Association of Cardiovascular Disease Risk Factors With Estimated Dietary Salt Consumption in Bangladeshi Adults: A Nationally Representative Cross‐Sectional Study

ABSTRACT This population‐based, nationally representative cross‐sectional study assessed the daily salt consumption status and its associated cardiovascular disease (CVD) risk factors using weighted data from the STEPwise approach to noncommunicable disease risk factor surveillance conducted in 2018...

Full description

Saved in:
Bibliographic Details
Main Authors: Lingkan Barua, Tahmina Akhter, Rijwan Bhuiyan, Halima Akter Sathi, Palash Chandra Banik, Mithila Faruque, Muhammad Aziz Rahman, Sheikh Mohammed Shariful Islam
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:The Journal of Clinical Hypertension
Subjects:
Online Access:https://doi.org/10.1111/jch.14966
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832576432699604992
author Lingkan Barua
Tahmina Akhter
Rijwan Bhuiyan
Halima Akter Sathi
Palash Chandra Banik
Mithila Faruque
Muhammad Aziz Rahman
Sheikh Mohammed Shariful Islam
author_facet Lingkan Barua
Tahmina Akhter
Rijwan Bhuiyan
Halima Akter Sathi
Palash Chandra Banik
Mithila Faruque
Muhammad Aziz Rahman
Sheikh Mohammed Shariful Islam
author_sort Lingkan Barua
collection DOAJ
description ABSTRACT This population‐based, nationally representative cross‐sectional study assessed the daily salt consumption status and its associated cardiovascular disease (CVD) risk factors using weighted data from the STEPwise approach to noncommunicable disease risk factor surveillance conducted in 2018 in Bangladesh. It included a non‐institutionalized adults’ population of 6189 men and women aged 18–69 years. Their daily salt consumption was estimated using the spot urine sodium concentration following the Tanaka equation and reported according to the standard nomenclature proposed by the World Hypertension League and partner organizations involved in dietary salt reduction. Out of a total of 6189 participants, 2.4% consumed the recommended amount of salt (<5 g/day), 67.8% consumed a high amount of salt (≥5–10 g/day), 27.2% consumed a very high amount of salt (>10–15 g/day), and 2.6% consumed an extremely high amount of salt (>15 g/day). In univariate analysis, a higher than recommended level of salt intake (≥5 g/day) was significantly prevalent among rural residents (high = 78.4%, very‐high = 81.6%, extremely‐high = 84.9%, p = 0.01), literates (high = 51.6%, very‐high = 57.9%, extremely‐high = 59.1%, p = 0.02), newly diagnosed hypertension (high = 20.6%, very‐high = 23.6%, extremely‐high = 24.1%, p = 0.008), and overweight/obese (high = 25.9%, very‐high = 33.3%, extremely‐high = 29.8%, p = 0.000). Similarly, in ordinal logistic regression analysis, the categories of daily salt consumption showed a significant association with rural residence (OR: 1.300, CI: 1.109–1.524, p = 0.001), literates (OR: 0.777, CI: 0.671–0.900, p = 0.001), newly diagnosed hypertension (OR: 1.204, CI: 1.022–1.419, p = 0.026), and overweight/obesity (OR: 1.353, CI: 1.145–1.598, p = 0.000). The current national pattern of salt consumption in Bangladesh may help reconstruct the salt reduction strategy considering the associated risk factors.
format Article
id doaj-art-b5c983011d0a431fa5694e367eafe6c6
institution Kabale University
issn 1524-6175
1751-7176
language English
publishDate 2025-01-01
publisher Wiley
record_format Article
series The Journal of Clinical Hypertension
spelling doaj-art-b5c983011d0a431fa5694e367eafe6c62025-01-31T05:38:37ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762025-01-01271n/an/a10.1111/jch.14966Association of Cardiovascular Disease Risk Factors With Estimated Dietary Salt Consumption in Bangladeshi Adults: A Nationally Representative Cross‐Sectional StudyLingkan Barua0Tahmina Akhter1Rijwan Bhuiyan2Halima Akter Sathi3Palash Chandra Banik4Mithila Faruque5Muhammad Aziz Rahman6Sheikh Mohammed Shariful Islam7Department of Noncommunicable Diseases Bangladesh University of Health Sciences (BUHS) Dhaka BangladeshDepartment of Noncommunicable Diseases Bangladesh University of Health Sciences (BUHS) Dhaka BangladeshDepartment of Noncommunicable Diseases Bangladesh University of Health Sciences (BUHS) Dhaka BangladeshDepartment of Noncommunicable Diseases Bangladesh University of Health Sciences (BUHS) Dhaka BangladeshDepartment of Noncommunicable Diseases Bangladesh University of Health Sciences (BUHS) Dhaka BangladeshDepartment of Noncommunicable Diseases Bangladesh University of Health Sciences (BUHS) Dhaka BangladeshDepartment of Noncommunicable Diseases Bangladesh University of Health Sciences (BUHS) Dhaka BangladeshDepartment of Noncommunicable Diseases Bangladesh University of Health Sciences (BUHS) Dhaka BangladeshABSTRACT This population‐based, nationally representative cross‐sectional study assessed the daily salt consumption status and its