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Intake of household salt in a Danish population

Abstract

Objective: To quantify the intake of household salt and its contribution to the total salt intake in a Danish population.

Methods: Eighty-seven healthy individuals (37 men and 50 women), aged 20–55 years, recruited from the area of Copenhagen, completed the study. Total salt intake was estimated from the mean urinary excretion of sodium in four 24-h collections. Household salt, added to the food by the volunteers, was assessed using a lithium-marker technique.

Results: Total salt intake was 10.6±3.3 g day−1 (mean±s.d.) in men and 7.1±2.3 g day−1 in women. Median intake of household salt was 1.0 g day−1 in men and 0.5 g day−1 in women, corresponding to 10.2 and 8.7% of total salt intake in men and women, respectively. A significant difference between sexes was found regarding total salt intake (P<0.0001), but no difference was found if total salt intake was measured per energy intake. No significant difference was found between sexes regarding intake of household salt, and neither the educational level nor the age was associated to either total salt intake or intake of household salt.

Conclusion: These findings support the assertion that the total salt intake in the Danish population is above the recommended intake and that the salt intake cannot be sufficiently lowered simply by lowering the use of household salt. Focus needs to be addressed to salt added during the processing or manufacture of foods, as this is the greatest source of salt intake at least in this group of healthy volunteers.

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References

  • Arn KD, Reimer A (1950). Minimal sodium losses through the skin. J Clin Invest 29, 1342–1346.

    Article  CAS  Google Scholar 

  • Bingham S, Cummings JH (1983). The use of 4-aminobenzoic acid as a marker to validate the completeness of 24 h urine collections in man. Clin Sci 64, 629–635.

    Article  CAS  Google Scholar 

  • Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo Jr JL et al. (2003). Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension 42, 1206–1252.

    Article  CAS  Google Scholar 

  • Danish Food Composition Databank. ver. 5 (2002): www.foodcomp.dk.

  • Danish Ministry of Education (2007): www.uvm.dk.

  • Hagfors L, Westerterp K, Sköldstam L, Johansson G (2005). Validity of reported energy expenditure and reported intake of energy, protein, sodium and potassium in rheumatoid arthritis patients in a dietary intervention study. Eur J Clin Nutr 59, 238–245.

    Article  CAS  Google Scholar 

  • Hooper L, Bartlett C, Smith GD, Ebrahim S (2002). Systematic review of long term effects of advice to reduce dietary salt in adults. BMJ 325, 628–636.

    Article  Google Scholar 

  • Jakobsen J, Ovesen L, Fagt S, Pedersen AN (1997). Para-aminobenzoic acid used as a marker for completeness of 24 h urine: assessment of control limits for a specific HPLC method. Eur J Clin Nutr 51, 514–519.

    Article  CAS  Google Scholar 

  • Jeppesen M (2005). Privatoekonomi og uddanelse—analyser paa baggrund af forbrugsundersoegelsen 2001–2003. Statistics Denmark.

  • Joossens JV, Hill MJ, Elliott P, Stamler R, Stamler J, Lesaffre E et al. (1996). Dietary salt, nitrate and stomach cancer mortality in 24 countries. Int J Epidemiol 25, 494–504.

    Article  CAS  Google Scholar 

  • Leclercq C, Ferro-Luzzi A (1991). Total and domestic consumption of salt and their determinants in three regions of Italy. Eur J Clin Nutr 45, 151–159.

    CAS  PubMed  Google Scholar 

  • Leclercq C, Avalle V, Ranaldi L, Toti E, Ferro-Luzzi A (1990). Simplifying the lithium-marker technique used to assess the dietary intake of household sodium in population studies. Clin Sci 79, 227–231.

    Article  CAS  Google Scholar 

  • Lyhne N, Christensen T, Groth MV, Fagt S, Biltoft-Jensen A, Hartkopp H et al. (2005). Danskernes Kostvaner 2000–2002. Hovedresultater (Dietary Habits in Denmark 2000–2002. Main Results). Danmarks Fødevareforskning: Soborg, DK.

    Google Scholar 

  • Melse-Boonstra A, Rexwinkel H, Bulux J, Solomons NW, West CE (1999). Comparison of three methods for estimating daily individual discretionary salt intake: 24 hour recall, duplicate-portion method, and urinary lithium-labelled household salt excretion. Eur J Clin Nutr 53, 281–287.

    Article  CAS  Google Scholar 

  • Nordic Council of ministers (2004). Nordic Nutrition Recommendations 2004. Integrating nutrition and physical activity. Nord 13. Copenhagen, DK.

  • Pedersen OB, Ibsen H, Overvad K, Ovesen L, Skøtt P (1996). SALT. En Analyse af Sammenhænge Mellem Indtag og Helbredstilstand. Ernæringsrådet: Soborg, DK.

    Google Scholar 

  • Rasmussen LB, Ovesen L, Christiansen E (1999). Day-to-day and within-day variation in urinary iodine excretion. Eur J Clin Nutr 53, 401–407.

    Article  CAS  Google Scholar 

  • Rasmussen LB, Ovesen L, Bülow I, Jorgensen T, Knudsen N, Laurberg P et al. (2002). Dietary iodine intake and urinary iodine excretion in a Danish population: effect of gography, supplements and food coice. Br J Nutr 87, 61–69.

    Article  CAS  Google Scholar 

  • Reinivuo H, Valsta LM, Laatikainen T, Tuomilehto J, Pietinen P (2006). Sodium in the Finnish diet: II Trends in dietary sodium intake and comparison between intake and 24-h excretion of sodium. Eur J Clin Nutr 60, 1160–1167.

    Article  CAS  Google Scholar 

  • Sanchez-Castello CP, Seidell J, James WPT (1987a). The potential use of lithium as a marker for the assessment of the sources of dietary salt: cooking studies and physiological experiments in men. Clin Sci 72, 81–86.

    Article  Google Scholar 

  • Sanchez-Castillo CP, Branch WJ, James WPT (1987b). A test of the validity of the lithium-marker technique for monitoring dietary sources of salt in men. Clin Sci 72, 87–94.

    Article  CAS  Google Scholar 

  • Sanchez-Castillo CP, Warrender S, Whitehead TP, James WPT (1987c). An assessment of the sources of dietary salt in a British population. Clin Sci 72, 95–102.

    Article  CAS  Google Scholar 

  • WHO Expert Committee (1996). Hypertension control. WHO, Technical Report Series 862, 1–83.

    Google Scholar 

Download references

Acknowledgements

This study was supported by a grant from the Danish Heart Foundation Grant no. 04-10-B148-A257-22176. Akzo-Nobel Salt A/S donated the lithium-tagged salt.

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Correspondence to L B Rasmussen.

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Contributors: L Anderson carried out the study, made the data analysis and wrote the main part of the paper, LB Rasmussen designed the study and wrote part of the paper, EH Larsen carried out the lithium analyses and J Jakobsen carried out the PABA analyses. All took part in revising the manuscript and in the final approval of the paper.

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Andersen, L., Rasmussen, L., Larsen, E. et al. Intake of household salt in a Danish population. Eur J Clin Nutr 63, 598–604 (2009). https://doi.org/10.1038/ejcn.2008.18

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