减盐干预后山东省胶东地区居民食盐摄入量及其与血压相关性的研究  

Study on the salt intake of Jiaodong residents after the salt reduction intervention program and its correlation with blood pressure

作　　者：王洪涛 张丙银 赵旭明 王茂波[3] 王文杰 张利泉[5] 郭晓雷[2] 张吉玉[2] 陈远银[3] Wang Hongtao;Zhang Bingyin;Zhao Xuming;Wang Maobo;Wang Wenjie;Zhang Liquan;Guo Xiaolei;Zhang Jiyu;Chen Yuanyin(Yantai City Direct Hospital,Yantai 264000,China;Department for Chronic and Non-communicable Diseases Control and Prevention,Shandong Center for Disease Control and Prevention,Jinan 250014,China;Yantai Center for Disease Control and Prevention,Yantai 264000,China;Yantai City Fushan District Center for Disease Control and Prevention,Yantai 265500,China;Penglai Center for Disease Control and Prevention,Yantai 265600,China)

机构地区：[1]烟台市市直机关医院,264000 [2]山东省疾病预防控制中心慢性非传染性疾病防制所,济南250014 [3]烟台市疾病预防控制中心,264000 [4]烟台市福山区疾病预防控制中心,265500 [5]烟台市蓬莱市疾病预防控制中心,265600

出　　处：《中华预防医学杂志》2020年第10期1141-1145,共5页Chinese Journal of Preventive Medicine

基　　金：泰山学者工程专项经费资助(ts201511105)。

摘　　要：2016年,山东省胶东地区居民24 h尿钠、钠钾比、人均钠盐摄入 M( P25, P75)分别为161.7(120.5,218.9)mmol/d、3.4(2.4,5.0)、9.5(7.1,12.8)g/d,均低于2011年[24 h尿钠、钠钾比、人均钠盐摄入 M( P25, P75)分别为193.3(149.2,243.3)mmol/d、4.5(3.3,5.9)、11.3(8.7,14.2)g/d]( P值均<0.05);24 h尿钾 M( P25, P75)为47.2(34.4,66.5)mmol/d,高于2011年[24 h尿钾 M( P25, P75)为42.9(33.6,56.0)]( P<0.05);每人每天食盐摄入量超过5 g的比例[89.9%(160/178)]低于2011年[90.0%(180/200)]。广义线性回归模型分析结果显示,24 h尿钠与收缩压和舒张压均呈正相关[β(95% CI)值分别为0.04(0.00,0.07)、0.03(0.01,0.05)],尿钠钾比与舒张压呈正相关[β(95% CI)值为0.78(0.09,1.47)]。In 2016,the median of 24-hour urinary sodium,sodium-to-potassium ratio,and sodium intake per capita of residents in Jiaodong area of Shandong Province were 161.7(IQR:120.5,218.9)mmol/d,3.4(IQR:2.4,5.0)and 9.5(IQR:7.1,12.8)g/d,all were lower than that of 2011[193.3(IQR:149.2,243.3)mmol/d,4.5(IQR:3.3,5.9),11.3(IQR:8.7,14.2)g/d](P<0.05);the median of 24-hour urinary potassium was 47.2(IQR:34.4,66.5)mmol/d,higher than that of 2011[42.9(IQR:33.6,56.0)](P<0.05);the proportion of salt intake per capita per day exceeding 5 g(89.9%)was lower than that in 2011(90.0%).The results of the generalized linear regression model showed that the 24-hour urinary sodium was positively correlated with systolic and diastolic blood pressure[βvalues were 0.04(95%CI:0.00,0.07),0.03(95%CI 0.01,0.05),respectively],and the sodium-to-potassium ratio was positively correlated with diastolic blood pressure[β(95%CI):0.78(0.09,1.47)].

关 键 词：氯化钠 膳食 钠 尿 血压 减盐 

分 类 号：R544.1[医药卫生—心血管疾病]