrates, fat and protein intakes were shown. While Na intake of hypertensive groups was not signidicantly different from that of normotensive groups, While Na intake of hypertensive groups was not significantly different from that of normotensive groups, ca intake of hypertensive group was significantly lower than that of normotensive group(P<0.005), Urinary Na excretion was significantly higher(P<0.05) in hyperten sive group. However, urinary Ca and K excretion in both groups were not significantly different. Urinary sodium was significantly correlated with urinary Ca and Na intake. Multiple regression analysis of variables showed that urinary sodiumwas affected by Na index, age and Ca Index. While urinary Ca, was significantly correlated with urinary Na and K excretion, it did not show significant correlation with Ca intake

• Journal of Nutrition and Health
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• v.28 no.4
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• pp.309-320
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• 1995

The purpose of this research was to investigate the effect of calcium levels(50, 100 and 200% of requirement) on metabolism of Ca, Na and K in Young and adult female rats for 3 weeks. There was no significant difference in feed intake, body weight gain and feed efficiency ratio among the groups of different Ca intake level. Serum Na level of high-Ca group was significantly lower than that of low-Ca or normal-Ca group in Young rats. There was no significant difference in liver Ca and K contents among the groups of different Ca intake levels. But, Na content in liver was decreased by the increase of dietary Ca intake. Ca content in kidney of high-Ca group in young rats and normal-Ca group in adult rats were significantly higher than those of other groups. Na content in kidney of low-Ca group was lower than those of normal-Ca and high-Ca groups. Urinary excretions of Na and K and fecal excretion of Ca were increased by the increase of dietary Ca intake. But, fecal excretions of Na and K were not affected by dietary Ca intake. According to this study, it was found that the high Ca consumption promotes excretions of fecal Ca and urinary Na and K in rats. The study verifies the need for more study on the interrelationship among Ca, Na and K metabolism and bood pressure.

• Journal of Nutrition and Health
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• v.30 no.2
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• pp.170-176
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• 1997

Twenty two hypertensive and thirty normotensive in-patients were participated in this study to investigate the relationship between plasma renin activity and metabolism of Ca and Na, Prior to pharmacological treatments, renin activity, aldosterone and parathyroid hormone(PTH) levels were measured from the fasting blood samles. Twenty four hour urine samples were collected to analyze urinary levels of creatinine, Ca, Na and K. Habitual intake of Na and Ca were also measured for hypertensive and normotensive patients. Hypertensive subjects were classified into higher reinin hypertensive (HH), medium renin hypertensive(MH) and low renin hypertensive (LH) group according to their renin activities. PTH level of LH group was the highest among three hypertensive groups. It appeared that aldosterone levels of HH group were significantly higher than LH or MH groups(p<0.05). However there were no significan시 differences in aldosterone level between LH group and normotensive group. Habitual intake of Na and Ca were highest in LH group but lowest in HH group, however, they were not statistically different. Positive correlations of systolic blood pressure with PTH(r=0.2597) and aldosterone(r=0.26480existed(p<0.05). Urinary Ca level was positively correlated with urinary Na(r=0.5619), K(r=0.4533) and habitual Na intake(r=0.3253). Above results suggested the possible relationships among renin activity, habitual Ca intake and Na intake and suggested a further study on the interrelationship between the hormonal control of Ca and Na metabolism and blood pressure in hypertension.

• Journal of Nutrition and Health
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• v.35 no.8
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• pp.840-847
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• 2002

This study explored the effect of dietary levels of Na and Ca on spontaneously hypertensive rats (SHR). SHR were randomly divided into 5 groups and fed a high fat/cholesterol diet containing three levels of Na (0.05, 0.1, 1.5%) and Ca (0.1, 0.5, 1.5%) for 9 weeks. Body weight gain was not influenced by dietary intake but water intake significantly increased in high Na supplementation. Systolic blood pressure was not influenced by dietary Na and Ca levels but was decreased by dietary low Na/high Ca levels at 9 weeks. Angiotensin-II level was affected by dietary Na level but not by Ca levels. Plasma Ca, Mg, K and Na levels were in the normal range regardless of dietary Na and Ca levels. Weight, and K and Na contents of the heart and kidney were not significantly different among those with different dietary Na and Ca levels. Ca and Mg contents of the heart and kidney were significantly higher in the normal Na/normal Ca group. Ca and Mg in the feces were higher in those with high Ca intake. Na in the feces was higher in those with high Na intake. Therefore, Na and Ca had different mechanisms in the hypertension/hyperlipidemia models, respectively. And we suggested that Mg must be supplemented when Ca intake was high because Mg excretion was increased by Ca supplementation.

