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3.0%, and the maximum level of normally In most developed countries, a reduction
salted products for the others; and (5) in salt intake can be achieved by a gradual
assuming that in addition to the heavily and sustained reduction in the amount of
salted choices of the regulated foods, salt salt added to foods by the food industry
used in cooking would be 50% higher (He, Markandu, and Sagnella, 2006).
than in the average recipes.
Sodium intake also depends on
B. PRACTICES IN SODIUM
source of sodium, which is consumed
CONSUMPTION
because different place has different
source of sodium. As previous study,
people in western countries prefer to Sodium intake is influenced by
consume high sodium-food from patient’s age. Previous study had been
processed food or food outside-their released that younger people consumed
home meanwhile Asian people favor to more salty foods, come up from sodium
add sodium when they cook. This in urinary sodium excretion (Wicaksana,
situation is influenced by culture and 2017). Kamran et al. (2014) identified
available natural resources (Anderson that middle-aged patient (30–40 year-old)
2010; Batcagan-Abueg, 2013; J. Chen consumed high sodium intake and had
2013; Elliott and Brown, 2007; Hin and significant difference compared with
Khor, 2011; Papadakis, 2010). Although other sub-ages. Younger people mostly
foods from grocery stores contribute the eat any kind of foods and no have
majority of sodium intake, foods from good control on their diet. It will be
fast-food/pizza restaurants continue to different on old people who have
contribute higher amounts of sodium per consideration to control their sodium
calorie, and contribute higher proportions because they have awareness related their
of total sodium intake among high health condition (Hin and Khor, 2011;
school–aged versus younger children Kamran et al., 2014; Nerbass et al., 2014)
(Cogswell, Yuan and Gunn, 2014). Identification of sodium
A high salt intake has been consumption among gender had been
suggested as an indirect cause of obesity, conducted. It has different finding
through the effect it has on soft drink regarding the influence of gender on
consumption (He and MacGregor, 2010). sodium consumption. Kamran, et al.
Increasing evidence also suggests that a (2014) found that female has high sodium
high salt intake may directly increase the intake on their daily practice. This finding
risk of stroke, left ventricular hypertrophy, was founded because of cultural paradox
and renal disease; is associated with and nutritional pattern in Iranian women
obesity through soft drink consumption; that commonly consume high sodium.
is related to renal stones and osteoporosis; Female has more knowledge and self-
is linked to the severity of asthma; and is care than male and the effect of sodium
probably a major cause of stomach cancer. restriction program had greater impact
125 | BATANGAS STATE UNIVERSITY – LABORATORY SCHOOL VOL. 5 NO.2
on female (Chung et al., 2006). This It became their dietary pattern and habit,
finding also was strengthened that male eating salty and fatty foods then it
consumed high sodium-foods 10% induced obesity among this group
higher than female (Powles et al., 2013). (Chung et al., 2006; D. James, 2005).
It has been known that female have more Current data on sodium intake around the
concern on their health condition and lead world also emphasized that Asian
them adhere on sodium restriction countries have high risk in taking salty
program that finally they have low foods and being the top list of higher
sodium intake. Otherwise, male patients sodium consumption particularly for East
was less concern in their sodium Asia and Central Asia (Powles et al.,
restriction, which make they have high 2013). This finding indicates that Asian
sodium intake (Wicaksana, 2017). people have risk in high sodium intake
Educational level influences how more than other countries and ethnicities.
easy people receive health information Religion gives the detail law in
(Wicaksana, 2017). Nerbass et al. (2014) dietary practice (Hye-Cheon Kim, Alex
found the interesting finding on the Mcintosh, Kubena, and Sobal, 2008). All
effect of educational level on sodium believers will consume foods by
intake. It was found that patients who had considering dietary rules in order to obey
higher education had high sodium God. It is not clearly known religion
consumption in their daily dietary correlate with sodium intake, however
practice. The lower level of education religion can affect believers’ eating
patients who had uncontrolled behavior, including sodium intake (Hye-
hypertension mostly they love to eat Cheon Kim et al., 2008). The majority of
high sodium foods. It looks like the lower population in Indonesia is Muslim and
education also has correlation to sodium only “Halal Food” that can be eaten by
intake even though it should take a look Muslim people as religious law (Hossain,
for further research, whether they have 2014). Besides the halal foods, there is
controlled or uncontrolled hypertension forbidden foods (Haram Foods), to be
(Sobal, 2008). consumed by Muslim people e.g. pork,
lard or any porcine substance, alcohol,
Dietary practice, involved sodium
meat that is not slaughtered in the
consumption, depends on cultural
prescribed Islamic way etc.
preference and available natural resources.
Additionally for Muslim, there is a
Previous study about ethnicity and
guidance to avoid harmful foods that can
sodium intake revealed African
bring negative effect on health in daily
American had high sodium consumption
dietary practice (Hossain, 2014). This
on their daily diet. This situation has
concept might have idea that there is
happened since the slavery era while
correlation between religion and sodium
many African and Americans came and
intake. Knowing this information will
ate any kinds of salty and fatty foods.
have benefit especially for Muslim
126 | BATANGAS STATE UNIVERSITY – LABORATORY SCHOOL VOL. 5 NO.2
majority countries such as Indonesia. United States, women and men aged 40
This condition indicates that Asian to 59 years: The INTERMAP study.
people have high risk in consuming high Batcagan-Abueg, A. P. M., Lee, J. J., Chan, P.,
sodium-foods. Sodium intake also Rebello, S. A., & Amarra, M. S. V.(2013).
depends on source of sodium, which is Salt intakes and salt reduction
consumed because different place has initiatives in Southeast Asia: A review.
different source of sodium. As previous Asia Pacific Journal of Clinical Nutrition,
study, people in western countries prefer 22(4), 683-697.
to consume high sodium-food from
processed food or food outside-their Elliott, P., & Brown, I. (2007). Sodium intakes
home meanwhile Asian people favor to around the world. Geneva: World
add sodium when they cook. In addition, Health Organization, 6-15.
this idea should become the main Hin, & Khor. (2011). Influence of food intake
concern when designing intervention and eating habits on hypertension
program related to sodium intake or control among outpatients at a
sodium restriction in order to create government health clinic in the Klang
appropriate and effective program Valley, Malaysia. Malaysian Journal of
(Wicaksana, 2017). Nutrition, 17(2), 163-173.
Chung, M. L., Moser, D. K., Lennie, T. A., He FJ, Marrero NM, Macgregor GA: Salt and
Worrall-Carter, L., Bentley, B., Trupp, R., blood pressure in children and
& Armentano, D. S. (2006). Gender adolescents. J Hum Hypertens
differences in adherence to the sodium- 2008;22:4-11.
restricted diet in patients with heart
Leahy, E. (2018). Children can learn ways to
failure. Journal of Cardiac Failure, 12(8),
significantly reduce salt usage. Journal
628-634.
of Nutrition Education and Behavior.
Powles, J., Fahimi, S., Micha, R., Khatibzadeh, S.,
Shi, P., Ezzati, M., . . .
Mozaffarian, D. (2013). Global, regional
and national sodium intakes in 1990
and 2010: A systematic analysis of 24 h
urinary sodium excretion and dietary
surveys worldwide. BMJ Open, 3(12), 1-
18.