Relation Dietary and Urinary Na, K, and Ca Level to Blood Pressure in Elderly People in Rural Area

일부 농촌지역 노인들의 식이성 Na, K, Ca 섭취량 및 소변배설량 및 혈압과의 상관성

  • 곽은희 (안동대학교 생활과학대학 식품영양학과) ;
  • 이수림 (안동대학교 생활과학대학 식품영양학과) ;
  • 이혜상 (안동대학교 생활과학대학 식품영양학과) ;
  • 권인숙 (안동대학교 생활과학대학 식품영양학과)
  • Published : 2003.01.01

Abstract

It has been considered that high Na intake, and low Ca/K intake are related to the incidence of hypertension. In this preliminary study, dietary Na, K, and Ca intake and their urinary excretion in rural area in Kyungpook province were measured to recognize the relationship between those blood pressure-related minerals and blood pressure regulation in elderly people in rural area of South Korea. Sixty eight subjects (male 39, female 29) aged over 60 were randomly selected in rural area in South Korea. Blood pressure and soup saltness were measured, and dietary intake using 24 hours recall and urinary excretion of Na, K and Ca were measured. Depending on the blood pressure level, the data were analyzed using non-parametric ANOVA of Kruskal Wallis analysis on the basis of categorizing of one of four blood pressure groups, such as normal, high normal, hypertension I and hypertension II. Mean systolic (124.2$\pm$15.1 mmHg) and diastolic (79.0$\pm$10.2 mmHg) blood pressures were within the normal range. Soup saltiness and systolic pressure was positively correlated (p < 0.05). Even without statistical significance, dietary Na intake was higher in the upper systolic blood pressure groups then in the lower ones, which suggested higher Na intake caused the increase of blood pressure. No consistency was shown between the urinary concentration of Na, K, Ca level and blood pressure level, respectively. From the results of this study, it is assumed that high Na intake might be related to the incidence of hypertension. Further study with large sample size is needed to supplement the limitation of this preliminary study. (Korean J Nutrition 36 (1) : 75-82, 2003)

Keywords

References

  1. Korean J Community Nutrition v.4 Characteristics of eating behaviors of the lon-lived elderly people in Kyungpook Sung-Ju Kim JH;Koo BK;Kim KJ;Baek JW;Lww YK;Lee SK;Lee HS.
  2. Korean Health and Nutrition Survey Disease incidence pattern and health and nutrition survey in South Korea Kim JS;Paik(et al)(ed.)
  3. 1999 Annual Report for Death Causes Korean National Statistical Office
  4. J Nutr v.125 The evaluation of the scientific evidence for a relationship between calcium and hypertension Hamet P.
  5. Korean J Nutrition v.32 no.1 Dietary risk factor of hypertension in the elderly Moon HK;Joung HJ.
  6. Am J Clin Nutr v.65 no.suppl Effect of dietary sodium restriction in overall nutrient intake Cynthia DM.
  7. Nutrition Choi HM(et al)
  8. National Nutrition v.10 Know about salt! (Why the Koreans have to reduce the salt intake?) Huh KY.
  9. Am J Clin Nutr v.65 no.suppl Sodium intake trends and food choice Engstron A;Tobelmann RC;Albertson AM.
  10. Korean J Nutrition v.30 no.6 Sodium intake & exretion of preschool children in urban Kim SK;Kim HJ.
  11. Naunyn-Schmiedeberg's Arch Pharmacol v.346 Three levels of dietary calcium-effects on blood pressure and electrolyte balance in spontaneously hypertensive rats Wuorela H;Po rsti I;Arbola P;Ma Kynen H;Vapuatalo H.
  12. Master thesis, Ewha Women's University Housekeeper's awareness for salt intake in Seoul Moon BH.
  13. Br J Nutr v.84 Nutritional factors in stroke Gariballa SE. https://doi.org/10.1017/S0007114500001173
  14. Hypertension v.7 Sodium is more important than calcium in essential hypertension McGregor GA. https://doi.org/10.1161/01.HYP.7.4.628
  15. J Clin Invest v.76 Blood pressure development of the spontaneously hypertention rat after concurrent manipurations of dietary $Ca^{2+}$ and TEX>$Na^{+}$ McCarron DA;Lucas PA;Shneidman RT;Lacour B;Drueke T. https://doi.org/10.1172/JCI112070
  16. J Lab Clin Med v.119 Modification of platelet and lymphocyte calcium handling and blood pressure by dietary sodium and calcium in genetically hypertension rats Oshima T;Young EW;Hermsmeyer K;McCarron DA.
  17. J Cli Invest v.73 Calcium and sodium transport and vitamin D metabolism in the spontaneously hypertension rat Schedal HP;Miller DL;Pape JM;Horst RL;Wilson HD. https://doi.org/10.1172/JCI111323
  18. Korean Health and Nurtrition Survey National Health Screening Survey Lee SY;Paik HY(et al)(ed.)
  19. Computer Aided Nutritional Analysis Progrom (CAN) Korean Nutrition Society
  20. 5th Food Composition Table National Rural Living Science Institute
  21. Korean Food Composition Table Korean Food and Drug Association
  22. Korean Food Composition Database Report Ministry of Health and Welfare
  23. Recommended Dietary Allowances for Koreans(7th revision) Korean Nutrition Society
  24. J Korean Soc Food Nutr v.28 no.6 Nutritional status and related factor of elderly residing in Puchon City Son SM;Lee YN
  25. J Korean Soc Food Nutr v.26 no.1 Study on sodium intake and preference for salty taste in college women Choi BS;Kim EJ;Park YS.
  26. Korean J Nutrition v.16 no.1 A study on optimal gustation of salt in hypertensive patients in Korea Chang SK;Kim YS;Lee SD.
  27. Korean J Nutrition v.30 no.2 Renin activity, habitual Ca, Na intake and hormonal effect on hypertension Yoon JS;Park JA;Kim YN.
  28. J Korean Soc Food Sci Nutr v.25 no.6 A study on correlation between blood pressure and Na, K Intakes pattern in the family members of normal and hypertension patients Choe M;Kim JD;Kim SS.
  29. J Korean Soc Food Sci Nutr v.28 no.4 Effect of family type on the nutrient intake and nutritional status in elderly women Lee HK;Chang MJ.
  30. Am J Clin Nutr v.23 no.7 Creatinine excretion as index for estimation urinary excretion of micro-nutritients or their metabolic and preducts Pollack H.