Journal List > Korean J Nutr > v.44(6) > 1043910

Kim, Han, and Chung: Dietary Behavior Related to Salty Food Intake of Adults Living in a Rural Area according to Saline Sensitivity

Abstract

This study was conducted to identify behavioral characteristics of salty food intake according to saline sensitivity of adults living in a rural area. Anthropometry and blood pressure were measured and salt intake-related dietary behavior was surveyed by questionnaires through interviews with 402 subjects aged ≥ 40 years in Chungcheongbuk-Do, Korea. The percentages of overweight and obese among the subjects were 37.8% and 3.8% respectively. Mean blood pressure of the subjects was in the normal range, but the distribution of subjects who were normotensive, high normal, and hypertensive was 48.7%, 17.7%, and 33.6% respectively. Approximately 27% of all subjects habitually consumed salty food, which was the smallest group, followed by 38.1% normal and 35.1% not-salty food. However, 34.6% of the eldest group of ≥ 65 years consumed salty food. The saline insensitive group showed a higher percentage of irregular meals, overeating, speed-eating, an unbalanced diet, a preference for fried food, and habitual intake of salty foods. These subjects recognized the risk for eating salty food, but they lacked the will to reduce their salty food intake. Compared to spouses and family members, experts such as doctors, nurses, and dieticians were the most influential for reducing the salty food intake of subjects. Saline sensitive group had relatively better control over salty food intake at every meal, eating out, and even when eating salty food that the spouse preferred. The saline sensitive group ate more frequently vegetables and fruits, whereas the saline insensitive group ate more frequently hot spicy foods. In conclusion, the results suggest that it is necessary to establish a social atmosphere toward reducing salt intake at the level of the government and food industry and to set action plans to be available for nutrition education programs to reduce salt intake nationwide.

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Table 1.
General characteristics of the subjects by sex
Variable Males Females Total p-value
Age (yrs)
 -40 001 (000.8) 1) 011 (004.1) 012 (03.0) NS 2)
 41-50 034 (025.6) 1) 047 (017.5) 081 (020.1)  
 51-60 033 (024.8) 1) 081 (030.1) 114 (028.4)  
 61-70 054 (033.5) 1) 107 (039.8) 161 (040.0)  
 71- 011 (0v8.3) 1) 023 (008.6) 034 (008.5)  
 Total 133 (100.0) 1) 269 (100.0) 402 (100.0)  
Education       0.000∗∗∗1)
 No schooling 009 (007.0) 1) 057 (021.3) 066 (016.7)  
 Primary school 046 (035.7) 1) 125 (046.8) 171 (043.2)  
 Middle school 033 (025.6) 1) 040 (015.0) 073 (018.4)  
 High school 032 (024.8) 1) 037 (013.9) 069 (017.4)  
 College or over 009 (0v7.0) 1) 008 (003.0) 017 (004.3)  
 Total 129 (100.0) 1) 267 (100.0) 396 (100.0)  
Spouse       0.000∗∗∗1)
 Yes 116 (089.9) 1) 0197 (074.1) 313 (079.2)  
 No 013 (010.1) 1) 069 (025.9) 082 (020.8)  
 Total 129 (100.0) 1) 266 (100.0) 395 (100.0)  
 Occupation       NS 2)
 Agriculture 063 (047.7) 1) 117 (043.5) 180 (044.9)  
 Not agriculture 053 (040.2) 1) 112 (045.4) 175 (043.6)  
 Unoccupied 016 (012.1) 1) 030 (011.2) 046 (011.5)  
 Total 132 (100.0) 1) 269 (100.0) 401 (100.0)  

1) Values were expressed by N (%) and significances were tested by chi-square test

∗∗∗ p < 0.001)

2) NS means ‘Not Significant’

