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      광주지역 성인의 나트륨 배설량과 비만의 관계 = Association between Sodium Excretion and Obesity of Adults in Gwangju

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      https://www.riss.kr/link?id=A105152190

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      Purpose: The aim of this study was to analyze the association between sodium excretion and obesity for healthy adults in the Gwangju area.
      Methods: The participants included 80 healthy adults aged 19 to 69 years in Gwangju.
      The dietary intake and sodium excretion were obtained using the 24-hour recall method and 24 hour urine collection. The participants were classified into two groups according to the amount of urinary sodium excretion: (≤ 141.75 mmol/dL, > 141.75 mmol/dL).
      Results: After adjusting for sex, age, smoking history, and income, the high excretion of sodium group was significantly higher for weight, body mass index, body fat mass, percent body fat, visceral fat area (VFA), waist circumference, hip circumference, and WHR. The energy and nutrients intake were significant after adjusting for sex, age, smoking history, and income. The LSE group had a significantly higher fat intake and Na/K intake ratio. The HSE group had significantly higher fiber intake, and K intake.
      As the amount of urinary sodium excretion increased, the risk of obesity before correction was 3.57 (95% CI: 1.13-11.25) times greater, and the risk of obesity of T3 increased significantly by 3.33 times (95% CI: 1.05-10.59). After correcting for sex and age, the obesity risk of T2 increased significantly by 4.23 times (95% CI: 1.11-16.06), and after correcting for sex, age, smoking history, and income, the obesity risk of T2 increased significantly by 6.81 times (95% CI: 1.44-32.19) the risk of obesity.
      Conclusions: An association exists between sodium excretion and obesity in Korean adults. In this study, the high excretion of sodium group was obese and the risk of obesity was higher than the low excretion of sodium group.
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      Purpose: The aim of this study was to analyze the association between sodium excretion and obesity for healthy adults in the Gwangju area. Methods: The participants included 80 healthy adults aged 19 to 69 years in Gwangju. The dietary intake and sodi...

      Purpose: The aim of this study was to analyze the association between sodium excretion and obesity for healthy adults in the Gwangju area.
      Methods: The participants included 80 healthy adults aged 19 to 69 years in Gwangju.
      The dietary intake and sodium excretion were obtained using the 24-hour recall method and 24 hour urine collection. The participants were classified into two groups according to the amount of urinary sodium excretion: (≤ 141.75 mmol/dL, > 141.75 mmol/dL).
      Results: After adjusting for sex, age, smoking history, and income, the high excretion of sodium group was significantly higher for weight, body mass index, body fat mass, percent body fat, visceral fat area (VFA), waist circumference, hip circumference, and WHR. The energy and nutrients intake were significant after adjusting for sex, age, smoking history, and income. The LSE group had a significantly higher fat intake and Na/K intake ratio. The HSE group had significantly higher fiber intake, and K intake.
      As the amount of urinary sodium excretion increased, the risk of obesity before correction was 3.57 (95% CI: 1.13-11.25) times greater, and the risk of obesity of T3 increased significantly by 3.33 times (95% CI: 1.05-10.59). After correcting for sex and age, the obesity risk of T2 increased significantly by 4.23 times (95% CI: 1.11-16.06), and after correcting for sex, age, smoking history, and income, the obesity risk of T2 increased significantly by 6.81 times (95% CI: 1.44-32.19) the risk of obesity.
      Conclusions: An association exists between sodium excretion and obesity in Korean adults. In this study, the high excretion of sodium group was obese and the risk of obesity was higher than the low excretion of sodium group.

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      참고문헌 (Reference)

      1 박양희, "한국인의 성별, 연령별, 지역별 나트륨과 칼륨 섭취 현황 및 기여음식 : 2010-2012년 국민건강영양조사 분석" 대한지역사회영양학회 21 (21): 558-573, 2016

      2 김명관, "한국 중년 직장인의 나트륨 과다섭취 특성과 영향요인" 한국산학기술학회 15 (15): 2923-2929, 2014

      3 강진순, "중년기 비만여성에 대한 영양교육 프로그램의 효과 평가에 관한 연구" 한국식품영양학회 17 (17): 356-367, 2004

      4 윤진숙, "성인 여성의 나트륨 섭취수준과 칼슘 영양상태 및 골밀도" 대한지역사회영양학회 18 (18): 125-133, 2013

      5 오현우, "비만인과 정상인에서 24시간 소변 내 나트륨 배출량과 비만관련 대사위험지표의 관련성" 대한지역사회영양학회 20 (20): 460-467, 2015

