This study aimed to investigate diet quality in healthy pregnant women based on the Na-to-K ratio from 24 h urine sample and food frequency questionnaire (FFQ), to compare dietary micro- and macronutrient intake with current nutritional recommendations (RDA), and to investigate whether gestational weight gain (GWG) is associated with Na-to-K ratio and diet quality during pregnancy in general. Sixty-four healthy pregnant women between 37 and 40 weeks of gestation participated in the study. Participants’ GWG, body composition, molar 24 h urine Na-to-K ratio, and FFQ data on average daily total energy, food groups, and micro-/macronutrient intake were obtained. A Na-to-K ratio of 2.68 (1.11–5.24) does not meet nutrition quality and is higher than the WHO recommendations due to excessive sodium and insufficient potassium intake. FFQ Na-to-K ratio was associated with a higher daily intake of soups, sauces, cereals, fats, and oils and a low intake of fruit and non-alcoholic beverages. A total of 49% of pregnant women exhibited excessive GWG, which was attributed to the increase in adipose tissue mass. GWG was not associated with total energy but may be the result of insufficient physical activity during pregnancy. Daily intake of vitamin D, vitamin E, folate, niacin, riboflavin, calcium, iron, and zinc was suboptimal compared to RDA.
Objective: The connection between increased dietary salt intake and arterial hypertension has been recognized for a long time, even in children. This study aimed to investigate salt consumption in normotensive and hypertensive children and evaluate their dietary habits. Materials and Methods: A total of fifty participants were included in this cross-sectional study: twenty-five normotensive children and 25 children of both sexes with essential arterial hypertension from 12–17 years old. Subjects’ body mass index, waist-to-hip ratio, body composition and arterial blood pressure were measured, and their daily salt intake was calculated from 24-h urine samples. Using the food frequency questionnaire (FFQ), the data on the average daily total energy and food intakes were collected and analyzed using a suitable program. Results: Estimated daily salt intake was significantly higher in hypertensive compared to normotensive children, and this is positively associated with blood pressure and body mass index (BMI). Hypertensive children had significantly higher BMIs, which also positively correlated with blood pressure. Consistently, resting metabolic rate (kcal) is higher in hypertensive children compared to normotensive, and this is also associated with blood pressure. Reported energy intake is also enlarged in hypertensive compared to normotensive children and for both groups, levels are significantly higher than the recommended values. Conclusions: Our study results confirm the relationship between daily salt consumption, blood pressure and body weight. Sodium consumption related to blood pressure and body weight among children. Cardiovascular disease prevention should start in early childhood by reducing salt intake and preventing overweight/obesity since these are two of the most important modifiable risk factors for hypertension.
This study aimed to investigate diet quality in a population of male competitive athletes by comparing their total energy and macro- and micronutrients intake assessed by a food frequency questionnaire (FFQ) to current nutritional recommendations for this specific population. An additional goal was to assess athletes’ sodium-to-potassium (Na-to-K) ratio. This cross-sectional study involved 31 healthy competitive male athletes. Subjects’ body mass index, body composition, arterial blood pressure, as well as red blood count (RBC) and serum lipid profile measurements showed that all subjects were lean and normotensive and had normal RBC and serum lipid levels. All subjects completed a cross-culturally adapted, translated, and validated EPIC–Norfolk FFQ. The total energy intake reported in the FFQ was below the recommended values; however, 71% of subjects were classified as low energy reporters (LERs). Energy intake from proteins was within and from carbohydrates was below the recommended interval, while the total energy intake from fats (and also saturated fatty acids) exceeded the recommendations. Suboptimal intakes of vitamin D and folate were observed, indicating the necessity for monitoring (and supplementing) in this population. High Na intake, which despite adequate K intake resulted in a higher Na-to-K ratio, highlighted concerns over excessive salt consumption, but also accentuated the need for monitoring sodium (and potassium) intake in competitive athletes with consideration for sweat-related losses.