Potassium intake is associated with nutritional quality and actual diet cost: a study at formulating a low sodium high potassium (LSHP) healthy diet.

Farapti Farapti, Annas Buanasita, Dominikus R Atmaka, Stefania W Setyaningtyas, Merryana Adriani, Purwo S Rejeki, Yoshio Yamaoka, Muhammad Miftahussurur
Author Information
  1. Farapti Farapti: Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia.
  2. Annas Buanasita: Nutrition Department, Surabaya Health Polytechnic, Surabaya 60282, Indonesia.
  3. Dominikus R Atmaka: Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia.
  4. Stefania W Setyaningtyas: Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia.
  5. Merryana Adriani: Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia.
  6. Purwo S Rejeki: Department of Physiology, Faculty of Medicine, Universitas Airlangga, Surabaya 60132, Indonesia.
  7. Yoshio Yamaoka: Department of Environmental and Preventive Medicine, Oita University Faculty of Medicine, Yufu 879-5593, Japan.
  8. Muhammad Miftahussurur: Gastroentero-Hepatology Division, Department of Internal Medicine, Faculty of Medicine-Dr. Soetomo Teaching Hospital, Universitas Airlangga, Surabaya 60286, Indonesia.

Abstract

Increasing potassium and reducing sodium intake have been identified as a priority intervention to reduce non-communicable diseases. A low sodium high potassium (LSHP) healthy diet can be a predictor of overall dietary quality and is associated with higher diet costs. The present study was a randomised controlled-feeding trial, formulating menus of low sodium and potassium-rich healthy diet and comparing with usual diet (a control diet based on typical Indonesian diet) to assess the association of potassium intake in the menus with other nutritional contents and diet cost. Totally seventy menus, which consisted of LSHP diets and the usual diets for a 7-d cycle, were composed from the analysis of the Indonesian food composition database. The correlation coefficient of the potassium content of all menus with nutritional quality and diet cost was analysed using the Pearson test. Multiple linear regression analysis was performed to determine the most important nutrient in determining diet cost. A comparison of nutrition quality and diet cost from the two menus was analysed using the independent -test. LSHP diet had significantly higher carbohydrate, protein, fibre, magnesium, calcium, vitamin C, potassium density and diet cost but lower total fat, saturated fat and energy density than the usual diet ( < 0⋅05). Furthermore, there was a strong positive correlation between fibre, potassium and diet cost (coefficient correlation of >0⋅8). Potassium is a nutrient that is closely related to diet quality although the cost of the diet often may inhibit its intake. A targeted and effective strategy is required to provide affordable food for achieving a sustainable nutrient-rich diet.

