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Trends in dietary sodium intake in the United States and the impact of USDA guidelines: NHANES 1999-2016

American Journal of Medicine May 24, 2019

Brouillard AM, et al. - Via analyzing 1999-2016 sodium intake data obtained from the National Health and Nutrition Examination Surveys, researchers studied trends in sodium intake among people aged ≥ 18 years, and in subgroups based on age, sex, race/ethnicity, and sodium-sensitive chronic diseases. Adherence to US Department of Agriculture (USDA) guidelines was also evaluated. Multivariable regression analysis was conducted to identify sodium intake predictors between 2011 and 2016. The study sample consisted of 47,509 people (median age: 44.0 years; 48.3% male). Investigators found that median sodium intake was 3,232 mg/day, which rose from 3,156 mg/day in 1999–2000 to 3,273 mg/day in 2015–16. They observed that people with hypertension, diabetes mellitus, and chronic kidney disease consumed 3,073 mg/day, 3,062 mg/day, and 2,658 mg/day, respectively. Furthermore, population adherence to USDA recommendations declined from 34% to 23%, and adherence was < 10% for all high-risk subgroups. The strongest predictor of sodium consumption was daily total calories. Overall, the authors concluded that sodium intake in all segments of the adult population has remained above recommended levels and adherence to guidelines was poor. Overall, they concluded that reducing sodium intake requires novel interventions.

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