RESUMEN
The 2010 Dietary Guidelines recommended that Americans increase potassium and decrease sodium intakes to reduce the burden of hypertension. One reason why so few Americans meet the recommended potassium or sodium goals may be perceived or actual food costs. This study explored the monetary costs associated with potassium and sodium intakes using national food prices and a representative sample of US adults. Dietary intake data from the 2001-2002 National Health and Nutrition Examination Survey were merged with a national food prices database. In a population of 4744 adults, the association between the energy-adjusted sodium and potassium intakes, and the sodium-to-potassium ratio (Na:K) and energy-adjusted diet cost was evaluated. Diets that were more potassium-rich or had lower Na:K ratios were associated with higher diet costs, while sodium intakes were not related to cost. The difference in diet cost between extreme quintiles of potassium intakes was $1.49 (95% confidence interval: 1.29, 1.69). A food-level analysis showed that beans, potatoes, coffee, milk, bananas, citrus juices and carrots are frequently consumed and low-cost sources of potassium. Based on existing dietary data and current American eating habits, a potassium-dense diet was associated with higher diet costs, while sodium was not. Price interventions may be an effective approach to improve potassium intakes and reduce the Na:K ratio of the diet. The present methods helped identify some alternative low-cost foods that were effective in increasing potassium intakes. The identification and promotion of lower-cost foods to help individuals meet targeted dietary recommendations could accompany future dietary guidelines.
Asunto(s)
Alimentos/economía , Hipertensión/prevención & control , Potasio en la Dieta/administración & dosificación , Potasio en la Dieta/economía , Ingesta Diaria Recomendada/economía , Factores Socioeconómicos , Sodio en la Dieta/administración & dosificación , Sodio en la Dieta/economía , Adulto , Anciano , Presión Sanguínea , Conducta Alimentaria , Femenino , Alimentos/efectos adversos , Conductas Relacionadas con la Salud , Promoción de la Salud/economía , Humanos , Hipertensión/diagnóstico , Hipertensión/epidemiología , Hipertensión/fisiopatología , Masculino , Persona de Mediana Edad , Encuestas Nutricionales , Potasio en la Dieta/efectos adversos , Conducta de Reducción del Riesgo , Sodio en la Dieta/efectos adversos , Estados Unidos/epidemiología , Adulto JovenRESUMEN
OBJECTIVE: All previous studies on monetary diet cost have examined the relationship of monetary cost of self-reported diet to self-reported, rather than biomarker-based, estimates of dietary intake. The present cross-sectional study examined the association between monetary costs of self-reported diet and biomarker-based estimates of nutrient intake. DESIGN: Monetary diet cost (Japanese yen/1000 kJ) was calculated based on dietary intake information from a self-administered, comprehensive diet history questionnaire using retail food prices. Biomarker-based estimates of nutrient intake (percentage of energy for protein and mg/1000 kJ for K and Na) were estimated based on 24 h urinary excretion and estimated energy expenditure. SETTING: A total of fifteen universities and colleges in Japan. SUBJECTS: A total of 1046 female Japanese dietetic students aged 18-22 years. RESULTS: Total monetary diet cost showed a significant positive association with biomarker-based estimates of protein, K and Na. Vegetables and fish were not only the main contributors to total monetary diet cost (16.4 % and 15.5 %, respectively) but also were relatively strongly correlated with total monetary diet cost (Pearson's correlation coefficient: 0.70 and 0.68, respectively). Monetary cost of vegetables was significantly positively associated with all three nutrients, while that of fish showed a significant and positive association only with protein. CONCLUSIONS: Total monetary cost of self-reported diet was positively associated with biomarker-based estimates of protein, K and Na intake in young Japanese women, and appeared mainly to be explained by the monetary costs of vegetables and fish.