Keywords

References

  1. Nutr Rev. 2008 Dec;66(12):703-9 [PMID: 19019039]
  2. Nutr Rev. 2014 Sep;72(9):575-90 [PMID: 25091630]
  3. J Epidemiol. 2018;28 Suppl 3:S29-S34 [PMID: 29503383]
  4. N Engl J Med. 2001 Jan 4;344(1):3-10 [PMID: 11136953]
  5. J Hum Hypertens. 2010 Apr;24(4):237-46 [PMID: 19626043]
  6. Nutr Rev. 2015 Oct;73(10):643-60 [PMID: 26307238]
  7. Nutr Metab Cardiovasc Dis. 2015 Mar;25(3):253-66 [PMID: 25456155]
  8. J Am Diet Assoc. 2005 Dec;105(12):1881-7 [PMID: 16321593]
  9. Mayo Clin Proc. 2016 Apr;91(4):496-508 [PMID: 26948054]
  10. J Am Heart Assoc. 2019 Jul 16;8(14):e012923 [PMID: 31295409]
  11. Arch Intern Med. 2011 Jul 11;171(13):1183-91 [PMID: 21747015]
  12. Am J Clin Nutr. 2014 May;99(5):992-8 [PMID: 24552753]
  13. Nutr Metab Cardiovasc Dis. 2015 Dec;25(12):1132-9 [PMID: 26552742]
  14. Arch Intern Med. 2009 Jan 12;169(1):32-40 [PMID: 19139321]
  15. Am J Clin Nutr. 2010 Apr;91(4):1095S-1101S [PMID: 20181811]
  16. J Nutr Metab. 2020 Feb 21;2020:8793869 [PMID: 32148953]
  17. Nutrients. 2014 Aug 21;6(8):3274-87 [PMID: 25195640]
  18. J Nutr Metab. 2012;2012:472396 [PMID: 22496969]
  19. J Am Diet Assoc. 2003 Apr;103(4):488-96 [PMID: 12669013]
  20. Obesity (Silver Spring). 2018 Feb;26(2):442-450 [PMID: 29318759]
  21. Nutrients. 2018 Feb 16;10(2): [PMID: 29462925]
  22. Front Nutr. 2018 Feb 21;5:13 [PMID: 29527529]
  23. Front Nutr. 2019 Aug 02;6:119 [PMID: 31457017]
  24. Public Health Nutr. 2012 Jun;15(6):1039-46 [PMID: 22014724]
  25. Eur J Clin Nutr. 2009 Oct;63(10):1169-75 [PMID: 19623204]
  26. PLoS One. 2013;8(3):e58539 [PMID: 23505532]
  27. J Am Diet Assoc. 2007 Jun;107(6):1028-32 [PMID: 17524726]
  28. Int J Epidemiol. 2017 Jun 1;46(3):1029-1056 [PMID: 28338764]
  29. Nutr J. 2010 Jan 13;9:2 [PMID: 20070890]
  30. Clin Nutr. 2019 Jun;38(3):1092-1100 [PMID: 29907351]
  31. J Clin Hypertens (Greenwich). 2008 Jul;10(7 Suppl 2):3-11 [PMID: 18607145]
  32. Circulation. 2014 Jun 24;129(25 Suppl 2):S76-99 [PMID: 24222015]
  33. Am J Clin Nutr. 2004 Jan;79(1):6-16 [PMID: 14684391]
  34. Nutrients. 2019 Jun 02;11(6): [PMID: 31159504]
  35. J Nutr. 2004 Nov;134(11):2903-6 [PMID: 15514249]
  36. Prev Med Rep. 2018 Sep 24;12:198-202 [PMID: 30364851]
  37. Can J Public Health. 2020 Apr;111(2):269-277 [PMID: 31834615]
  38. Physiology (Bethesda). 2017 Mar;32(2):100-111 [PMID: 28202621]
  39. Nutr J. 2019 Nov 9;18(1):68 [PMID: 31706353]
  40. BMC Public Health. 2016 Aug 24;16(1):872 [PMID: 27558162]
  41. Nutrients. 2016 Mar 25;8(4):183 [PMID: 27023597]
  42. N Engl J Med. 2007 May 10;356(19):1966-78 [PMID: 17494929]
  43. Osteoporos Int. 2009 Feb;20(2):335-40 [PMID: 18575949]
  44. Am J Clin Nutr. 2015 Jul;102(1):190-8 [PMID: 26016868]
  45. Nephrol Dial Transplant. 2019 Feb 1;34(2):184-193 [PMID: 29301002]
  46. PLoS One. 2015 Jul 22;10(7):e0130247 [PMID: 26201031]
  47. J Hum Hypertens. 2005 Dec;19 Suppl 3:S10-9 [PMID: 16302005]
  48. J Hum Hypertens. 2015 Jan;29(1):14-21 [PMID: 24871907]
  49. Am J Clin Nutr. 2014 May;99(5 Suppl):1223S-8S [PMID: 24646818]
  50. Nutrients. 2019 Feb 05;11(2): [PMID: 30764511]
  51. J Nutr Metab. 2019 Apr 3;2019:1028672 [PMID: 31073416]
  52. Nutrition. 2011 May;27(5):505-8 [PMID: 21074973]
  53. Br J Nutr. 2006 Oct;96(4):620-35 [PMID: 17010219]
  54. Food Policy. 2010 Dec 1;35(6):514-520 [PMID: 25411518]
  55. Food Nutr Bull. 2013 Jun;34(2 Suppl):S35-42 [PMID: 24049994]

MeSH Term

Diet
Diet, Healthy
Dietary Fiber
Nutritive Value
Potassium
Sodium

Chemicals

Dietary Fiber
Sodium
Potassium

Word Cloud

Created with Highcharts 10.0.0dietpotassiumcostsodiumLSHPqualitymenusintakelowhighhealthyusualnutritionalcorrelationPotassiumnon-communicablediseasesdietaryassociatedhigherstudyformulatingIndonesiandietsanalysisfoodcoefficientanalysedusingnutrientfibredensityfatIncreasingreducingidentifiedpriorityinterventionreducecanpredictoroverallcostspresentrandomisedcontrolled-feedingtrialpotassium-richcomparingcontrolbasedtypicalassessassociationcontentsTotallyseventyconsisted7-dcyclecomposedcompositiondatabasecontentPearsontestMultiplelinearregressionperformeddetermineimportantdeterminingcomparisonnutritiontwoindependent-testsignificantlycarbohydrateproteinmagnesiumcalciumvitaminClowertotalsaturatedenergy<0⋅05Furthermorestrongpositive>0⋅8closelyrelatedalthoughoftenmayinhibittargetedeffectivestrategyrequiredprovideaffordableachievingsustainablenutrient-richactualcost:DASHapproachesstophypertensionDietHealthyNCDNon-communicablediseaseNutritionalassessmentSodium

Similar Articles

Cited By