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Open AccessArticle

Sodium and Potassium Intakes and Cardiovascular Risk Profiles in Childhood Cancer Survivors: The SCCSS-Nutrition Study

1
Institute of Social and Preventive Medicine (ISPM), University of Bern, 3012 Bern, Switzerland
2
Center for Primary Care and Public Health (Unisanté), University of Lausanne, 1010 Lausanne, Switzerland
3
University Children’s Hospital Basel (UKBB), 4056 Basel, Switzerland
4
Pediatric Oncology, Children’s University Hospital of Bern, University of Bern, 3010 Bern, Switzerland
5
Division and Department of Primary Care Medicine, Geneva University Hospital HUG, 1205 Geneva, Switzerland
6
Pediatric Hematology-Oncology unit, Lausanne University Hospital CHUV, 1011 Lausanne, Switzerland
7
Pediatrics Onco-Hematology Unit, Geneva University Hospital HUG, 1205 Geneva, Switzerland
8
Cansearch Research laboratory, 1205, Geneva Medical School, 1205 Geneva, Switzerland
*
Author to whom correspondence should be addressed.
Nutrients 2020, 12(1), 57; https://doi.org/10.3390/nu12010057
Received: 15 October 2019 / Revised: 12 December 2019 / Accepted: 17 December 2019 / Published: 24 December 2019
(This article belongs to the Special Issue Important Aspects of Nutrition in Children with Cancer)
Risk of cardiovascular disease (CVD), common in childhood cancer survivors (CCSs), may be affected by diet. We assessed sodium (Na) and potassium (K) intake, estimated from food frequency questionnaires (FFQs) and morning urine spots, and its associations with cardiovascular risk in CCSs. We stratified CCSs into three risk profiles based on (A) personal history (CVD, CVD risk factors, or CVD risk-free), (B) body mass index (obese, overweight, or normal/underweight), and (C) cardiotoxic treatment (anthracyclines and/or chest irradiation, or neither). We obtained an FFQ from 802 and sent a spot urine sample collection kit to 212, of which 111 (52%) returned. We estimated Na intake 2.9 g/day based on spot urine and 2.8 g/day based on FFQ; the estimated K intake was 1.6 g/day (spot urine) and 2.7 g/day (FFQ). CCSs with CVD risk factors had a slightly higher Na intake (3.3 g/day), than CCSs risk free (2.9 g/day) or with CVD (2.7 g/day, p = 0.017), and obese participants had higher Na intake (4.2 g/day) than normal/underweight CCSs (2.7 g/day, p < 0.001). Daily Na intake was above, and daily K intake below, the national recommended levels. Adult survivors of childhood cancer need dietary assistance to reduce Na and increase K intake. View Full-Text
Keywords: sodium; potassium; nutrition; diet; urine spot; food frequency questionnaire; cardiovascular disease; childhood cancer survivors; Swiss Childhood Cancer Registry; Europe sodium; potassium; nutrition; diet; urine spot; food frequency questionnaire; cardiovascular disease; childhood cancer survivors; Swiss Childhood Cancer Registry; Europe
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MDPI and ACS Style

Belle, F.N.; Schindera, C.; Guessous, I.; Beck Popovic, M.; Ansari, M.; Kuehni, C.E.; Bochud, M. Sodium and Potassium Intakes and Cardiovascular Risk Profiles in Childhood Cancer Survivors: The SCCSS-Nutrition Study. Nutrients 2020, 12, 57. https://doi.org/10.3390/nu12010057

AMA Style

Belle FN, Schindera C, Guessous I, Beck Popovic M, Ansari M, Kuehni CE, Bochud M. Sodium and Potassium Intakes and Cardiovascular Risk Profiles in Childhood Cancer Survivors: The SCCSS-Nutrition Study. Nutrients. 2020; 12(1):57. https://doi.org/10.3390/nu12010057

Chicago/Turabian Style

Belle, Fabiën N.; Schindera, Christina; Guessous, Idris; Beck Popovic, Maja; Ansari, Marc; Kuehni, Claudia E.; Bochud, Murielle. 2020. "Sodium and Potassium Intakes and Cardiovascular Risk Profiles in Childhood Cancer Survivors: The SCCSS-Nutrition Study" Nutrients 12, no. 1: 57. https://doi.org/10.3390/nu12010057

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