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Global, regional and national sodium intakes in 1990 and 2010: A systematic analysis of 24 h urinary sodium excretion and dietary surveys worldwide

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dc.contributor.author Powles, J en
dc.contributor.author Fahimi, S en
dc.contributor.author Micha, R en
dc.contributor.author Khatibzadeh, S en
dc.contributor.author Shi, P en
dc.contributor.author Ezzati, M en
dc.contributor.author Engell, RE en
dc.contributor.author Lim, SS en
dc.contributor.author Danaei, G en
dc.contributor.author Mozaffarian, D en
dc.date.accessioned 2014-06-06T06:52:35Z
dc.date.available 2014-06-06T06:52:35Z
dc.date.issued 2013 en
dc.identifier.issn 20446055 en
dc.identifier.uri http://dx.doi.org/10.1136/bmjopen-2013-003733 en
dc.identifier.uri http://62.217.125.90/xmlui/handle/123456789/6073
dc.subject.other adolescent en
dc.subject.other adult en
dc.subject.other Africa south of the Sahara en
dc.subject.other aged en
dc.subject.other Asia en
dc.subject.other Australia en
dc.subject.other Bayes theorem en
dc.subject.other catering service en
dc.subject.other child en
dc.subject.other controlled study en
dc.subject.other diet en
dc.subject.other Eastern Europe en
dc.subject.other female en
dc.subject.other food composition en
dc.subject.other health survey en
dc.subject.other human en
dc.subject.other income en
dc.subject.other male en
dc.subject.other medical research en
dc.subject.other Middle East en
dc.subject.other model en
dc.subject.other New Zealand en
dc.subject.other normal human en
dc.subject.other North Africa en
dc.subject.other North America en
dc.subject.other preschool child en
dc.subject.other publishing en
dc.subject.other review en
dc.subject.other sodium intake en
dc.subject.other sodium urine level en
dc.subject.other South and Central America en
dc.subject.other Southeast Asia en
dc.subject.other urinalysis en
dc.subject.other urinary excretion en
dc.subject.other Western Europe en
dc.subject.other world health organization en
dc.subject.other young adult en
dc.title Global, regional and national sodium intakes in 1990 and 2010: A systematic analysis of 24 h urinary sodium excretion and dietary surveys worldwide en
heal.type other en
heal.identifier.primary 10.1136/bmjopen-2013-003733 en
heal.identifier.secondary 003733 en
heal.publicationDate 2013 en
heal.abstract Objectives: To estimate global, regional (21 regions) and national (187 countries) sodium intakes in adults in 1990 and 2010. Design: Bayesian hierarchical modelling using all identifiable primary sources. Data sources and eligibility: We searched and obtained published and unpublished data from 142 surveys of 24 h urinary sodium and 103 of dietary sodium conducted between 1980 and 2010 across 66 countries. Dietary estimates were converted to urine equivalents based on 79 pairs of dual measurements. Modelling methods: Bayesian hierarchical modelling used survey data and their characteristics to estimate mean sodium intake, by sex, 5 years age group and associated uncertainty for persons aged 20+ in 187 countries in 1990 and 2010. Country-level covariates were national income/person and composition of food supplies. Main outcome measures: Mean sodium intake (g/day) as estimable by 24 h urine collections, without adjustment for non-urinary losses. Results: In 2010, global mean sodium intake was 3.95 g/day (95% uncertainty interval: 3.89 to 4.01). This was nearly twice the WHO recommended limit of 2 g/day and equivalent to 10.06 (9.88-10.21) g/day of salt. Intake in men was ∼10% higher than in women; differences by age were small. Intakes were highest in East Asia, Central Asia and Eastern Europe (mean >4.2 g/day) and in Central Europe and Middle East/ North Africa (3.9-4.2 g/day). Regional mean intakes in North America, Western Europe and Australia/New Zealand ranged from 3.4 to 3.8 g/day. Intakes were lower (<3.3 g/day), but more uncertain, in sub-Saharan Africa and Latin America. Between 1990 and 2010, modest, but uncertain, increases in sodium intakes were identified. Conclusions: Sodium intakes exceed the recommended levels in almost all countries with small differences by age and sex. Virtually all populations would benefit from sodium reduction, supported by enhanced surveillance. en
heal.journalName BMJ Open en
dc.identifier.issue 12 en
dc.identifier.volume 3 en
dc.identifier.doi 10.1136/bmjopen-2013-003733 en


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