• Journal of Nutrition and Health
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• v.36 no.1
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• pp.75-82
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• 2003

It has been considered that high Na intake, and low Ca/K intake are related to the incidence of hypertension. In this preliminary study, dietary Na, K, and Ca intake and their urinary excretion in rural area in Kyungpook province were measured to recognize the relationship between those blood pressure-related minerals and blood pressure regulation in elderly people in rural area of South Korea. Sixty eight subjects (male 39, female 29) aged over 60 were randomly selected in rural area in South Korea. Blood pressure and soup saltness were measured, and dietary intake using 24 hours recall and urinary excretion of Na, K and Ca were measured. Depending on the blood pressure level, the data were analyzed using non-parametric ANOVA of Kruskal Wallis analysis on the basis of categorizing of one of four blood pressure groups, such as normal, high normal, hypertension I and hypertension II. Mean systolic (124.2$\pm$15.1 mmHg) and diastolic (79.0$\pm$10.2 mmHg) blood pressures were within the normal range. Soup saltiness and systolic pressure was positively correlated (p < 0.05). Even without statistical significance, dietary Na intake was higher in the upper systolic blood pressure groups then in the lower ones, which suggested higher Na intake caused the increase of blood pressure. No consistency was shown between the urinary concentration of Na, K, Ca level and blood pressure level, respectively. From the results of this study, it is assumed that high Na intake might be related to the incidence of hypertension. Further study with large sample size is needed to supplement the limitation of this preliminary study. (Korean J Nutrition 36 (1) : 75-82, 2003)

• Korean Journal of Community Nutrition
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• v.4 no.3
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• pp.375-381
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• 1999

The purpose of this study was to investigate Na and K balances in healthy adult women. Anthropometric assessments, biochemical analysis of blood, 3-day dietary flood records and collections of 3-day food, 24-hr urine and faces were performed to evaluate intakes and excretions of Na and K in 20 college women living in Seoul. The mean BMI and blood pressure of the subjects were 21.08 and 110.25/67.50mmHg, respectively. Mean daily intake of energy was 1578.84kcal, 79% of Korean RDA. Also, daily intakes of Na and K ware 120.86mEq and 44.20mEq. The urinary and fecal excretions of Na were 99.88 and 4.45mEq/day, and those of K were 30.41 and 8.66mEq/day, respectively. The body retention, retention rate, and apparent absorption of Na were 17.11mEq, 13.23%, and 96.31%, and those of K were 5.82mEq, 8.69%, and 80.12%, respectively. The urinary and fecal Na/K ratio were 3.48 and 0.52. There were significantly positive correlations between 1) urinary Na, K excretions and intakes of Na or K, 2) urinary K and BMI, 3) serum K and serum globulin, and 4) urinary Na excretion and serum haptoglobin level, respectively. The results of this study show that Na intake was higher and K intake was lower than those of other advanced nations. Therefore, nutrition education show instruct people to reduce Na intake and to increase K intake.

• Journal of Nutrition and Health
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• v.32 no.6
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• pp.671-680
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• 1999

In order to investigate the relationship between plasma renin activity and metabolism of Ca and Na in blood pressure, the habitual dietary intakes of Na and Ca urinary excretion of Ca, Na and K, and plasma level of renin activity, aldosterone, and indices of Ca metabolism were measured in 27 untreated hypertensive women and 30 age-matched normal women on a free diet. Hypertensive subjects were classified into high renin hypertensive (HH), medium renin hypertensive(HM) and low renin showed no significant difference among normotensive, LH, MH and HM groups. It appeared that 25-(OH) Vit D3 level of HH group was significantly higher than LH group(p<0.05). There was significant difference in habitual intake of Ca between normotensive and LH groups. However, habitual intake of Na showed no significant difference among normotensive, LH, MH and HH group. Positive correlation of systolic and diastolic blood pressure with PTH(r=0.324, r=0.375) and urinary Ca(r=0.496, r=0.278) and a negative correlation of systolic blood pressure with habitual Ca intake(r=-0.371) existed(p<0.05). A relative magnitude of factors affecting hypertension was analyzed by multiple regression analysis. Overall results about relative influence of independent variables to dependent variable (systolic blood pressure) indicated that urinary Ca was the higher correlation in all subjects(p<0.0001), followed by age and aldosterone. PTH showed a significant correlation for relative influence on diastolic blood pressure in all subjects. The above results indicated that renin-aldosterone system and Ca regulating hormone had a mutual relationship in hypertension.