Table 2.
Anthropometric characteristics and blood pressure of the subjects by age
Variable Age (yrs) Total p-value
<50 50-65 65≤
Height (cm)          
 Male 166.1 ± 6.7 163.8 ± 7.5 162.5 ± 8.0 163.8 ± 7.6 0.075∗∗
 Female 156.9 ± 5.8 a 156.2 ± 7.5 a 153.1 ± 7.9 b 155.2 ± 7.5 0.002∗∗
 Total 159.5 ± 7.3 a1) 158.9 ± 8.4 a 156.0 ± 9.0 b 158.0 ± 8.5 0.003∗∗
Weight (kg)          
 Male 65.5 ± 11.5 a 65.1 ± 10.1 a 59.0 ± 9.5 b 63.2 ± 10.5 0.014
 Female 58.9 ± 8.2 60.4 ± 9.9 58.3 ± 9.4 59.3 ± 9.4 0.740∗∗
 Total 60.8 ± 9.7 ab 62.0 ± 10.2 a 58.5 ± 9.4 b 60.6 ± 9.9 0.100∗∗
BMI (kg/m2) 2)          
 Male 23.9 ± 2.9 24.3 ± 3.5 22.4 ± 3.5 23.6 ± 3.5 0.083∗∗
 Female 23.9 ± 3.3 24.7 ± 3.6 24.8 ± 3.2 24.6 ± 3.3 0.121∗∗
 Total 23.9 ± 3.2 24.6 ± 3.5 24.1 ± 3.5 24.3 ± 3.4 0.763∗∗
Arm circumference (cm)          
 Male 29.3 ± 2.5 a 28.8 ± 3.1 ab 27.4 ± 2.7 b 28.4 ± 2.9 0.014
 Female 28.5 ± 3.1 29.0 ± 3.0 28.9 ± 6.8 28.8 ± 4.7 0.610∗∗
 Total 28.7 ± 2.9 28.9 ± 3.0 28.4 ± 5.9 28.7 ± 4.2 0.642∗∗
WHR 3)          
 Male 0.85 ± 0.10 0.92 ± 0.13 0.89 ± 0.09 0.90 ± 0.12 0.242∗∗
 Female 0.85 ± 0.06 0.98 ± 0.74 0.90 ± 0.05 0.92 ± 0.49 0.521∗∗
 Total 0.85 ± 0.07 0.95 ± 0.57 0.89 ± 0.63 0.91 ± 0.39 0.405∗∗
SBP (mmHg)4)          
 Male 126.2 ± 12.8 126.6 ± 13.6 126.2 ± 13.9 126.4 ± 13.5 0.995∗∗
 Female 120.4 ± 15.0 b 125.5 ± 13.2 ab 127.9 ± 14.9 a 125.3 ± 14.4 0.002∗∗
 Total 122.1 ± 14.5 b 125.9 ± 13.4 ab 127.4 ± 14.6 a 125.7 ± 10.1 0.008∗∗
DBP (mmHg) 5)          
 Male 81.7 ± 14.4 84.4 ± 10.7 80.9 ± 9.9 82.8 ± 11.3 0.781∗∗
 Female 80.9 ± 11.2 81.1 ± 9.9 83.0 ± 9.9 81.7 ± 10.2 0.224∗∗
 Total 81.1 ± 12.1 82.3 ± 10.3 82.3 ± 9.9 82.1 ± 10.6 0.418∗∗

1) Values were expressed by Mean ± SD. Significances were tested by ANOVA and Duncan’s multiple range test

p < 0.05

∗∗ p < 0.01). Different letters

a, b, c mean significant differences by age group

2) BMI (Body Mass Index, kg body weight/m2 Height)

3) WHR (Waist-Hip Ratio) = Waist (cm)/Hip (cm)

