Next Article in Journal
Short Chain Fatty Acids in the Colon and Peripheral Tissues: A Focus on Butyrate, Colon Cancer, Obesity and Insulin Resistance
Next Article in Special Issue
The Sodium and Potassium Content of the Most Commonly Available Street Foods in Tajikistan and Kyrgyzstan in the Context of the FEEDCities Project
Previous Article in Journal
Live Faecalibacterium prausnitzii Does Not Enhance Epithelial Barrier Integrity in an Apical Anaerobic Co-Culture Model of the Large Intestine
Previous Article in Special Issue
Evaluation of a Mass-Media Campaign to Increase the Awareness of the Need to Reduce Discretionary Salt Use in the South African Population
Article Menu
Issue 12 (December) cover image

Export Article

Open AccessArticle
Nutrients 2017, 9(12), 1350; https://doi.org/10.3390/nu9121350

Assessment of a Salt Reduction Intervention on Adult Population Salt Intake in Fiji

1
Pacific Research Centre for the Prevention of Obesity and Noncommunicable Diseases (C-POND), Fiji National University, Nasinu, Suva, Fiji
2
The George Institute for Global Health, University of New South Wales, Sydney NSW 2052, Australia
3
Independent Nutrition Consultant, Suva, Fiji
4
Global Obesity Centre, Deakin University, Geelong VIC 3220, Australia
5
Deakin Health Economics, Centre for Population Health Research, Faculty of Health, Deakin University, Burwood VIC 3125, Australia
6
School of Medicine, University of Western Sydney, Campbell town, Sydney 2560, Australia
7
School of Public Health, University of Sydney, Sydney 2006, Australia
*
Author to whom correspondence should be addressed.
Received: 6 October 2017 / Revised: 15 November 2017 / Accepted: 7 December 2017 / Published: 12 December 2017
(This article belongs to the Special Issue Reducing Dietary Sodium and Improving Human Health)
View Full-Text   |   Download PDF [249 KB, uploaded 12 December 2017]

Abstract

Reducing population salt intake is a global public health priority due to the potential to save lives and reduce the burden on the healthcare system through decreased blood pressure. This implementation science research project set out to measure salt consumption patterns and to assess the impact of a complex, multi-faceted intervention to reduce population salt intake in Fiji between 2012 and 2016. The intervention combined initiatives to engage food businesses to reduce salt in foods and meals with targeted consumer behavior change programs. There were 169 participants at baseline (response rate 28.2%) and 272 at 20 months (response rate 22.4%). The mean salt intake from 24-h urine samples was estimated to be 11.7 grams per day (g/d) at baseline and 10.3 g/d after 20 months (difference: −1.4 g/day, 95% CI −3.1 to 0.3, p = 0.115). Sub-analysis showed a statistically significant reduction in female salt intake in the Central Division but no differential impact in relation to age or ethnicity. Whilst the low response rate means it is not possible to draw firm conclusions about these changes, the population salt intake in Fiji, at 10.3 g/day, is still twice the World Health Organization’s (WHO) recommended maximum intake. This project also assessed iodine intake levels in women of child-bearing age and found that they were within recommended guidelines. Existing policies and programs to reduce salt intake and prevent iodine deficiency need to be maintained or strengthened. Monitoring to assess changes in salt intake and to ensure that iodine levels remain adequate should be built into future surveys. View Full-Text
Keywords: population sodium intake; salt reduction; nutrition intervention; Pacific Islands; behavior change; health policy; salt targets; blood pressure; hypertension population sodium intake; salt reduction; nutrition intervention; Pacific Islands; behavior change; health policy; salt targets; blood pressure; hypertension
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Pillay, A.; Trieu, K.; Santos, J.A.; Sukhu, A.; Schultz, J.; Wate, J.; Bell, C.; Moodie, M.; Snowdon, W.; Ma, G.; Rogers, K.; Webster, J. Assessment of a Salt Reduction Intervention on Adult Population Salt Intake in Fiji. Nutrients 2017, 9, 1350.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Nutrients EISSN 2072-6643 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top