Dietary sources and correlates of sodium and potassium intakes in the french general population

Dietary sources and correlates of sodium and potassium intakes in the french general population


Play all audios:


ABSTRACT BACKGROUND/OBJECTIVES: To investigate the dietary sources of sodium and potassium and to explore the biological, behavioural and socio-demographic factors associated with a high


sodium and low potassium diet in a general population. SUBJECTS/METHODS: Cross-sectional dietary survey carried out in 1998 and 1999 in nationally representative samples of adults (_n_=1474)


and children (_n_=1018). Daily sodium and potassium intakes were estimated using a 7-day food record after exclusion of underreporters. RESULTS: Mean sodium intake was well above, whereas


mean potassium intake was largely below the current recommendations in adults and children. The consumption of a high sodium and low potassium diet appeared very early in life and increased


up to adulthood, especially in men living in small communities. Despite the fact that sodium and potassium intakes were positively correlated to each other and to total food intake, several


food categories showed a sodium/potassium intake ratio well above one (cheeses, cooked pork meats, breads, breakfast cereals, soups, fast foods, pastries and sugary products) whereas others


presented a ratio well below one (fruits, vegetables, dairy products, meats and hot beverages). CONCLUSIONS: High sodium and low potassium intakes were widespread in the population. The fact


that the main dietary sources of sodium and potassium were, for the most part, not the same demonstrates the feasibility of simultaneously increasing sodium intake and decreasing potassium


intake at the individual level. Access through your institution Buy or subscribe This is a preview of subscription content, access via your institution ACCESS OPTIONS Access through your


institution Subscribe to this journal Receive 12 print issues and online access $259.00 per year only $21.58 per issue Learn more Buy this article * Purchase on SpringerLink * Instant access


to full article PDF Buy now Prices may be subject to local taxes which are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read


our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS DEVELOPMENT AND PRELIMINARY VALIDATION OF A PREDICTION FORMULA OF SODIUM AND SODIUM-TO-POTASSIUM RATIO BASED ON


MULTIPLE REGRESSION USING 24-H URINES Article Open access 27 April 2024 INTAKE OF SODIUM AND POTASSIUM, SODIUM-POTASSIUM INTAKE RATIO, AND THEIR RELATION TO THE RISK OF DIABETES MELLITUS


Article Open access 05 February 2025 ESTIMATION OF POTASSIUM INTAKE: SINGLE VERSUS REPEATED MEASUREMENTS AND THE ASSOCIATED CARDIORENAL RISK Article 15 June 2021 REFERENCES * Allison ME,


Walker V (1986). The sodium and potassium intake of 3 to 5 year olds. _Arch Dis Child_ 61, 159–163. Article  CAS  Google Scholar  * Arbeit ML, Nicklas TA, Berenson GS (1992). Considerations


of dietary sodium/potassium/energy ratios of selected foods. _J Am Coll Nutr_ 11, 210–222. CAS  PubMed  Google Scholar  * Bates CJ, Cole TJ, Mansoor MA, Pentieva KD, Finch S (2001).


Geographical variations in nutrition-related vascular risk factors in the UK: National Diet and Nutrition Survey of People Aged 65 Years and Over. _J Nutr Health Aging_ 5, 220–225. CAS 


PubMed  Google Scholar  * Beer-Borst S, Coastanza MC, Pechere-Bertschi A, Morabia A (2009). Twelve-year trends and correlates of dietary salt intakes for the general adult population of


Geneva, Switzerland. _Eur J Clin Nutr_ 63, 155–164. Article  CAS  Google Scholar  * Brion MJ, Ness AR, Davey Smith G, Emmett P, Rogers I, Whincup P _et al_. (2008). Sodium intake in infancy


and blood pressure at 7 years: findings from the Avon Longitudinal Study of Parents and Children. _Eur J Clin Nutr_ 62, 1162–1169. Article  CAS  Google Scholar  * Caggiula AW, Wing RR,


Nowalk MP, Milas NC, Lee S, Langford H (1985). The measurement of sodium and potassium intake. _Am J Clin Nutr_ 42, 391–398. Article  CAS  Google Scholar  * Chen Q, Marques-Vidal P (2007).


Trends in food availability in Portugal in 1966–2003: comparison with other Mediterranean countries. _Eur J Nutr_ 46, 418–427. Article  Google Scholar  * Clark AJ, Mossholder S (1986).


Sodium and potassium intake measurements: dietary methodology problems. _Am J Clin Nutr_ 43, 470–476. Article  CAS  Google Scholar  * Cohen HW, Hailpern SM, Fang J, Alderman MH (2006).