4) SBP : Systolic Blood Pressure

5) DBP : Diastolic Blood Pressure

Table 3.
Eating behavior related to salty food intake of the subjects by age
Variable Age (yrs) Total p-value
<50 50-65 65≤
Which food do you take usually?
 Salty food 15 (019.2) 1) 046 (024.5) 047 (034.6) 108 (026.9) 0.0221)
 Normal food 37 (047.5) 1) 065 (034.6) 051 (037.5) 153 (038.0)  
 Not salty food 26 (033.3) 1) 077 (040.9) 038 (027.9) 141 (035.1)  
 Total 78 (100.0) 1) 188 (100.0) 136 (100.0) 402 (100.0)  
When I eat out, I feel that the food is
 Salty 18 (023.1) 1) 041 (021.8) 034 (025.0) 093 (023.1) NS 2)
 Normal 47 (060.2) 1) 113 (060.1) 080 (058.8) 240 (059.7)  
 Not salty 13 (016.7) 1) 034 (018.1) 022 (006.2) 069 (017.2)  
 Total 78 (100.0) 1) 188 (100.0) 136 (100.0) 402 (100.0)  
Compared with my offsprings’ taste, I choose food
 More salty 03 (003.8) 1) 014 (007.5) 022 (016.1) 039 (009.7) 0.004∗∗1)
 Similar salty 56 (071.8) 1) 104 (055.3) 070 (051.5) 230 (057.2)  
 Less salty 19 (024.4) 1) 070 (037.2) 044 (032.4) 133 (033.1)  
 Total 78 (100.0) 1) 188 (100.0) 136 (100.0) 402 (100.0)  

1) Values were expressed by N (%) and significances were tested by chi-square test

p < 0.05

∗∗ p < 0.01)

2) NS means ‘Not Significant’

Table 4.
Sensory response on 1% saline solution of the subjects by age
Sensory response Age (yrs) Total p-value
<50 50-65 65≤
Salty 43 (055.1) 1) 99 (052.7) 060 (044.1) 202 (050.3) NS 2)
Normal 29 (037.2) 1) 75 (039.9) 061 (044.9) 165 (041.0)  
Not salty 06 (007.7) 1) 14 (007.4) 015 (011.0) 035 (008.7)  
Total 78 (100.0) 1) 188 (100.0) 136 (100.0) 402 (100.0)  

1) Values were expressed by N (%) and significances were tested by chi-square test

2) NS means not significant at p < 0.05

Table 5.
Distribution of blood pressures of three groups by saline sensitivity
Variable Sensitive group Moderate group Insensitive group Total p-value
Systolic blood pressure
 Normal 117 (058.2) 1) 104 (062.7) 019 (054.3) 240 (059.7) NS 2)
 High normal 051 (025.4) 1) 038 (022.9) 007 (020.0) 096 (023.9)  
 Hypertension 033 (016.4) 1) 024 (014.5) 009 (025.7) 066 (016.4)  
 Total 201 (100.0) 1) 166 (100.0) 35 (100.0) 402 (100.0)  
 Means ± SD 126.0 ± 13.9 3) 125.3 ± 14.2 125.4 ± 14.8 125.7 ± 10.1 0.8991
Diastolic blood pressure
 Normal 130 (064.7) 1) 108 (065.1) 026 (074.3) 264 (065.7) NS 2)
 High normal 012 (006.0) 1) 011 (006.6) 002 (005.7) 025 (006.2)  
 Hypertension 059 (029.4) 1) 047 (028.3) 007 (020.0) 113 (028.1)  
 Total 201 (100.0) 1) 166 (100.0) 035 (100.0) 402 (100.0)  
 Means ± SD 82.2 ± 10.7 3) 082.8 ± 10.4 078.3 ± 1.01 082.1 ± 10.6 0.0727

1) Values were expressed by N (%) and significances were tested by chi-square test

2) NS means not significant at p < 0.05

3) Values are mean blood pressure by three sensitivity group. Significances were tested by ANOVA

