[Estimated sodium intake by the Brazilian population, 2002-2003].

Programa de Pós-Graduação de Nutrição em Saúde Pública, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil.
Revista de saude publica (Impact Factor: 1.01). 03/2009; 43(2):219-25.
Source: PubMed

ABSTRACT To estimate the magnitude and distribution of sodium intake in Brazil and to identify major dietary sources contributing to this intake.
Estimates were based on data from a Brazilian household budget survey carried between July 2002 and June 2003. A total of 969,989 food purchase records from a probabilistic sample of 48,470 households located in 3,984 census tracts across the country were analyzed. Purchase records were converted into nutrients using food composition charts. Mean sodium availability per person per day and mean adjusted availability considering a 2,000 kcal daily energy intake were calculated, as well as the contribution of selected food groups to total household sodium availability. Estimates are presented according to geographical region, urban or rural status of the household, and income stratum.
Mean daily sodium availability in Brazilian households was 4.5 g per person (or 4.7 g considering a daily calorie intake of 2,000 kcal), thus exceeding by more than two times the recommended levels of intake for this nutrient. Although most of the sodium available for intake across all income strata was derived from kitchen salt or salt-based condiments (76.2%), the fraction derived from processed foods with added salt showed a strong linear increase as household purchasing power increased, representing 9.7% of total sodium intake in the lower quintile of the per capita income distribution and 25.0% in the upper quintile.
Results indicate that sodium intake in Brazil widely exceeds the maximum recommended intake level for this nutrient in all of the country's macro regions and across all income strata.

0 0
  • Source
    [show abstract] [hide abstract]
    ABSTRACT: The objective of this study was to estimate the prevalence of inadequate micronutrient intake and excess sodium intake among adults age 19 years and older in the city of São Paulo, Brazil. Twenty-four-hour dietary recall and sociodemographic data were collected from each participant (n=1,663) in a cross-sectional study, Inquiry of Health of São Paulo, of a representative sample of the adult population of the city of São Paulo in 2003 (ISA-2003). The variability in intake was measured through two replications of the 24-hour recall in a subsample of this population in 2007 (ISA-2007). Usual intake was estimated by the PC-SIDE program (version 1.0, 2003, Department of Statistics, Iowa State University), which uses an approach developed by Iowa State University. The prevalence of nutrient inadequacy was calculated using the Estimated Average Requirement cut-point method for vitamins A and C, thiamin, riboflavin, niacin, copper, phosphorus, and selenium. For vitamin D, pantothenic acid, manganese, and sodium, the proportion of individuals with usual intake equal to or more than the Adequate Intake value was calculated. The percentage of individuals with intake equal to more than the Tolerable Upper Intake Level was calculated for sodium. The highest prevalence of inadequacy for males and females, respectively, occurred for vitamin A (67% and 58%), vitamin C (52% and 62%), thiamin (41% and 50%), and riboflavin (29% and 19%). The adjustment for the within-person variation presented lower prevalence of inadequacy due to removal of within-person variability. All adult residents of São Paulo had excess sodium intake, and the rates of nutrient inadequacy were high for certain key micronutrients.
    Journal of the American Academy of Nutrition and Dietetics 10/2012; 112(10):1614-8. · 3.80 Impact Factor
  • [show abstract] [hide abstract]
    ABSTRACT: This study aimed to evaluate the effect of dietary sodium intake on blood pressure among low income children aged 3-4 years. Data were collected during a randomized trial conducted in São Leopoldo, Brazil, with 500 mother-child pairs recruited from the maternity ward of a local hospital. Breastfeeding data were obtained during the children's first year of life. At 3 to 4 years of age, children's anthropometric, dietary, and blood pressure assessments were obtained. Sodium intake was estimated from two multiple-pass 24-h dietary recalls. Systolic blood pressure > 90th percentile for age, sex, and height was classified as high systolic blood pressure, according to the population-based percentiles provided by the Task Force on Hypertension Control in Children and Adolescents. Blood pressure data were obtained from 331 children at 3 to 4 years. The mean value of systolic blood pressure was 91.31 mmHg (SD = 8.30 mmHg) and 5.2 % (n = 17) presented high systolic blood pressure. The results of the multivariable analyses showed that children who consumed more than 1,200 mg of sodium/day and with waist-to-height ratio higher than 0.5 presented, respectively, 3.32 (95 %CI 0.98-11.22) and 8.81 (95 %CI 2.13-36.31) greater risk of having high systolic blood pressure. Exclusive breastfeeding, child overweight and change in body mass index z score during the first year of life were not associated with the outcome. Conclusions: The results of this study suggest that at preschool age sodium intake and high waist-to-height ratio are risk factors for high systolic blood pressure.
    European Journal of Pediatrics 05/2013; · 1.91 Impact Factor
  • [show abstract] [hide abstract]
    ABSTRACT: Information on the main dietary sources of sodium is essential for developing public health strategies to reduce sodium intake. This study aimed to describe sodium intake according to sex, age, and income and identify the main dietary sources of sodium in Brazil. In total, 34,003 subjects aged 10 years and older participated in the first Brazilian National Dietary Survey, conducted in 2008-2009. Food was classified according to the sodium profile into 31 groups based on a 1-day food record. The daily per capita intake of sodium (mg/day) and sodium density (mg/100 g) were estimated for each food group and stratified by sex, age, and per capita income quartile. The average daily intake of sodium was 3,190 mg/day. The sodium density of the diet increased with age and income (P<0.05). Food groups with the highest densities for both sexes and across all income quartiles included salty preserved meats (997 mg/100 g), processed meats (974 mg/100 g), cheeses (883 mg/100 g), crackers (832 mg/100 g), sandwiches (800 mg/100 g), pizza (729 mg/100 g), and breads (646 mg/100 g), as well as oils, spreads, sauces, and condiments (804 mg/100 g). Altogether, these food groups contributed to 811 mg/day of sodium, which is more than half of the recommended daily sodium intake. Mean sodium intake in Brazil exceeded the tolerable upper intake level of 2,300 mg/day. Processed food contributed to half of the recommended intake and should be targeted by future public health policies aiming at reducing total sodium intake.
    Journal of the American Academy of Nutrition and Dietetics 07/2013; · 3.80 Impact Factor