Sodium intake and mortality in the NHANES II follow-up study. _Am J Med_ 119, 275.e7–275.e14. Article  Google Scholar  * Deville JC (1991). A theory of quota surveys. _Survey Methodol_ 17,


163–181. Google Scholar  * Ervin RB, Wang CY, Wright JD, Kennedy-Stephenson J (2004). Dietary intake of selected minerals for the United States population: 1999–2000. _Adv Data_ 341, 1–5.


Google Scholar  * Favier JC, Ireland J, Toque C, Feinberg M (1995). Répertoire général des aliments. Tables de composition. _CIQUAL-REGAL_, 2nd edn. * Ganguli MC, Grimm RHJ, Svendsen KH,


Flack JM, Grandits GA, Elmer PJ (1997). Higher education and income are related to a better Na:K ratio in blacks: baseline results of the Treatment of Mild Hypertension Study (TOMHS) data.


_Am J Hypertens_ 10, 979–984. Article  CAS  Google Scholar  * Gerber AM, James SA, Ammerman AS, Keenan NL, Garrett JM, Strogatz DS _et al_. (1991). Socioeconomic status and electrolyte


intake in black adults: the Pitt County Study. _Am J Public Health_ 81, 1608–1612. Article  CAS  Google Scholar  * Goldberg GR, Black AE, Jebb SA, Cole TJ, Murgatroyd PR, Coward WA _et al_.


(1991). Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cutoff limits to identify under-recording. _Eur J Clin Nutr_ 45,


569–581. CAS  Google Scholar  * Hajjar I, Kotchen T (2003). Regional variations of blood pressure in the United States are associated with regional variations in dietary intakes: the


NHANES-III data. _J Nutr_ 133, 211–214. Article  CAS  Google Scholar  * He FJ, MacGregor GA (2001). Fortnightly review: beneficial effects of potassium. _BMJ_ 323, 497–501. Article  CAS 


Google Scholar  * He FJ, Marrero NM, Macgregor GA (2008). Salt and blood pressure in children and adolescents. _J Hum Hypertens_ 22, 4–11. Article  CAS  Google Scholar  * Heird WC, Ziegler


P, Reidy K, Briefel R (2006). Current electrolyte intakes of infants and toddlers. _J Am Diet Assoc_ 106, S43–S51. Article  CAS  Google Scholar  * Institute of Medicine (2004). Dietary


reference intakes for water, potassium, sodium, chloride and sulfate. _The National Academies Press_. http://books.nap.edu/catalog.php?record_id=10925. * Intersalt Cooperative Research Group


(1988). Intersalt: an international study of electrolyte excretion and blood pressure. Results for 24 h urinary sodium and potassium excretion. Intersalt Cooperative Research Group. _BMJ_


297, 319–328. Article  Google Scholar  * Kesteloot H, Elliott P, Lesaffre E (1990). On the sex ratio of urinary cation excretion obtained from Intersalt and other epidemiological studies. _J


Hum Hypertens_ 4, 603–607. CAS  PubMed  Google Scholar  * Kesteloot H, Joossens JV (1990). The relationship between dietary intake and urinary excretion of sodium, potassium, calcium and


magnesium: Belgian Interuniversity Research on Nutrition and Health. _J Hum Hypertens_ 4, 527–533. CAS  PubMed  Google Scholar  * Kodama N, Morikuni E, Matsuzaki N, Yoshioka YH, Takeyama H,


Yamada H _et al_. (2005). Sodium and potassium balances in Japanese young adults. _J Nutr Sci Vitaminol (Tokyo)_ 51, 161–168. Article  CAS  Google Scholar  * Le Moullec N, Deheeger M,


Preziosi P, Montero P, Valeix P, Rolland-Cachera MF _et al_. (1996). Validation du manuel-photos utilisé pour l’enquête alimentaire de l’étude SU.VI.MAX. _Cah Nutr Diet_ 31, 158–164. 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  * Maldonado-Martin A, Garcia-Matarin L, Gil-Extremera B, Avivar-Oyonarte C, Garcia-Granados ME, Gil-Garcia F _et al_. (2002). Blood pressure and urinary excretion of electrolytes in


Spanish schoolchildren. _J Hum Hypertens_ 16, 473–478. Article  CAS  Google Scholar  * Mancia G, De Backer G, Dominiczak A, Cifkova R, Fagard R, Germano G _et al_. (2007). 2007 Guidelines


for the Management of Arterial Hypertension: The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of


Cardiology (ESC). _J Hypertens_ 25, 1105–1187. Article  CAS  Google Scholar  * McKeown NM, Day NE, Welch AA, Runswick SA, Luben RN, Mulligan AA _et al_. (2001). Use of biological markers to


validate self-reported dietary intake in a random sample of the European Prospective Investigation into Cancer United Kingdom Norfolk cohort. _Am J Clin Nutr_ 74, 188–196. Article  CAS 