Table 6.
Dietary behaviors of three groups by saline sensitivity
Variable Sensitive group Moderate group Insensitive group Total p-value
Regularity of meal time          
 Regular 124 (061.4) 1) 114 (069.1) 17 (048.6) 255 (063.4) NS 2)
 Fair 060 (029.7)1) 041 (024.8) 15 (042.9) 116 (028.9)  
 Very Irregular 018 (0v8.9)1) 010 (006.1) 03 (008.6) 031 (07.7)  
 Total 202 (100.0) 1) 165 (100.0) 35 (100.0) 402 (100.0)  
Amount of foods per meal          
 More than adequate 053 (026.2)1) 031 (018.9) 11 (031.4) 095 (023.7) 0.0161)
 Adequate 105 (052.0)1) 101 (061.6) 11 (031.4) 217 (054.1)  
 Less than adequate 036 (017.8) 1) 024 (014.6) 08 (022.9) 068 (017.0)  
 Others 008 (004.0) 1) 008 (004.9) 05 (014.3) 021 (005.2)  
 Total 202 (100.0) 1) 164 (100.0) 35 (100.0) 401 (100.0)  
Meal time (mim)      
 <10 081 (040.1) 1) 064 (038.8) 18 (051.4) 163 (040.5) NS 2)
 10-20 079 (039.1) 1) 073 (044.5) 12 (034.3) 164 (040.8)  
 20-30 033 (016.3) 1) 019 (011.5) 05 (014.3) 057 (014.2)  
 >30 009 (004.5)1) 009 (005.5) - 018 (004.5)  
 Total 202 (100.0) 1) 165 (100.0) 35 (100.0) 402 (100.0)  
Do you eat only what you wants?          
 Yes 014 (0v6.9) 1) 008 (004.8) 03 (008.6) 025 (006.2) NS 2)
 A little bit 029 (014.4)1) 031 (018.8) 08 (022.9) 068 (016.9)  
 Rare or never 159 (078.7)1) 126 (076.3) 24 (068.6) 309 (076.8)  
 Total 202 (100.0) 1) 165 (100.0) 35 (100.0) 402 (100.0)  
Frequency of snack          
 2-3 times/day 047 (023.4)1) 041 (024.9) 04 (011.5) 092 (023.0) 0.0871)
 once/day 067 (033.3)1) 071 (043.0) 12 (034.3) 150 (037.4)  
 None 087 (043.3) 1) 053 (032.1) 19 (054.3) 159 (039.7)  
 Total 201 (100.0) 1) 165 (100.0) 35 (100.0) 401 (100.0)  
Frequency of eating out      
 1-2 times a day 011 (005.5)1) 013 (007.9) 04 (011.4) 028 (007.0) NS 2)
 once a week 055 (027.4) 1) 040 (024.4) 09 (025.7) 104 (026.0)  
 once a month 057 (028.4) 1) 048 (029.3) 10 (028.6) 115 (028.8)  
 None 078 (038.8)1) 063 (038.4) 12 (034.3) 153 (038.3)  
 Total 201 (100.0) 1) 164 (100.0) 35 (100.0) 400 (100.0)  
Favorate cooking method          
 Roasting 120 (059.4) 1) 095 (057.6) 15 (042.9) 230 (057.2) NS 2)
 Panbroiling or Frying 028 (013.9)1) 025 (015.2) 09 (025.7) 062 (015.4)  
 Broiling 015 (007.4)1) 011 (006.7) 03 (008.6) 029 (007.2)  
 Boiling 039 (019.3) 1) 034 (020.6) 08 (022.9) 081 (020.1)  
 Total 202 (100.0) 1) 165 (100.0) 35 (100.0) 402 (100.0)  

1) Values were expressed by N (%) and significances were tested by chi-square test

p < 0.05)

2) NS means ‘Not Significant’

Table 7.
Behavioral belief and self appraisal about salty food intake of three groups by saline sensitivity
Variable Sensitive group Moderate group Insensitive group Total p-value
Do you eat salty food habitually?
 No 063 (031.2) 1) 046 (028.4) 04 (011.4) 113 (028.3) NS 2)
 So so 029 (014.4) 1) 024 (014.8) 09 (025.7) 062 (015.5)  
 Yes 110 (054.5) 1) 092 (056.8) 22 (062.9) 024 (056.1)  
 Total 202 (100.0) 1) 162 (100.0) 35 (100.0) 399 (100.0)  
Do you think that salty food is not good for health?
 Little 008 (004.0) 1) 006 (003.6) 01 (002.9) 015 (003.7) NS 2)
 So so 018 (008.9) 1) 018 (010.9) 06 (017.1) 042 (010.4)  
 Much 176 (087.1) 1) 141 (085.5) 28 (080.0) 345 (085.8)  
 Total 202 (100.0) 1) 165 (100.0) 35 (100.0) 402 (100.0)  
What do you think about the habitual intake of salty food?
 Bad 166 (083.4) 1) 113 (070.6) 24 (070.6) 303 (077.1) 0.0231)
 So so 024 (012.1) 1) 028 (017.5) 05 (014.7) 057 (014.5)  
 Not bad 009 (004.5) 1) 019 (011.9) 05 (014.7) 033 (008.4)  
 Total 199 (100.0) 1) 160 (100.0) 34 (100.0) 393 (100.0)  
Do you need to reduce salt intake in your diet?
 Yes 093 (046.0) 2) 101 (061.2) 16 (045.7) 210 (052.2) 0.0321)
 A little bit 048 (023.8) 1) 033 (020.0) 07 (020.0) 088 (021.9)  
 No 061 (030.2) 1) 031 (018.8) 12 (034.3) 104 (025.9)  
 Total 202 (100.0) 1) 165 (100.0) 35 (100.0) 402 (100.0)  
Do you try to reduce salt intake?
 Yes 043 (021.3) 1) 027 (016.4) 05 (014.3) 075 (018.7) NS 2)
 A little bit 061 (030.2) 1) 066 (040.0) 09 (025.7) 136 (033.8)  
 No 098 (048.5) 1) 072 (043.6) 21 (060.0) 191 (047.5)  
 Total 202 (100.0) 1) 165 (100.0) 35 (100.0) 402 (100.0)  

