Salt Intake Estimation from Urine Samples in South Asian Population: Scoping Review

The World Health Organization recommended reducing one’s salt intake below 5 g/day to prevent disability and death from cardiovascular and other chronic diseases. This review aimed to identify salt estimation at the population level in South Asian countries, namely Afghanistan, Bangladesh, Bhutan, I...

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Main Authors: Ummay Afroza, Ahmad Khairul Abrar, Abira Nowar, Jubaida Akhtar, Mohammad Abdullah Al Mamun, Sheikh Mohammad Mahbubus Sobhan, Laura Cobb, Nicole Ide, Sohel Reza Choudhury
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/20/4358
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author Ummay Afroza
Ahmad Khairul Abrar
Abira Nowar
Jubaida Akhtar
Mohammad Abdullah Al Mamun
Sheikh Mohammad Mahbubus Sobhan
Laura Cobb
Nicole Ide
Sohel Reza Choudhury
author_facet Ummay Afroza
Ahmad Khairul Abrar
Abira Nowar
Jubaida Akhtar
Mohammad Abdullah Al Mamun
Sheikh Mohammad Mahbubus Sobhan
Laura Cobb
Nicole Ide
Sohel Reza Choudhury
author_sort Ummay Afroza
collection DOAJ
description The World Health Organization recommended reducing one’s salt intake below 5 g/day to prevent disability and death from cardiovascular and other chronic diseases. This review aimed to identify salt estimation at the population level in South Asian countries, namely Afghanistan, Bangladesh, Bhutan, India, Nepal, Pakistan, and Sri Lanka. We searched electronic databases and government websites for the literature and reports published between January 2011 and October 2021 and also consulted key informants for unpublished reports. We included studies that assessed salt intake from urinary sodium excretion, either spot urine or a 24 h urine sample, on a minimum of 100 samples in South Asian countries. We included 12 studies meeting the criteria after screening 2043 studies, out of which five followed nationally representative methods. This review revealed that salt intake in South Asian countries ranges from 6.7–13.3 g/day. The reported lowest level of salt intake was in Bangladesh and India, and the highest one was in Nepal. The estimated salt intake reported in the nationally representative studies were ranging from 8 g/day (in India) to 12.1 g/day (in Afghanistan). Salt consumption in men (8.9–12.5 g/day) was reported higher than in women (7.1–12.5 g/day). Despite the global target of population salt intake reduction, people in South Asian countries consume a much higher amount of salt than the WHO-recommended level.
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spelling doaj.art-ab7e90c40db845aeb598d7ea465920ce2023-11-19T17:37:39ZengMDPI AGNutrients2072-66432023-10-011520435810.3390/nu15204358Salt Intake Estimation from Urine Samples in South Asian Population: Scoping ReviewUmmay Afroza0Ahmad Khairul Abrar1Abira Nowar2Jubaida Akhtar3Mohammad Abdullah Al Mamun4Sheikh Mohammad Mahbubus Sobhan5Laura Cobb6Nicole Ide7Sohel Reza Choudhury8Department of Epidemiology and Research, National Heart Foundation Hospital and Research Institute, Dhaka 1216, BangladeshDepartment of Epidemiology and Research, National Heart Foundation Hospital and Research Institute, Dhaka 1216, BangladeshDepartment of Epidemiology and Research, National Heart Foundation Hospital and Research Institute, Dhaka 1216, BangladeshDepartment of Epidemiology and Research, National Heart Foundation Hospital and Research Institute, Dhaka 1216, BangladeshDepartment of Epidemiology and Research, National Heart Foundation Hospital and Research Institute, Dhaka 1216, BangladeshDepartment of Epidemiology and Research, National Heart Foundation Hospital and Research Institute, Dhaka 1216, BangladeshResolve To Save Lives (RTSL), New York, NY 10004, USAResolve To Save Lives (RTSL), New York, NY 10004, USADepartment of Epidemiology and Research, National Heart Foundation Hospital and Research Institute, Dhaka 1216, BangladeshThe World Health Organization recommended reducing one’s salt intake below 5 g/day to prevent disability and death from cardiovascular and other chronic diseases. This review aimed to identify salt estimation at the population level in South Asian countries, namely Afghanistan, Bangladesh, Bhutan, India, Nepal, Pakistan, and Sri Lanka. We searched electronic databases and government websites for the literature and reports published between January 2011 and October 2021 and also consulted key informants for unpublished reports. We included studies that assessed salt intake from urinary sodium excretion, either spot urine or a 24 h urine sample, on a minimum of 100 samples in South Asian countries. We included 12 studies meeting the criteria after screening 2043 studies, out of which five followed nationally representative methods. This review revealed that salt intake in South Asian countries ranges from 6.7–13.3 g/day. The reported lowest level of salt intake was in Bangladesh and India, and the highest one was in Nepal. The estimated salt intake reported in the nationally representative studies were ranging from 8 g/day (in India) to 12.1 g/day (in Afghanistan). Salt consumption in men (8.9–12.5 g/day) was reported higher than in women (7.1–12.5 g/day). Despite the global target of population salt intake reduction, people in South Asian countries consume a much higher amount of salt than the WHO-recommended level.https://www.mdpi.com/2072-6643/15/20/4358saltsodiumurinary sodiumspot urineSouth Asia
spellingShingle Ummay Afroza
Ahmad Khairul Abrar
Abira Nowar
Jubaida Akhtar
Mohammad Abdullah Al Mamun
Sheikh Mohammad Mahbubus Sobhan
Laura Cobb
Nicole Ide
Sohel Reza Choudhury
Salt Intake Estimation from Urine Samples in South Asian Population: Scoping Review
Nutrients
salt
sodium
urinary sodium
spot urine
South Asia
title Salt Intake Estimation from Urine Samples in South Asian Population: Scoping Review
title_full Salt Intake Estimation from Urine Samples in South Asian Population: Scoping Review
title_fullStr Salt Intake Estimation from Urine Samples in South Asian Population: Scoping Review
title_full_unstemmed Salt Intake Estimation from Urine Samples in South Asian Population: Scoping Review
title_short Salt Intake Estimation from Urine Samples in South Asian Population: Scoping Review
title_sort salt intake estimation from urine samples in south asian population scoping review
topic salt
sodium
urinary sodium
spot urine
South Asia
url https://www.mdpi.com/2072-6643/15/20/4358
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