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Estimation of Daily Salt Intake of Healthy Ambulant Nigerian Adults

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Abstract

Data on the current levels of sodium consumption of Nigerian adults are urgently needed to determine the contribution of dietary sodium as a risk factor in the increasing incidence of hypertension and related complications in the country.

The aim of this study was to estimate the daily salt intake of healthy ambulant Nigerian adults using the 24-hour  urinary sodium ion excretion method (the gold standard)  and spot urine sodium ion excretion method (a proposed convenient alternative).

Eighty adult Nigerians aged between 20 and 50 years made up of 60% males and 40% females were the subjects that provided 24-hour urine and spot urine samples. Urinary sodium excretion was estimated using the atomic absorption spectrophotometer (AAS).

Measured 24-hour urinary sodium excretions for male and female subjects were 4.7+0.5 and 4.0+0.6 g/day respectively.

This translates to a dietary salt intake of 11.8+1.3 g/day for male subjects and 10.1+1.5 g/day for female subjects. A significant decrease (p<0.01) was observed between the values obtained by 24-hour urinary sodium excretion method and spot urinary sodium excretion method.

Introduction

Sodium chloride (NaCl) is a prototypical stimulant that elicits salty taste. Sodium chloride is a commonly used food ingredient which provides many technological functions such as Flavor enhancement, preservation and texture modification (Hutton, 2002).

Sodium (Na) also performs a number of vital roles in the body including maintaining the volume of extracellular fluid, osmotic pressure, acid-base balance and transmission of nerves impulses (Geerling and Loewy, 2008).

Unlike other essential minerals such as calcium, we do not have large stores of sodium in the body and need to constantly replenish sodium via the diet (Reddy and Marth, 1991).

While sodium is essential for normal human body functioning, current sodium intakes far exceed recommendation for good health (Brown and Tzoulaki, 2009). This is a problem because there is a strong positive relationship between sodium intake and raised blood pressure.

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