1) Values were expressed by N (%) and significances were tested by chi-square test

p < 0.05)

2) NS means ‘Not Significant’

Table 8.
Supports and influences by the family members or experts of three groups by saline sensitivity
Variable Sensitive group Moderate group Insensitive group Total p-value
Supports by family members or experts
 Your spouse respond as
  Opposite 025 (017.9) 1) 024 (020.3) 07 (024.1) 056 (019.5) NS 2)
  So so 052 (037.1) 044 (037.3) 12 (041.4) 108 (037.6)  
  Support 063 (045.0) 050 (042.4) 10 (034.5) 123 (042.9)  
  Total 140 (100.0) 118 (100.0) 29 (100.0) 287 (100.0)  
Offspring and relative respond as
  Opposite 017 (010.6) 025 (018.1) 10 (031.3) 052 (015.7) 0.0431)
  So so 058 (036.0) 043 (031.2) 08 (025.0) 109 (032.9)  
  Support 086 (053.4) 070 (050.7) 14 (043.8) 170 (051.4)  
  Total 161 (100.0) 138 (100.0) 32 (100.0) 331 (100.0)  
Doctor, nurse and dietician respond as
  Opposite 008 (007.1) 014 (014.4) 07 (033.3) 029 (012.6) 0.006∗∗1)
  So so 039 (034.5) 022 (022.7) 06 (028.6) 067 (029.0)  
  Support 066 (058.4) 061 (062.9) 08 (038.1) 135 (058.4)  
  Total 113 (100.0) 097 (100.0) 21 (100.0) 231 (100.0)  
Influences by family members or experts
 By spouse          
  Little 029 (017.7) 033 (025.2) 011 (037.9) 073 (022.5) 0.058∗∗1)
  So so 047 (028.7) 037 (028.2) 10 (034.5) 094 (029.0)  
  Much 088 (053.7) 061 (046.6) 08 (027.6) 157 (048.5)  
  Total 164 (100.0) 131 (100.0) 29 (100.0) 324 (100.0)  
By offspring or relatives? 2)
  Little 040 (020.9) 036 (023.4) 13 (038.2) 089 (023.5) NS 2)
  So so 057 (029.8) 052 (033.8) 10 (029.4) 119 (031.4)  
  Much 094 (049.2) 066 (042.9) 11 (032.4) 171 (045.1)  
  Total 191 (100.0) 154 (100.0) 34 (100.0) 379 (100.0)  
By doctors, nurses and dieticians
  Little 019 (013.9) 019 (017.0) 09 (040.9) 047 (017.3) 0.001∗∗1)
  So so 029 (021.2) 032 (028.6) 09 (040.9) 070 (025.8)  
  Much 089 (065.0) 061 (054.5) 04 (018.2) 154 (056.8)  
  Total 137 (100.0) 112 (100.0) 22 (100.0) 271 (100.0)  

1) Values were expressed by N (%) and significances were tested by chi-square test

p < 0.05

∗∗ p < 0.01)

2) NS means ‘Not Significant’

