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Open AccessArticle

Sources of Dietary Salt in North and South India Estimated from 24 Hour Dietary Recall

The George Institute for Global Health, The University of New South Wales, Sydney, NSW 2006, Australia
The George Institute for Global Health, Hyderabad, Telangana 500034, India
Public Health Foundation of India, New Delhi, Delhi 110017, India
Centre for Chronic Disease Control, New Delhi, Delhi 110017, India
Charles Perkins Centre, University of Sydney, Sydney, NSW 2006, Australia
School of Public Health, Faculty of Medicine, Imperial College London, Kensington, London SW7 2AZ, UK
Royal Prince Alfred Hospital, Sydney, NSW 2050, Australia
Author to whom correspondence should be addressed.
Nutrients 2019, 11(2), 318;
Received: 11 January 2019 / Revised: 25 January 2019 / Accepted: 27 January 2019 / Published: 1 February 2019
(This article belongs to the Special Issue Advances in Dietary Sodium Research to Improve Human Health)
Recent data on salt intake levels in India show consumption is around 11 g per day, higher than the World Health Organization’s (WHO) recommended intake of 5 g per day. However, high-quality data on sources of salt in diets to inform a salt reduction strategy are mostly absent. A cross-sectional survey of 1283 participants was undertaken in rural, urban, and slum areas in North (n = 526) and South (n = 757) India using an age-, area-, and sex-stratified sampling strategy. Data from two 24-h dietary recall surveys were transcribed into a purpose-built nutrient database. Weighted salt intake was estimated from the average of the two recall surveys, and major contributors to salt intake were identified. Added salt contributed the most to total salt intake, with proportions of 87.7% in South India and 83.5% in North India (p < 0.001). The main food sources of salt in the south were from meat, poultry, and eggs (6.3%), followed by dairy and dairy products (2.6%), and fish and seafood (1.6%). In the north, the main sources were dairy and dairy products (6.4%), followed by bread and bakery products (3.3%), and fruits and vegetables (2.1%). Salt intake in India is high, and this research confirms it comes mainly from added salt. Urgent action is needed to implement a program to achieve the WHO salt reduction target of a 30% reduction by 2025. The data here suggest the focus needs to be on changing consumer behavior combined with low sodium, salt substitution. View Full-Text
Keywords: salt; sodium; dietary recall; nutrition; public health; cardiovascular disease salt; sodium; dietary recall; nutrition; public health; cardiovascular disease
MDPI and ACS Style

Johnson, C.; Santos, J.A.; Sparks, E.; Raj, T.S.; Mohan, S.; Garg, V.; Rogers, K.; Maulik, P.K.; Prabhakaran, D.; Neal, B.; Webster, J. Sources of Dietary Salt in North and South India Estimated from 24 Hour Dietary Recall. Nutrients 2019, 11, 318.

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