associated cardiovascular disease (CVD) risk factors using weighted data from the STEPwise approach to noncommunicable disease risk factor surveillance conducted in 2018 in Bangladesh. It included a non‐institutionalized adults’ population of 6189 men and women aged 18–69 years. Their daily salt consumption was estimated using the spot urine sodium concentration following the Tanaka equation and reported according to the standard nomenclature proposed by the World Hypertension League and partner organizations involved in dietary salt reduction. Out of a total of 6189 participants, 2.4% consumed the recommended amount of salt (<5 g/day), 67.8% consumed a high amount of salt (≥5–10 g/day), 27.2% consumed a very high amount of salt (>10–15 g/day), and 2.6% consumed an extremely high amount of salt (>15 g/day). In univariate analysis, a higher than recommended level of salt intake (≥5 g/day) was significantly prevalent among rural residents (high = 78.4%, very‐high = 81.6%, extremely‐high = 84.9%, p = 0.01), literates (high = 51.6%, very‐high = 57.9%, extremely‐high = 59.1%, p = 0.02), newly diagnosed hypertension (high = 20.6%, very‐high = 23.6%, extremely‐high = 24.1%, p = 0.008), and overweight/obese (high = 25.9%, very‐high = 33.3%, extremely‐high = 29.8%, p = 0.000). Similarly, in ordinal logistic regression analysis, the categories of daily salt consumption showed a significant association with rural residence (OR: 1.300, CI: 1.109–1.524, p = 0.001), literates (OR: 0.777, CI: 0.671–0.900, p = 0.001), newly diagnosed hypertension (OR: 1.204, CI: 1.022–1.419, p = 0.026), and overweight/obesity (OR: 1.353, CI: 1.145–1.598, p = 0.000). The current national pattern of salt consumption in Bangladesh may help reconstruct the salt reduction strategy considering the associated risk factors.https://doi.org/10.1111/jch.14966associated factorsBangladeshcardiovascular diseaserisk factorssalt intakespot urine
spellingShingle Lingkan Barua
Tahmina Akhter
Rijwan Bhuiyan
Halima Akter Sathi
Palash Chandra Banik
Mithila Faruque
Muhammad Aziz Rahman
Sheikh Mohammed Shariful Islam
Association of Cardiovascular Disease Risk Factors With Estimated Dietary Salt Consumption in Bangladeshi Adults: A Nationally Representative Cross‐Sectional Study
The Journal of Clinical Hypertension
associated factors
Bangladesh
cardiovascular disease
risk factors
salt intake
spot urine
title Association of Cardiovascular Disease Risk Factors With Estimated Dietary Salt Consumption in Bangladeshi Adults: A Nationally Representative Cross‐Sectional Study
title_full Association of Cardiovascular Disease Risk Factors With Estimated Dietary Salt Consumption in Bangladeshi Adults: A Nationally Representative Cross‐Sectional Study
title_fullStr Association of Cardiovascular Disease Risk Factors With Estimated Dietary Salt Consumption in Bangladeshi Adults: A Nationally Representative Cross‐Sectional Study
title_full_unstemmed Association of Cardiovascular Disease Risk Factors With Estimated Dietary Salt Consumption in Bangladeshi Adults: A Nationally Representative Cross‐Sectional Study
title_short Association of Cardiovascular Disease Risk Factors With Estimated Dietary Salt Consumption in Bangladeshi Adults: A Nationally Representative Cross‐Sectional Study
title_sort association of cardiovascular disease risk factors with estimated dietary salt consumption in bangladeshi adults a nationally representative cross sectional study
topic associated factors
Bangladesh
cardiovascular disease
risk factors
salt intake
spot urine
url https://doi.org/10.1111/jch.14966
work_keys_str_mv AT lingkanbarua associationofcardiovasculardiseaseriskfactorswithestimateddietarysaltconsumptioninbangladeshiadultsanationallyrepresentativecrosssectionalstudy
AT tahminaakhter associationofcardiovasculardiseaseriskfactorswithestimateddietarysaltconsumptioninbangladeshiadultsanationallyrepresentativecrosssectionalstudy
AT rijwanbhuiyan associationofcardiovasculardiseaseriskfactorswithestimateddietarysaltconsumptioninbangladeshiadultsanationallyrepresentativecrosssectionalstudy
AT halimaaktersathi associationofcardiovasculardiseaseriskfactorswithestimateddietarysaltconsumptioninbangladeshiadultsanationallyrepresentativecrosssectionalstudy
AT palashchandrabanik associationofcardiovasculardiseaseriskfactorswithestimateddietarysaltconsumptioninbangladeshiadultsanationallyrepresentativecrosssectionalstudy
AT mithilafaruque associationofcardiovasculardiseaseriskfactorswithestimateddietarysaltconsumptioninbangladeshiadultsanationallyrepresentativecrosssectionalstudy
AT muhammadazizrahman associationofcardiovasculardiseaseriskfactorswithestimateddietarysaltconsumptioninbangladeshiadultsanationallyrepresentativecrosssectionalstudy
AT sheikhmohammedsharifulislam associationofcardiovasculardiseaseriskfactorswithestimateddietarysaltconsumptioninbangladeshiadultsanationallyrepresentativecrosssectionalstudy