      6 임화재, "부산지역 일부 성인들의 나트륨, 칼륨의 섭취 및 소변중 배설실태에 관한 연구" 대한지역사회영양학회 17 (17): 737-751, 2012

      7 박정아, "대구지역 주부들의 비만정도에 따른 식행동 특성과 영양섭취 실태 평가" 대한지역사회영양학회 10 (10): 623-632, 2005

      8 김미경, "농촌 지역의 중년이후 성인의 염분 민감도에 따른 짠 음식 섭취 관련 식행동" 한국영양학회 44 (44): 537-550, 2011

      9 이미숙, "농촌 노인의 맛 감지능 및 맛 기호도와 짠음식 기호도" 대한지역사회영양학회 18 (18): 223-232, 2013

      10 Hida K, "Visceral adipose tissue-derived serine protease inhibitor: a unique insulin-sensitizing adipocytokine in obesity" 102 (102): 10610-10615, 2005

      1 박양희, "한국인의 성별, 연령별, 지역별 나트륨과 칼륨 섭취 현황 및 기여음식 : 2010-2012년 국민건강영양조사 분석" 대한지역사회영양학회 21 (21): 558-573, 2016

      2 김명관, "한국 중년 직장인의 나트륨 과다섭취 특성과 영향요인" 한국산학기술학회 15 (15): 2923-2929, 2014

      3 강진순, "중년기 비만여성에 대한 영양교육 프로그램의 효과 평가에 관한 연구" 한국식품영양학회 17 (17): 356-367, 2004

      4 윤진숙, "성인 여성의 나트륨 섭취수준과 칼슘 영양상태 및 골밀도" 대한지역사회영양학회 18 (18): 125-133, 2013

      5 오현우, "비만인과 정상인에서 24시간 소변 내 나트륨 배출량과 비만관련 대사위험지표의 관련성" 대한지역사회영양학회 20 (20): 460-467, 2015

      6 임화재, "부산지역 일부 성인들의 나트륨, 칼륨의 섭취 및 소변중 배설실태에 관한 연구" 대한지역사회영양학회 17 (17): 737-751, 2012

      7 박정아, "대구지역 주부들의 비만정도에 따른 식행동 특성과 영양섭취 실태 평가" 대한지역사회영양학회 10 (10): 623-632, 2005

      8 김미경, "농촌 지역의 중년이후 성인의 염분 민감도에 따른 짠 음식 섭취 관련 식행동" 한국영양학회 44 (44): 537-550, 2011

      9 이미숙, "농촌 노인의 맛 감지능 및 맛 기호도와 짠음식 기호도" 대한지역사회영양학회 18 (18): 223-232, 2013

      10 Hida K, "Visceral adipose tissue-derived serine protease inhibitor: a unique insulin-sensitizing adipocytokine in obesity" 102 (102): 10610-10615, 2005

      11 Kirkendall WM, "The effect of dietary sodium chloride on blood pressure, body fluids, electrolytes, renal function, and serum lipids of normotensive man" 87 (87): 411-434, 1976

      12 Cocores JA, "The Salted Food Addiction Hypothesis may explain overeating and the obesity epidemic" 73 (73): 892-899, 2009

      13 Stevens JC, "Taste sensitivity and aging: high incidence of decline revealed by repeated threshold measures" 20 (20): 451-459, 1995

      14 Gibson S, "Sugar intake, soft drink consumption and body weight among British children: further analysis of National Diet and Nutrition Survey data with adjustment for underreporting and physical activity" 58 (58): 445-460, 2007

      15 Espeland MA, "Statistical issues in analyzing 24-hour dietary recall and 24-hour urine collection data for sodium and potassium intakes" 153 (153): 996-1006, 2001

      16 Kim HJ, "Sodium intake status in Korea and plan for improvement of sodium intake estimation in the Korea National Health and Nutrition Examination Survey (KNHANES)" 7 (7): 425-430, 2014

      17 Nagata C, "Sodium intake and risk of death from stroke in Japanese men and women" 35 (35): 1543-1547, 2004

      18 Yoon YS, "Sodium density and obesity: the Korea National Health and Nutrition Examination Survey 2007-2010" 67 (67): 141-146, 2013

