J Nutr Health.  2017 Feb;50(1):98-110. 10.4163/jnh.2017.50.1.98.

Potassium intake of Korean adults: Based on 2007~2010 Korea National Health and Nutrition Examination Survey

Affiliations
  • 1Department of Food & Nutrition, Chungnam National University, Daejeon 34134, Korea. sunly@cnu.ac.kr
  • 2Department of Home Economics Education, Dongguk University, Seoul 04620, Korea.

Abstract

PURPOSE
The purpose of this study was to evaluate the dietary potassium intake, Na/K intake molar ratio, consumption of 18 food groups, and foods contributing to potassium intake of Korean adults as well as the relationships among quartile of potassium intake level and blood pressure, blood biochemical index.
METHODS
This study was conducted using the Korea National Health and Nutrition Examination Survey, 2007~2010. The total number of subjects was 20,291. All analyses were conducted using a survey weighting to account for the complex survey design.
RESULTS
Overall average intakes of potassium were 2,934.7, 3,070.6, 3,078.1, and 3,232.0 mg/day, and they significantly increased by year in Korean adults. The average dietary potassium intake was close to adequate intake (AI), whereas that of women was considerably lower than the AI. The Na/K intake molar ratio in males (2.89~3.23) was higher than in females (2.62~2.95). The major food groups contributing to potassium intake were vegetables, cereals, and fruits/meats. The two major foods contributing to potassium intake were polished rice and cabbage kimchi. The rankings of food source were as follows; polished rice > cabbage kimchi > potato > oriental melon > sweet potato > seaweed > radish > apple > black soybean. In 50~64 year old females, systolic blood pressure (SBP) significantly decreased (p < 0.01) and HDL-cholesterol significantly increased (p < 0.05) as potassium intake increased. Triglyceride (TG) was significantly higher in the other quartile of potassium intake level than in the first quartile (p < 0.05).
CONCLUSION
In conclusion, our study suggests the need for an appropriate set of dietary reference intakes according to caloric intake by sex and age groups and for development of eating patterns to increase potassium intake and decrease sodium intake.

Keyword

dietary potassium; Korean adults; food source; blood pressure

MeSH Terms

Adult*
Blood Pressure
Brassica
Cucurbitaceae
Eating
Edible Grain
Energy Intake
Female
Humans
Ipomoea batatas
Korea*
Male
Molar
Nutrition Surveys*
Potassium*
Potassium, Dietary
Raphanus
Recommended Dietary Allowances
Seaweed
Sodium
Solanum tuberosum
Soybeans
Triglycerides
Vegetables
Potassium
Potassium, Dietary
Sodium

Cited by  2 articles

Trends in sodium intake and major contributing food groups and dishes in Korea: the Korea National Health and Nutrition Examination Survey 2013–2017
Yeseung Jeong, Eui Su Kim, Jounghee Lee, Yuri Kim
Nutr Res Pract. 2021;15(3):382-395.    doi: 10.4162/nrp.2021.15.3.382.

The Relationship between Dietary Sodium-to-Potassium Ratio and Metabolic Syndrome in Korean Adults: Using Data from the Korean National Health and Nutrition Examination Survey 2013-2015
You-Sin Lee, Sim-Yeol Lee
Korean J Health Promot. 2020;20(3):116-124.    doi: 10.15384/kjhp.2020.20.3.116.


