Abstract
Numerous initiatives have been implemented to reduce salt intake to prevent hypertension and cardiovascular disease. However, salt consumption remains high. No study worldwide has evaluated the public’s awareness of salt reduction by analyzing Internet research activity. This research aims to assess trends in the public’s attention to salt reduction using Google Trends. We evaluated the relative search volume (RSV) of “salt reduction” in Google Trends from January 1, 2004, to December 31, 2021. Regression coefficients indicated that RSVs increased 0.0091 (95% CI, 0.0085–0.0097, p < 0.001) per year for salt reduction. Among related search terms, search for “salt component,” “soy sauce,” and “pickled plum” contributed to 9.9 ± 3.2%, 5.8 ± 2.0%, and 3.9 ± 5.5% of total RSVs for salt reduction. Google Trends revealed that the Japanese public’s awareness of salt reduction has increased. Related searches might provide insights when people search for salt reduction, which could be helpful for future effective interventions for understanding salt reduction.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Ministry of Health, Labour and Welfare. 2022 National Health and Nutrition Examination Survey. https://www.mhlw.go.jp/bunya/kenkou/kenkou_eiyou_chousa.html. Accessed 12 Dec 2022.
Bibbins-Domingo K, Chertow GM, Coxson PG, Moran A, Lightwood JM, Pletcher MJ, et al. Projected effect of dietary salt reductions on future cardiovascular disease. N. Engl J Med. 2010;362:590–9.
Anderson CAM, Appel LJ, Okuda N, Brown IJ, Chan Q, Zhao L, et al. Dietary sources of sodium in China, Japan, the United Kingdom, and the United States, women and men aged 40 to 59 years: the INTERMAP study. J Am Diet Assoc. 2010;110:736–45.
Li T, Hashimoto H. Household dietary salt consumption and mortality from cardiovascular diseases: an ecological panel analysis in Japan. Eur J Public Health. 2019;29:826–32.
Quilez J, Salas-Salvado J. Salt in bread in Europe: potential benefits of reduction. Nutr Rev. 2012;70:666–78.
The Japanese Society of Hypertension. The Japanese Society of Hypertension Committee on Salt Reduction and Nutrition’s Efforts to Reduce Salt. 2022. Available: https://www.jpnsh.jp/general_salt.html
Ohta Y, Iwayama K, Suzuki H, Sakata S, Hayashi S, Iwashima Y, et al. Salt intake and eating habits of school-aged children. Hypertens Res. 2016;39:812–7.
Bansal A, Gupta S, Jain V, Kumar A, Klein A. Utilizing Google Trends to assess worldwide interest in COVID-19 and myocarditis. J Med Syst. 2021;45:18.
Boehm A, Pizzini A, Sonnweber T, Loeffler-Ragg J, Lamina C, Weiss G, et al. Assessing global COPD awareness with Google Trends. Eur Respir J. 2019;53:1900351.
Wyness LA, Butriss JL, Stanner SA. Reducing the population’s sodium intake: the UK Food Standards Agency’s salt reduction programme. Public Health Nutr. 2012;15:254–61.
Ando K, Kawarazaki H, Miura K, Matsuura H, Watanabe Y, Yoshita K, et al. [Scientific statement] Report of the Salt Reduction Committee of the Japanese Society of Hypertension(1) Role of salt in hypertension and cardiovascular diseases. Hypertens Res. 2013;36:1009–19.
Umemura S, Arima H, Arima S, Asayama K, Dohi Y, Hirooka Y, et al. The Japanese Society of hypertension guidelines for the management of hypertension (JSH 2019). Hypertens Res. 2019;42:1235–481.
Ohta Y, Tsuchihashi T, Ueno M, Kajioka T, Onaka U, Tominaga M, et al. Relationship between the awareness of salt restriction and the actual salt intake in hypertensive patients. Hypertens Res. 2004;27:243–6.
Wu Q, Xu Z, Dan Y-L, Zhao C-N, Mao Y-M, Liu L-N, et al. Seasonality and global public interest in psoriasis: an infodemiology study. Postgrad Med J. 2020;96:139–43.
Schootman M, Toor A, Cavazos-Rehg P, Jeffe DB, McQueen A, Eberth J, et al. The utility of Google Trends data to examine interest in cancer screening. BMJ Open. 2015;5:e006678.
He FJ, Brinsden HC, MacGregor GA. Salt reduction in the United Kingdom: a successful experiment in public health. J Hum Hypertens. 2014;28:345–52.
Ministry of Internal Affairs and Communications. Trends in Internet Usage Rates. https://www.soumu.go.jp/johotsusintokei/whitepaper/ja/r03/html/nd242120.html. Accessed 19 Jul 2022.
Author information
Authors and Affiliations
Contributions
TS wrote a draft of the manuscript. AM supervised the study and edited the manuscript. All authors critically revised the report, commented on drafts of the manuscript, and approved the final manuscript.
Corresponding author
Ethics declarations
Ethics approval
The Institutional Review Board of St. Luke’s International Hospital approved this study (approval number: 22-R059).
Conflict of interest
The authors declare no competing interests.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary information
Rights and permissions
About this article
Cite this article
Suzuki, T., Kishi, T., Ishida, M. et al. The time trend of information seeking behavior about salt reduction using Google Trends: infodemiological study in Japan. Hypertens Res 46, 1886–1891 (2023). https://doi.org/10.1038/s41440-023-01283-1
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/s41440-023-01283-1
Keywords
This article is cited by
-
Determinants and clinical implication of hypertension from childhood to old age in Asian subjects
Hypertension Research (2023)