Table 9.
Perceived control against salty food intake of three groups by saline sensitivity
Variable Sensitive group Moderate group Insensitive group Total p-value
In every meal          
 Hard 062 (037.8) 1) 071 (049.7) 25 (073.5) 158 (046.3) 0.001∗∗1)
 So so 053 (032.3) 1) 046 (032.2) 07 (020.6) 106 (031.1)  
 Not hard 049 (029.9) 1) 026 (018.2) 02 (005.9) 077 (022.6)  
 Total 164 (100.0) 1) 143 (100.0) 34 (100.0) 341 (100.0)  
In eating out          
 Hard 053 (034.0) 1) 049 (035.5) 16 (051.6) 118 (036.3) NS 2)
 So so 067 (042.9) 1) 053 (038.4) 12 (038.7) 132 (040.6)  
 Not hard 036 (023.1) 1) 036 (026.1) 03 (009.7) 075 (023.1)  
 Total 156 (100.0) 1) 138 (100.0) 31 (100.0) 325 (100.0)  
When spouse likes salty food          
 Hard 054 (044.3) 1) 044 (041.9) 16 (064.0) 114 (045.2) NS 2)
 So so 048 (039.3) 1) 044 (041.9) 08 (032.0) 100 (039.7)  
 Not hard 020 (016.4) 1) 017 (016.2) 01 (004.0) 038 (015.1)  
 Total 122 (100.0) 1) 105 (100.0) 25 (100.0) 252 (100.0)  

1) 1) Values were expressed by N (%) and significances were tested by chi-square test (∗: p < 0.05

∗∗ p < 0.01)

2) NS means ‘Not Significant’

Table 10.
Monthly intake frequency of major food and some specific food groups by saline sensitivity
Food groups Sensitive group Moderate group Insensitive group Total p-value
Meats, chickens, Eggs 9.2 ± 11.8 1) 6.9 ± 10.8 12.2 ± 17.1 8.5 ± 12.0 0.975∗∗
Fishes 8.0 ± 10.7 7.4 ± 11.9 6.3 ± 11.9 7.6 ± 11.3 0.412∗∗
Legumes 23.0 ± 25.5 23.5 ± 23.9 13.7 ± 19.5 22.4 ± 24.4 0.177∗∗
Nuts and seeds 2.8 ± 8.6 1.6 ± 6.5 2.1 ± 5.3 2.3 ± 7.6 0.222∗∗
Vegetables 44.8 ± 26.8 a2) 41.0 ± 26.5 a 29.3 ± 24.2 b 41.9 ± 26.7 0.003∗∗
Seaweeds and mushrooms 11.2 ± 16.2 10.1 ± 13.4 10.9 ± 16.8 10.7 ± 15.1 0.915∗∗
Fruits 22.1 ± 22.2 a 17.0 ± 16.6 ab 13.6 ± 19.5 b 19.3 ± 20.0 0.003∗∗
Milk and daily 13.8 ± 18.6 13.9 ± 15.6 9.3 ± 14.9 13.4 ± 17.1 0.157∗∗
Oils 24.1 ± 21.4 26.6 ± 22.8 25.7 ± 26.1 25.3 ± 22.4 0.695∗∗
Kimchies 51.0 ± 24.0 45.5 ± 27.1 47.6 ± 28.4 48.4 ± 25.8 0.109∗∗
Hot food 12.4 ± 18.8a 12.8 ± 18.0a 26.1 ± 29.2b 13.8 ± 19.9 0.006∗∗
Fried food 1.6 ± 3.8 1.8 ± 3.4 3.1 ± 11.8 1.8 ± 4.9 0.207∗∗
Processed meat and fish products 0.8 ± 2.2 0.8 ± 2.6 0.5 ± 1.2 0.8 ± 2.3 0.521∗∗
Preserved salted food 10.2 ± 17.7 11.2 ± 15.4 15.3 ± 22.4 11.1 ± 17.3 0.156∗∗

1) Values were expressed as monthly frequency by Mean ± SD. Significances were tested by ANOVA and Duncan’s multiple range test (∗: p < 0.05

∗∗ p < 0.01)

2) Different letters

(a, b, c) mean significant differences by age group

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