Google Scholar  * Meneton P, Galan P, Bertrais S, Heudes D, Hercberg S, Menard J (2008). High plasma aldosterone and low renin predict blood pressure increase and hypertension in middle-aged


Caucasian populations. _J Hum Hypertens_ 22, 550–558. Article  CAS  Google Scholar  * Meneton P, Jeunemaitre X, de Wardener HE, MacGregor GA (2005). Links between dietary salt intake, renal


salt handling, blood pressure, and cardiovascular diseases. _Physiol Rev_ 85, 679–715. Article  CAS  Google Scholar  * National High Blood Pressure Education Program (2003). The Seventh


Report of the Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. http://www.nhlbi.nih.gov/guidelines/hypertension/express.pdf. *


Pietinen P (1982). Estimating sodium intake from food consumption data. _Ann Nutr Metab_ 26, 90–99. 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  * Schachter J, Harper PH, Radin ME, Caggiula AW, McDonald RH, Diven WF (1980). Comparison of sodium and potassium intake with excretion. _Hypertension_ 2, 695–699. Article 


CAS  Google Scholar  * Scientific Advisory Committee on Nutrition (2003). Salt and Health. http://www.food.gov.uk/multimedia/pdfs/saltandhealth0503.pdf. * Takemori K, Mikami S, Nihira S,


Sasaki N (1989). Relationship of blood pressure to sodium and potassium excretion in Japanese women. _Tohoku J Exp Med_ 158, 269–281. Article  CAS  Google Scholar  * Uusi-Rasi K, Fogelholm


M, Nenonen A, Pasanen M (1999). The accuracy of estimating calcium, sodium and potassium intake with a food record. _Scand J Nutr_ 43, 66–69. Google Scholar  * Van Cauwenbergh R, Hendrix P,


Robberecht HJ, Deelstra HA (1999). Daily dietary sodium and potassium intake in Belgium, using duplicate portion sampling. _Eur Food Res Technol_ 209, 63–67. Article  CAS  Google Scholar  *


Volatier JL (2000). _Enquête Individuelle et Nationale sur les Consommations Alimentaires_. Editions TEC & DOC: Paris. Google Scholar  * Witschi JC, Capper AL, Hosmer DWJ, Ellison RC


(1987). Sources of sodium, potassium, and energy in the diets of adolescents. _J Am Diet Assoc_ 87, 1651–1655. CAS  PubMed  Google Scholar  * World Health Organization (2003). Diet,


nutrition and the prevention of chronic diseases. http://whqlibdoc.who.int/trs/WHO_TRS_916.pdf. * World Health Organization (2007). Reducing salt intake in populations.


http://www.who.int/dietphysicalactivity/reducingsaltintake_EN.pdf. Download references ACKNOWLEDGEMENTS Joël Ménard received funding from the Association Robert Debré pour la Recherche


Médicale and Pierre Meneton from the Institut National pour la Santé et la Recherche Médicale. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * INSERM U872, Centre de Recherche des Cordeliers,


Paris, France P Meneton * Unité Nutrition, Agence Française de Sécurité Sanitaire des Aliments, Maisons-Alfort, France L Lafay, A Tard, A Dufour, J Ireland & J L Volatier * Département


de Santé Publique et d’Informatique Médicale, Université Paris Descartes, Paris, France J Ménard Authors * P Meneton View author publications You can also search for this author inPubMed 


Google Scholar * L Lafay View author publications You can also search for this author inPubMed Google Scholar * A Tard View author publications You can also search for this author inPubMed 


Google Scholar * A Dufour View author publications You can also search for this author inPubMed Google Scholar * J Ireland View author publications You can also search for this author


inPubMed Google Scholar * J Ménard View author publications You can also search for this author inPubMed Google Scholar * J L Volatier View author publications You can also search for this


author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to P Meneton. ADDITIONAL INFORMATION _Guarantors:_ P Meneton and JL Volatier. _Contributors:_ PM performed and interpreted


statistical analyses and drafted the article; LL, AT, AD and JLV supervised the survey and data collection, JI compiled sodium and potassium food composition table; JM contributed to the


writing of the final article. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Meneton, P., Lafay, L., Tard, A. _et al._ Dietary sources and correlates of


sodium and potassium intakes in the French general population. _Eur J Clin Nutr_ 63, 1169–1175 (2009). https://doi.org/10.1038/ejcn.2009.57 Download citation * Received: 25 September 2008 *


Revised: 20 May 2009 * Accepted: 21 May 2009 * Published: 22 July 2009 * Issue Date: October 2009 * DOI: https://doi.org/10.1038/ejcn.2009.57 SHARE THIS ARTICLE Anyone you share the


following link with will be able to read this content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the Springer


Nature SharedIt content-sharing initiative KEYWORDS * sodium and potassium intakes * dietary sources * cross-sectional survey * general population