Yetişkinlerde Tuz Eşiği, Antropometrik Ölçümler ve Kan Basıncı Arasındaki İlişkinin Saptanması

Amaç: Bu araştırma, yetişkinlerde günlük tuz tüketim miktarları, tuz eşiği, antropometrik ölçümler ve kan basıncı arasında bir ilişki olup olmadığını saptamak amacıyla planlanmış ve yürütülmüştür. Bireyler ve Yöntem: Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Beslenme ve Diyetetik Bölümü’nde 90 kişilik grup ile Şubat 2015 tarihinde yürütülen bu çalışma kapsamında katılımcılara bir anket uygulanmış, besin tüketim sıklığı ve 24 saatlik geriye dönük besin tüketim kaydı formları doldurulmuş, kan basıncı ölçümleri yapılmış ve tuz eşikleri saptanmıştır. Tuz eşiği ölçümünde 9 farklı derişimde çözelti kullanılmıştır. Bulgular: Çalışmaya katılan bireylerin %52.2’sinin normal tuz eşiğine, %47.8’inin ise yüksek tuz eşiğine sahip olduğu saptanmıştır. Bireylerin tuz eşiği değerleri ve boyun çevresi ölçümleri ile boyun çevresi ve kan basıncı değerleri arasında istatistiksel olarak anlamlı bir ilişki saptanmıştır. Boyun çevresi değerleri arttıkça tuz eşiği ve kan basıncı değerleri artmaktadır (p0.05). Erkeklerde bel çevresi, diastolik kan basıncı ve beden kütle indeksi değerleri ile tuz eşiği arasında istatistiksel olarak anlamlı bir ilişki varken (p0.05). Sonuç: Yetişkinlerde tuz tüketiminin artması tuz eşiğinin artmasına yol açarak kan basıncını etkilemekte ve kardiyovasküler hastalık riskini artırabilmektedir.

Assessment of the Relationship Between Salt Taste Sensitivity Threshold, Anthropometric Measurements and Blood Pressure Values of Adults

Aim: This study has been planned and conducted in the purpose of defining whether there is a relationship between the amount of salt consumption, anthropometric measurements and blood pressure. Subjects and Methods: This research was conducted at Hacettepe University Health Sciences Faculty Nutrition and Dietetics Department at February 2015 with a group consisted of 90 people. Within the scope of this research, a questionnaire on general characteristics, a food frequency questionnaire and 24-hour recall food consumption questionnaire was carried out. In addition to these, blood pressures and salt taste sensitivity thresholds of people was measured. The salt taste sensitivity threshold was measured with 9 solutions with different sodium chloride concentrations. Results: The 52.2% and 47.8% of the subjects had normal and high salt taste sensitivity thresholds, respectively. There is a statistically significant relation between salt taste sensitivity threshold & neck circumference, and neck circumference & blood pressure. While neck circumference values of subjects increased, salt taste sensitivity threshold and blood pressure values were increasing (p<0.05). While there is a statistically significant relation between waist circumference, diastolic blood pressure, body mass index and salt taste sensitivity threshold values of men, (p<0.05), there is not statistically significant relation between these values of women (p>0.05). There is no significant relationship between salt taste sensitivity threshold and blood pressure values of subjects (p>0.05). Conclusion: The increasing amounts of salt consumption affect blood pressure via salt taste sensitivity threshold and this circumstance may increase cardiovascular heart disease risk in adults.

