Potassium intake is associated with nutritional quality and actual diet cost: a study at formulating a low sodium high potassium (LSHP) healthy diet

Increasing potassium and reducing sodium intake have been identified as a priority intervention to reduce non-communicable diseases. A low sodium high potassium (LSHP) healthy diet can be a predictor of overall dietary quality and is associated with higher diet costs. The present study was a randomi...

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Main Authors: Farapti Farapti, Annas Buanasita, Dominikus R. Atmaka, Stefania W. Setyaningtyas, Merryana Adriani, Purwo S. Rejeki, Yoshio Yamaoka, Muhammad Miftahussurur
Format: Article
Language:English
Published: Cambridge University Press 2022-01-01
Series:Journal of Nutritional Science
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S204867902100104X/type/journal_article
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author Farapti Farapti
Annas Buanasita
Dominikus R. Atmaka
Stefania W. Setyaningtyas
Merryana Adriani
Purwo S. Rejeki
Yoshio Yamaoka
Muhammad Miftahussurur
author_facet Farapti Farapti
Annas Buanasita
Dominikus R. Atmaka
Stefania W. Setyaningtyas
Merryana Adriani
Purwo S. Rejeki
Yoshio Yamaoka
Muhammad Miftahussurur
author_sort Farapti Farapti
collection DOAJ
description Increasing potassium and reducing sodium intake have been identified as a priority intervention to reduce non-communicable diseases. A low sodium high potassium (LSHP) healthy diet can be a predictor of overall dietary quality and is associated with higher diet costs. The present study was a randomised controlled-feeding trial, formulating menus of low sodium and potassium-rich healthy diet and comparing with usual diet (a control diet based on typical Indonesian diet) to assess the association of potassium intake in the menus with other nutritional contents and diet cost. Totally seventy menus, which consisted of LSHP diets and the usual diets for a 7-d cycle, were composed from the analysis of the Indonesian food composition database. The correlation coefficient of the potassium content of all menus with nutritional quality and diet cost was analysed using the Pearson test. Multiple linear regression analysis was performed to determine the most important nutrient in determining diet cost. A comparison of nutrition quality and diet cost from the two menus was analysed using the independent t-test. LSHP diet had significantly higher carbohydrate, protein, fibre, magnesium, calcium, vitamin C, potassium density and diet cost but lower total fat, saturated fat and energy density than the usual diet (P < 0⋅05). Furthermore, there was a strong positive correlation between fibre, potassium and diet cost (coefficient correlation of >0⋅8). Potassium is a nutrient that is closely related to diet quality although the cost of the diet often may inhibit its intake. A targeted and effective strategy is required to provide affordable food for achieving a sustainable nutrient-rich diet.
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spelling doaj.art-eb185de920c24d18b27adfaefe3db4152024-02-08T08:47:12ZengCambridge University PressJournal of Nutritional Science2048-67902022-01-011110.1017/jns.2021.104Potassium intake is associated with nutritional quality and actual diet cost: a study at formulating a low sodium high potassium (LSHP) healthy dietFarapti Farapti0Annas Buanasita1Dominikus R. Atmaka2Stefania W. Setyaningtyas3Merryana Adriani4Purwo S. Rejeki5Yoshio Yamaoka6Muhammad Miftahussurur7Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia Post Graduate Doctoral Program, Faculty of Medicine, Universitas Airlangga, Surabaya 60132, IndonesiaNutrition Department, Surabaya Health Polytechnic, Surabaya 60282, IndonesiaDepartment of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, IndonesiaDepartment of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, IndonesiaDepartment of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, IndonesiaDepartment of Physiology, Faculty of Medicine, Universitas Airlangga, Surabaya 60132, IndonesiaDepartment of Environmental and Preventive Medicine, Oita University Faculty of Medicine, Yufu 879-5593, Japan Department of Medicine, Gastroenterology and Hepatology Section, Baylor College of Medicine, Houston, TX, USA Gastroentero-Hepatology Division, Department of Internal Medicine, Faculty of Medicine-Dr. Soetomo Teaching Hospital, Universitas Airlangga, Surabaya 60286, IndonesiaGastroentero-Hepatology Division, Department of Internal Medicine, Faculty of Medicine-Dr. Soetomo Teaching Hospital, Universitas Airlangga, Surabaya 60286, Indonesia Institute of Tropical Disease, Universitas Airlangga, Surabaya 60115, IndonesiaIncreasing potassium and reducing sodium intake have been identified as a priority intervention to reduce non-communicable diseases. A low sodium high potassium (LSHP) healthy diet can be a predictor of overall dietary quality and is associated with higher diet costs. The present study was a randomised controlled-feeding trial, formulating menus of low sodium and potassium-rich healthy diet and comparing with usual diet (a control diet based on typical Indonesian diet) to assess the association of potassium intake in the menus with other nutritional contents and diet cost. Totally seventy menus, which consisted of LSHP diets and the usual diets for a 7-d cycle, were composed from the analysis of the Indonesian food composition database. The correlation coefficient of the potassium content of all menus with nutritional quality and diet cost was analysed using the Pearson test. Multiple linear regression analysis was performed to determine the most important nutrient in determining diet cost. A comparison of nutrition quality and diet cost from the two menus was analysed using the independent t-test. LSHP diet had significantly higher carbohydrate, protein, fibre, magnesium, calcium, vitamin C, potassium density and diet cost but lower total fat, saturated fat and energy density than the usual diet (P < 0⋅05). Furthermore, there was a strong positive correlation between fibre, potassium and diet cost (coefficient correlation of >0⋅8). Potassium is a nutrient that is closely related to diet quality although the cost of the diet often may inhibit its intake. A targeted and effective strategy is required to provide affordable food for achieving a sustainable nutrient-rich diet.https://www.cambridge.org/core/product/identifier/S204867902100104X/type/journal_articleDiet costHealthy dietNon-communicable diseaseNutritional assessmentPotassiumSodium
spellingShingle Farapti Farapti
Annas Buanasita
Dominikus R. Atmaka
Stefania W. Setyaningtyas
Merryana Adriani
Purwo S. Rejeki
Yoshio Yamaoka
Muhammad Miftahussurur
Potassium intake is associated with nutritional quality and actual diet cost: a study at formulating a low sodium high potassium (LSHP) healthy diet
Journal of Nutritional Science
Diet cost
Healthy diet
Non-communicable disease
Nutritional assessment
Potassium
Sodium
title Potassium intake is associated with nutritional quality and actual diet cost: a study at formulating a low sodium high potassium (LSHP) healthy diet
title_full Potassium intake is associated with nutritional quality and actual diet cost: a study at formulating a low sodium high potassium (LSHP) healthy diet
title_fullStr Potassium intake is associated with nutritional quality and actual diet cost: a study at formulating a low sodium high potassium (LSHP) healthy diet
title_full_unstemmed Potassium intake is associated with nutritional quality and actual diet cost: a study at formulating a low sodium high potassium (LSHP) healthy diet
title_short Potassium intake is associated with nutritional quality and actual diet cost: a study at formulating a low sodium high potassium (LSHP) healthy diet
title_sort potassium intake is associated with nutritional quality and actual diet cost a study at formulating a low sodium high potassium lshp healthy diet
topic Diet cost
Healthy diet
Non-communicable disease
Nutritional assessment
Potassium
Sodium
url https://www.cambridge.org/core/product/identifier/S204867902100104X/type/journal_article
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