      19 Clark AJ, "Sodium and potassium intake measurements: dietary methodology problems" 43 (43): 470-476, 1986

      20 Tsugane S, "Salt, salted food intake, and risk of gastric cancer: Epidemiologic evidence" 96 (96): 1-6, 2005

      21 He FJ, "Salt intake is related to soft drink consumption in children and adolescents: a link to obesity?" 51 (51): 629-634, 2008

      22 He FJ, "Salt intake is related to soft drink consumption in children and adolescents a link to obesity?" 51 (51): 629-634, 2008

      23 Hoffmann IS, "Salt and the metabolic syndrome" 19 (19): 123-128, 2009

      24 Roos JC, "Renal sodium handling in normal humans subjected to low, normal, and extremely high sodium supplies" 249 (249): F941-F947, 1985

      25 Kunitomi M, "Relationship between reduced serum IGF-I levels and accumulation of visceral fat in Japanese men" 26 (26): 361-369, 2002

      26 "Prevalence of obesity [Internet]" Ministry of Health & Welfare

      27 Park HS, "Prevalence and associated factors with metabolic syndrome in South Korea: from the Korean National Health and Nutrition Examination Survey, 1998" 12 (12): 1-14, 2003

      28 Flachs P, "Polyunsaturated fatty acids of marine origin induce adiponectin in mice fed a high-fat diet" 49 (49): 394-397, 2006

      29 Blackburn GL, "Nutritional and metabolic assessment of the hospitalized patient" 1 (1): 11-21, 1977

      30 Seo JS, "Nutritional Assessment" Powerbook 101-135, 2011

      31 Choi HM, "Nutrition" Kyomunsa 316-317, 2012

      32 Lew EA, "Mortality and weight: insured lives and the American Cancer Society studies" 80 (80): 1-19, 1985

      33 Ma Y, "High salt intake independent risk factor for obesity?" 66 (66): 843-849, 2015

      34 de Wardener HE, "Harmful effects of dietary salt in addition to hypertension" 16 (16): 213-223, 2002

      35 WHO, "Fact sheets in obesity [Internet]" WHO

      36 Simon G, "Experimental evidence for blood pressure-independent vascular effects of high sodium diet" 16 (16): 1074-1078, 2003

      37 Itoh R, "Dietary sodium, an independent determinant for urinary deoxypyridinoline in elderly women. A cross-sectional study on the effect of dietary factors on deoxypyridinoline excretion in 24-h urine specimens from 763 free-living healthy Japanese" 53 (53): 886-890, 1999

      38 Song HJ, "Dietary sodium intake and prevalence of overweight in adults" 62 (62): 703-708, 2013

      39 Grimes CA, "Dietary salt intake, sugar-sweetened beverage consumption, and obesity risk" 131 (131): 14-21, 2013

      40 Libuda L, "Consumption of dietary salt measured by urinary sodium excretion and its association with body weight status in healthy children and adolescents" 15 (15): 433-441, 2012

      41 Park NY, "Association of smoking with salt taste preference, sodium intake, and the risk of metabolic syndrome in Korean men: a community-based longitudinal study (2001-2010)" Chungbuk National University 2015

      42 Nam GE, "Association between 24-hour urinary sodium excretion and obesity in Korean adults: a multi-center study" 41 : 113-119, 2017

      43 Bailey RL, "Assessing the effect of underreporting energy intake on dietary patterns and weight status" 107 (107): 64-71, 2007

      44 Nordin S, "Age-associated increases in intensity discrimination for taste" 29 (29): 371-381, 2003

      45 Tanaka T, "A simple method to estimate populational 24 hour urinary sodium and potassium excretion using a casual urine specimen" 16 (16): 97-103, 2002

      46 김현희, "24시간 소변분석을 통한 직장인의 나트륨 섭취 추정량 및 관련 변수와의 상관성 분석" 한국영양학회 46 (46): 26-33, 2013

      47 Larsen SC, "24h urinary sodium excretion and subsequent change in weight, waist circumference and body composition" 8 (8): e69689-, 2013

      48 천세영, "2010년~2014년 국민건강영양조사 자료를 이용한 성인의 나트륨 섭취와 비만과의 관련성" 한국영양학회 50 (50): 64-73, 2017

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