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  • 1.Batenburg M, Velden R. Saltiness enhancement by savory aroma compounds. J Food Sci 2011;76(5):280-288.
  • 2.T.C. Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü Beslenme ve Fiziksel Aktiviteler Daire Başkanlığı (2011). Türkiye Aşırı Tuz Tüketiminin Azaltılması Programı 2011-2015.Erişim: http:// beslenme.gov.tr/content/files/yayinlar/kitaplar/diger_kitaplar/turkiye_asiri_tuz_tüketiminin_azaltilmasi.pdf Erişim tarihi: 02 Şubat 2015.
  • 3.Taylor RS, Ashton KE, Moxham T, Hooper L, Ebrahim S. Reduced dietary salt for the prevention of cardiovascular disease: a meta-analysis of randomized controlled trials (Cochrane review). Am J Hypertens 2011;24(8):843-853.
  • 4.He FJ, MacGregor GA. Effect of modest salt reduction on blood pressure: a meta-analysis of randomized trials. Implications for public health. J Hum Hypertens 2002;16(11):761-770.
  • 5.Bertino M, Beauchamp GK, Engelman K. Long-term reduction in dietary sodium alters the taste of salt. Am J Clin Nutr 1982;36(6):1134-1144.
  • 6.Okoro EO, Uroghide GE, Jolayemi ET. Salt taste sensitivity and blood pressure in adolescent school children in southern Nigeria. East Afr Med J 1998;75(4):199-203.
  • 7.Negro MC, Oliver M, Arocha I, Arias F. Arterial hypertension in the adolescent: its possible relation to the salt taste threshold. Rev Esp Cardiol 1992;45(4):227-231.
  • 8.Zumkley H, Vetter H, Mandelkow T, Spieker C. Taste sensitivity for sodium chloride in hypotensive, normotensive and hypertensive subjects. Nephron 1987;47 Suppl 1:132-134.
  • 9.Malaga S, Diaz JJ, Arguelles J, Perillan C, Malaga I, Vijande M. Blood pressure relates to sodium taste sensitivity and discrimination in adolescents. Pediatr Nephrol 2003;18(5):431-434.
  • 10.Rabin M, Poli de Figueiredo CE, Wagner MB, Antonello IC. Salt taste sensitivity threshold and exercise-induced hypertension. Appetite 2009;52(3):609-613.
  • 11.Glanz K, Basil M, Maibach E, Goldberg J, Snyder D. Why Americans eat what they do: taste, nutrition, cost, convenience, and weight control concerns as influences on food consumption. J Am Diet Assoc 1998;98(10):1118-1126.
  • 12.Simchen U, Koebnick C, Hoyer S, Issanchou S, Zunft HJ. Odour and taste sensitivity is associated with body weight and extent of misreporting of body weight. Eur J Clin Nutr 2006;60(6):698-705.
  • 13.Mattes RD. Salt taste and hypertension: a critical review of the literature. J Chronic Dis. 1984;37(3):195-208.
  • 14.Nilsson B. Taste acuity of the human palate: III. Studies with taste solutions on subjects in different age groups. Acta Odontol Scand 1979;37(4):235-252.
  • 15.Drewnowski A, Brunzell JD, Sande K, Iverius PH, Greenwood MR. Sweet tooth reconsidered: taste responsiveness in human obesity. Physiol Behav 1985;35(4):617-622.
  • 16.Donaldson LF, Bennett L, Baic S, Melichar JK. Taste and weight: is there a link? Am J Clin Nutr 2009;90(3):800S-803S.
  • 17.Arguelles J, Diaz JJ, Malaga I, Perillan C, Costales M,Vijande M. Sodium taste threshold in children and itsrelationship to blood pressure. Braz J Med Biol Res 2007;40:721-726.
  • 18.Azinge EC, Sofola OA, Silva BO. Relationship betweensalt intake, salt-taste threshold and blood pressure in Nigerians. West Afr J Med 2011;30(5):373-376.
  • 19.Spritzer N. Salt taste threshold in hypertensive patients. Arq Bras Cardiol. 1985;44(3):151-155.
  • 20.Rosendorff C, Lackland DT, Allison M, AronowWS, Black HR, Blumenthal RS, et al. Treatment ofhypertension in patients with coronary artery disease: a scientific statement from the American HeartAssociation, American College of Cardiology, andAmerican Society of Hypertension. Hypertension 2015;65(6):1372-1407.
  • 21.Samur G, Yıldız E. Obezite ve Kardiyovasküler Hastalıklar/Hipertansiyon. Ankara. T.C. Sağlık Bakanlığı. 2008.
  • 22.Farquhar WB, Edwards DG, Jurkovitz CT, WeintraubWS. Dietary sodium and healthmore than just blood pressure. J Am Coll Cardiol 2015;65(10):1042-1050.
  • 23.Smyth A, O’Donnell MJ, Yusuf S, Clase CM, Teo KK,Canavan M, et al. Sodium intake and renal outcomes: asystematic review. Am J Hypertens 2014;27(10):1277-1284.
  • 24.Paniagua L, Lohsoonthorn V, Lertmaharit S,Jiamjarasrangsi W, Williams MA. Comparison of waist circumference, body mass index, percent body fat and other measure of adiposity in identifying cardiovascular disease risks among Thai adults. Obes Res Clin Pract 2008;2(3):215-223.
  • 25.Lam BC, Koh GC, Chen C, Wong MT, Fallows SJ. Comparison of body mass index (BMI), body adiposity index (BAI), waist circumference (WC),waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR) as predictors of cardiovascular disease riskfactors in an adult population in Singapore. PLoS One 2015;10(4):e0122985.
  • 26.Fitch KV, Stanley TL, Looby SE, Rope AM, Grinspoon SK. Relationship between neck circumference and cardiometabolic parameters in HIV-infected and non-HIV-infected adults. Diab Care 2011;34(4):1026-1031.
  • 27.Preis SR, Massaro JM, Hoffmann U, D’Agostino RB, Sr., Levy D, Robins SJ, et al. Neck circumference as anovel measure of cardiometabolic risk: the Framingham Heart study. J Clin Endocrinol Metab 2010;95(8):3701-3710.
  • 28.Kirsten VR, Wagner MB. Salt taste sensitivity thresholds in adolescents: are there any relationshipswith body composition and blood pressure levels? Appetite 2014;81:89-92.
  • 29.Torriani M, Gill CM, Daley S, Oliveira AL, Azevedo DC,Bredella MA. Compartmental neck fat accumulationand its relation to cardiovascular risk and metabolic syndrome. Am J Clin Nutr 2014;100(5):1244-1251.
  • 30.Mizuta E. Impact of Taste Sensitivity on Lifestyle-related Diseases. J. Pharm. Soc. Jpn.. 2015;135(6):789-92.
  • 31.Wang M, Moran AE, Liu J, Qi Y, Xie W, Tzong K, etal. A meta-analysis of effect of dietary salt restrictionon blood pressure in Chinese adults. Glob Heart.2015 pii: S2211-8160(14)02667-2. doi: 10.1016/j.gheart.2014.10.009.