高级检索
杨丽丽, 席波. 中国成年居民2000-2015年膳食钠、钾摄入量变化趋势分析[J]. 中国公共卫生, 2017, 33(8): 1249-1253. DOI: 10.11847/zgggws2017-33-08-24
引用本文: 杨丽丽, 席波. 中国成年居民2000-2015年膳食钠、钾摄入量变化趋势分析[J]. 中国公共卫生, 2017, 33(8): 1249-1253. DOI: 10.11847/zgggws2017-33-08-24
YANG Li-li, XI Bo. Secular trends in dietary sodium and potassium intakes in Chinese population,2000-2015[J]. Chinese Journal of Public Health, 2017, 33(8): 1249-1253. DOI: 10.11847/zgggws2017-33-08-24
Citation: YANG Li-li, XI Bo. Secular trends in dietary sodium and potassium intakes in Chinese population,2000-2015[J]. Chinese Journal of Public Health, 2017, 33(8): 1249-1253. DOI: 10.11847/zgggws2017-33-08-24

中国成年居民2000-2015年膳食钠、钾摄入量变化趋势分析

Secular trends in dietary sodium and potassium intakes in Chinese population,2000-2015

  • 摘要: 目的 分析2000-2015年中国成年居民膳食钠、钾的摄入量变化趋势,为慢性病防控策略和措施的制定提供科学依据。方法 通过检索Pubmed、中国知网(CNKI)、维普和万方等数据库,收集2000-2015年公开发表的有全国或地区代表性的钠、钾摄入量的相关人群研究,按照地区、性别和时间等进行分层并估计我国居民膳食钠、钾摄入量。结果 本文最终纳入57篇符合要求的文献(n=132 296),其中52篇(n=124 301)采用膳食调查法,5篇(n=7 995)采用24 h尿液估计法。分析结果表明,中国成年居民膳食钠的摄入量,在地区、性别、民族和时间分布方面差异有明显统计学意义;地区差异逐渐变小,但近5年仍表现为北方摄入量(5 692.0 mg)高于南方(5 581.0 mg),西部(5 875.4 mg)高于中部(4 308.4 mg)和东部(5 727.3 mg),农村(5 978.5 mg)高于城市(5 253.6 mg);性别差异更加明显,男性(6 657.5 mg)明显高于女性(5 383.8 mg);某些少数民族如藏族(5 835.1 mg)、哈萨克族(4 901.3 mg)高于汉族(4 439.0 mg)。关于钾的摄入量,地区和时间差异无统计学意义。2000-2010年中国居民膳食钠的摄入呈下降趋势,但近5年略有增加;而钾的摄入量的变化则较小,处于偏低水平。2011-2015期间,通过24 h尿液估计的我国居民膳食钠的摄入量为5 403.5 mg(相当于13.51 g盐);通过膳食回顾法获得的膳食钠、钾的摄入量分别为5 650.9 mg(相当于14.13 g盐)和1 827.9 mg。结论 目前中国成年居民膳食钠摄入量仍然较高,是WHO推荐摄入量(5 g/d)的2.5倍多。而且钾的摄入量偏低,仅达到WHO推荐摄入量(3 510 mg)的1/2左右。国家应制定中长期的限盐策略(如推广盐勺、低钠盐等),鼓励居民增加蔬菜和水果摄入,从而降低我国慢性病尤其心血管疾病的发病风险。

     

    Abstract: Objective To examine trends in dietary sodium and potassium intakes in China from 2000 to 2015 and to provide evidences for the establishment of effective strategies and measures for the prevention and control of chronic diseases.Methods We searched PubMed,China National Knowledge Infrastructure (CNKI),WeiPu and WanFang databases,and included the published literatures providing dietary sodium and potassium intakes of Chinese population,which reported national or regional representative results with the study period between 2000 and 2015.Then we estimated the dietary sodium and potassium intakes by region,gender,and time period.Results A total of 57 articles (research participants=132 296) were included in the study,of which,52 (124 301 participants) adopted dietary recall method and 5 (n=7 995) used 24-hour urinary estimation.The results showed that there were significant gender,ethnicity,time period,and region differences in the distribution of dietary sodium intake among the participants.The participants living in the North consumed higher amount of dietary sodium than those in the South (5 692.0 mg vs.5 581.0 mg per day) and those in the West consumed higher dietary sodium (5 875.4 mg per day) than those in the Central (4 308.4 mg per day) and than those in the East (5 727.3 mg per day);the participants in rural areas had a higher sodium intake than those in the urban areas (5 978.5 mg vs.5 253.6 mg) although the regional difference in sodium intake decreased during the period.Whereas the gender difference in sodium intake increased,with an obviously higher intake among the males (6 657.5 mg per day) than among the females (5 383.8 mg per day).Higher sodium intakes were observed among the Tibetan (5 835.1 mg per day) and Kazak(4 901.3 mg per day)than among the Han participants (4 439.0 mg per day).No obvious regional and temporal differences in the potassium intake were reported by the included studies.During the first ten years of the century,dietary sodium intake decreased,but it increased slightly during the recent five years,while the change in potassium intake was small with a relatively daily intake.For the period from 2011 to 2015,the estimated average daily dietary sodium intake in Chinese people was 5 403.5 mg (approximately to 13.51 g table salt) and 5 650.9 mg (approximately to 14.13 g table salt) based on the results of 24-hour urinary estimation and dietary recall method and the estimated average daily dietary potassium intake was 1 827.9 mg based on dietary recall method,respectively.Conclusion Currently,dietary sodium intake in Chinese adult residents is two times higher than that (5 g/day) recommended by World Health Organization (WHO) but the potassium intake is only a half of that (3510 mg/day) recommended by WHO,suggesting that long-term strategies for controlling dietary sodium intake should be developed for the prevention of cardiovascular diseases in Chinese population.

     

/

返回文章
返回