Reducing the sodium-potassium ratio in the US diet: a challenge for public health

Development of enteral homemade diets for elderly persons receiving home care and analysis of macro and micronutrient composition

“…However, the definition of the recommendations of potassium take into account a higher sodium consumption than that found in the analyzed diets. The sodium/ potassium ratio (Na + /K + ) should be one at most 31 . The proposed diets exhibited a ratio (Na + /K + ) of 0.61; 0.58 and 0.56 at the caloric levels of 1500, 1800 and 2100 kcal respectively, and were therefore within recommended levels.…”

A 6-month randomised controlled trial investigating effects of Mediterranean-style diet and fish oil supplementation on dietary behaviour change, mental and cardiometabolic health and health-related quality of life in adults with depression (HELFIMED): study protocol

“…Sodium/potassium ratio can also be an indicator of current food intake, with sodium reflecting intake of processed foods, and potassium reflecting intake of fruit, vegetables and whole foods generally [52,[54][55][56]. The cut-off point of less than or equal to one has been recommended [52]. A ratio of one or more may indicate increased risk of high blood pressure [57].…”

“…Urine samples were used to measure the ratio of sodium to potassium intake, which may be related to establish risk factors such as hypertension, obesity and unhealthy eating for cardiovascular diseases and mortality [51][52][53][54]. Sodium/potassium ratio can also be an indicator of current food intake, with sodium reflecting intake of processed foods, and potassium reflecting intake of fruit, vegetables and whole foods generally [52,[54][55][56].…”

Salt intake in a sample of adult population of Novi Sad

“…Međutim, situacija je utoliko nepovoljnija ukoliko se združeno posmatra dostizanje populacionih ciljeva za unos natrijuma i kalijuma postavljenih navedenim preporukama. Navedene preporuke dostiže samo ≤0,015% ukupne populacije u SAD, što predstavlja ogroman izazov za nacionalnu javno-zdravstvenu politiku (213). U Velikoj Britaniji, gde se strategija smanjenja unosa soli široko sprovodi već nekoliko godina, postignuto je signifikantno smanjenje prosečnog populacionog unosa soli i procentualno veća učestalost populacije koja uspeva da dostigne nacionalni populacioni cilj od 6 g (179) (tabela 23).…”

“…U nekim državama i pored postojanja nacionalnih, regionalnih ili lokalno usmerenih strategija, njihova implementacija i rezultati ne govore u prilog dostizanja privremenih i ciljnih vrednosti (211)(212)(213), što stvara prostor za kritike jednog dela stručne javnosti u odnosu na efikasnost i svrsishodnost strategija za redukciju unosa soli (263).…”