High Adherence to Mediterranean Diet Is Not Associated with an Improved Sodium and Potassium Intake

Prevention and control of hypertension and cerebro-cardiovascular diseases are associated with adequate sodium and potassium intake and adherence to a Mediterranean dietary pattern. The aim of this study was to assess the association between adherence to a Mediterranean diet (MD) and the excretion o...

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Autores principales:	Giulia Viroli, Carla Gonçalves, Olívia Pinho, Tânia Silva-Santos, Patrícia Padrão, Pedro Moreira
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	salt sodium potassium Mediterranean diet 24-h urinary excretion Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/17f8d52b90a24615883f8f48d63f97a1
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spelling	oai:doaj.org-article:17f8d52b90a24615883f8f48d63f97a12021-11-25T18:37:09ZHigh Adherence to Mediterranean Diet Is Not Associated with an Improved Sodium and Potassium Intake10.3390/nu131141512072-6643https://doaj.org/article/17f8d52b90a24615883f8f48d63f97a12021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/4151https://doaj.org/toc/2072-6643Prevention and control of hypertension and cerebro-cardiovascular diseases are associated with adequate sodium and potassium intake and adherence to a Mediterranean dietary pattern. The aim of this study was to assess the association between adherence to a Mediterranean diet (MD) and the excretion of sodium and potassium as surrogate measures of intake. This is a cross-sectional analysis as part of a larger study (the iMC SALT randomized controlled trial) among workers of a public university. A food frequency questionnaire was used to assess the adherence to MD, using the alternative Mediterranean diet (aMED) score; sodium and potassium excretions were estimated by 24-h urine collections. Sociodemographic and other lifestyle characteristics were also obtained. The associations between the adherence to MD and Na and K excretion were calculated by logistic regression, adjusting for confounding variables. From the 109 selected participants, seven were excluded considering urine screening and completeness criteria, leaving a final sample of 102 subjects (48% male, average age 47 years). Mean sodium and potassium excretion were 3216 mg/day and 2646 mg/day, respectively. Sodium and potassium excretion were significantly higher in men, but no differences were found according to different levels of MD adherence. In logistic regression analysis, sodium, potassium, and sodium-to-potassium ratio urinary excretion tertiles were not associated with MD adherence (low/moderate versus high), even after adjustment for confounding variables. A high adherence to MD was thus not associated with a different level of sodium and potassium intake.Giulia ViroliCarla GonçalvesOlívia PinhoTânia Silva-SantosPatrícia PadrãoPedro MoreiraMDPI AGarticlesaltsodiumpotassiumMediterranean diet24-h urinary excretionNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 4151, p 4151 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	salt sodium potassium Mediterranean diet 24-h urinary excretion Nutrition. Foods and food supply TX341-641
spellingShingle	salt sodium potassium Mediterranean diet 24-h urinary excretion Nutrition. Foods and food supply TX341-641 Giulia Viroli Carla Gonçalves Olívia Pinho Tânia Silva-Santos Patrícia Padrão Pedro Moreira High Adherence to Mediterranean Diet Is Not Associated with an Improved Sodium and Potassium Intake
description	Prevention and control of hypertension and cerebro-cardiovascular diseases are associated with adequate sodium and potassium intake and adherence to a Mediterranean dietary pattern. The aim of this study was to assess the association between adherence to a Mediterranean diet (MD) and the excretion of sodium and potassium as surrogate measures of intake. This is a cross-sectional analysis as part of a larger study (the iMC SALT randomized controlled trial) among workers of a public university. A food frequency questionnaire was used to assess the adherence to MD, using the alternative Mediterranean diet (aMED) score; sodium and potassium excretions were estimated by 24-h urine collections. Sociodemographic and other lifestyle characteristics were also obtained. The associations between the adherence to MD and Na and K excretion were calculated by logistic regression, adjusting for confounding variables. From the 109 selected participants, seven were excluded considering urine screening and completeness criteria, leaving a final sample of 102 subjects (48% male, average age 47 years). Mean sodium and potassium excretion were 3216 mg/day and 2646 mg/day, respectively. Sodium and potassium excretion were significantly higher in men, but no differences were found according to different levels of MD adherence. In logistic regression analysis, sodium, potassium, and sodium-to-potassium ratio urinary excretion tertiles were not associated with MD adherence (low/moderate versus high), even after adjustment for confounding variables. A high adherence to MD was thus not associated with a different level of sodium and potassium intake.
format	article
author	Giulia Viroli Carla Gonçalves Olívia Pinho Tânia Silva-Santos Patrícia Padrão Pedro Moreira
author_facet	Giulia Viroli Carla Gonçalves Olívia Pinho Tânia Silva-Santos Patrícia Padrão Pedro Moreira
author_sort	Giulia Viroli
title	High Adherence to Mediterranean Diet Is Not Associated with an Improved Sodium and Potassium Intake
title_short	High Adherence to Mediterranean Diet Is Not Associated with an Improved Sodium and Potassium Intake
title_full	High Adherence to Mediterranean Diet Is Not Associated with an Improved Sodium and Potassium Intake
title_fullStr	High Adherence to Mediterranean Diet Is Not Associated with an Improved Sodium and Potassium Intake
title_full_unstemmed	High Adherence to Mediterranean Diet Is Not Associated with an Improved Sodium and Potassium Intake
title_sort	high adherence to mediterranean diet is not associated with an improved sodium and potassium intake
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/17f8d52b90a24615883f8f48d63f97a1
work_keys_str_mv	AT giuliaviroli highadherencetomediterraneandietisnotassociatedwithanimprovedsodiumandpotassiumintake AT carlagoncalves highadherencetomediterraneandietisnotassociatedwithanimprovedsodiumandpotassiumintake AT oliviapinho highadherencetomediterraneandietisnotassociatedwithanimprovedsodiumandpotassiumintake AT taniasilvasantos highadherencetomediterraneandietisnotassociatedwithanimprovedsodiumandpotassiumintake AT patriciapadrao highadherencetomediterraneandietisnotassociatedwithanimprovedsodiumandpotassiumintake AT pedromoreira highadherencetomediterraneandietisnotassociatedwithanimprovedsodiumandpotassiumintake
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High Adherence to Mediterranean Diet Is Not Associated with an Improved Sodium and Potassium Intake

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