Reference

1. Zacchia M, Abategiovanni ML, Stratigis S, Capasso G. Potassium: from physiology to clinical implications. Kidney Dis (Basel). 2016; 2(2):72–79.
Article
2. Greenlee M, Wingo CS, McDonough AA, Youn JH, Kone BC. Narrative review: evolving concepts in potassium homeostasis and hypokalemia. Ann Intern Med. 2009; 150(9):619–625.
Article
3. ALLHAT Officers and Coordinators for the ALLHAT Collaborative Research Group. The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial. Major outcomes in highrisk hypertensive patients randomized to angiotensin-converting enzyme inhibitor or calcium channel blocker vs diuretic: the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). JAMA. 2002; 288(23):2981–2997.
4. Institute of Medicine (US) Panel on Dietary Reference Intakes for Electrolytes and Water. Dietary reference intakes for water, potassium, sodium, chloride, and sulfate. Washington, D.C.: National Academies Press;2005.
5. Statistics Korea. The annual report on the cause of death statistics: 2014. Daejeon: Statistics Korea;2015.
6. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2011: Korea National Health and Nutrition Examination Survey (KNHANES V-2). Cheongwon: Korea Centers for Disease Control and Prevention;2012.
7. Meneton P, Jeunemaitre X, de Wardener HE, MacGregor GA. Links between dietary salt intake, renal salt handling, blood pressure, and cardiovascular diseases. Physiol Rev. 2005; 85(2):679–715.
Article
8. Song DY, Park JE, Shim JE, Lee JE. Trends in the major dish groups and food groups contributing to sodium intake in the Korea National Health and Nutrition Examination Survey 1998-2010. Korean J Nutr. 2013; 46(1):72–85.
Article
9. World Health Organization. Food and Agriculture Organization of the United Nations. Diet, nutrition, and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation. Geneva: World Health Organization;2003.
10. Chang HY, Hu YW, Yue CS, Wen YW, Yeh WT, Hsu LS, Tsai SY, Pan WH. Effect of potassium-enriched salt on cardiovascular mortality and medical expenses of elderly men. Am J Clin Nutr. 2006; 83(6):1289–1296.
Article
11. Yang Q, Liu T, Kuklina EV, Flanders WD, Hong Y, Gillespie C, Chang MH, Gwinn M, Dowling N, Khoury MJ, Hu FB. Sodium and potassium intake and mortality among US adults: prospective data from the third National Health and Nutrition Examination Survey. Arch Intern Med. 2011; 171(13):1183–1191.
12. He FJ, MacGregor GA. Fortnightly review: beneficial effects of potassium. BMJ. 2001; 323(7311):497–501.
Article
13. U.S. Department of Agriculture. U.S. Department of Health and Human Services. U.S. Agricultural Research Service. Report of the dietary guidelines advisory committee on the dietary guidelines for Americans, 2010. Washington, D.C.: U.S. Department of Agriculture;2010.
14. Andreeva VA, Deschamps V, Salanave B, Castetbon K, Verdot C, Kesse-Guyot E, Hercberg S. Comparison of dietary intakes between a large online cohort study (Etude NutriNet-Santé) and a nationally representative cross-sectional study (Etude Nationale Nutrition Santé) in France: addressing the issue of generalizability in e-epidemiology. Am J Epidemiol. 2016; 184(9):660–669.
Article
15. Public Health England. National diet and nutrition survey: results from years 1-4 (combined) of the rolling programme (2008/2009-2011/12). London: Public Health England;2014.
16. Ministry of Health, Labour and Welfare (JP). 2012 National health and nutrition survey report. Tokyo: Ministry of Health, Labour and Welfare;2012.
17. Smith SR, Klotman PE, Svetkey LP. Potassium chloride lowers blood pressure and causes natriuresis in older patients with hypertension. J Am Soc Nephrol. 1992; 2(8):1302–1309.
Article
18. Hirvonen T, Pietinen P, Virtanen M, Albanes D, Virtamo J. Nutrient intake and use of beverages and the risk of kidney stones among male smokers. Am J Epidemiol. 1999; 150(2):187–194.
Article
19. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1). Cheongwon: Korea Centers for Disease Control and Prevention;2011.
20. Weaver CM. Potassium and health. Adv Nutr. 2013; 4(3):368S–377S.
Article
21. Ahn EM, Kang MS, Gong JE, Choe JS, Park YH, Lee JY, Kim HR. The changes of energy nutrient intake, frequently consumed dishes and staple food consumption: based on the first to the forth (1998~2008) Korea National Health and Nutrition Examination Survey(KNHANES I~IV-2). Korean J Community Living Sci. 2011; 22(4):669–678.
22. Tsubota-Utsugi M, Ohkubo T, Kikuya M, Metoki H, Kurimoto A, Suzuki K, Fukushima N, Hara A, Asayama K, Satoh H, Tsubono Y, Imai Y. High fruit intake is associated with a lower risk of future hypertension determined by home blood pressure measurement: the OHASAMA study. J Hum Hypertens. 2011; 25(3):164–171.
Article
23. Son SM, Huh GY. Dietary risk factors associated with hypertension in patients. Korean J Community Nutr. 2006; 11(5):661–672.
24. Buyck JF, Blacher J, Kesse-Guyot E, Castetbon K, Galan P, Safar M, Hercberg S, Czernichow S. Differential associations of dietary sodium and potassium intake with blood pressure: a focus on pulse pressure. J Hypertens. 2009; 27(6):1158–1164.
Article
25. Geleijnse JM, Kok FJ, Grobbee DE. Blood pressure response to changes in sodium and potassium intake: a metaregression analysis of randomised trials. J Hum Hypertens. 2003; 17(7):471–480.
Article
26. Houston MC. The importance of potassium in managing hypertension. Curr Hypertens Rep. 2011; 13(4):309–317.
Article
27. Aburto NJ, Hanson S, Gutierrez H, Hooper L, Elliott P, Cappuccio FP. Effect of increased potassium intake on cardiovascular risk factors and disease: systematic review and meta-analyses. BMJ. 2013; 346:f1378.
Article
28. Teramoto T, Kawamori R, Miyazaki S, Teramukai S. OMEGA Study Group. Sodium intake in men and potassium intake in women determine the prevalence of metabolic syndrome in Japanese hypertensive patients: OMEGA Study. Hypertens Res. 2011; 34(8):957–962.
Article
29. Mukete BN, Rosendorff C. Effects of low-dose thiazide diuretics on fasting plasma glucose and serum potassium: a meta-analysis. J Am Soc Hypertens. 2013; 7(6):454–466.
30. Stark JL. BUN/creatinine: your keys to kidney function. Nursing. 1980; 10(5):33–38.
31. Barba PD, Goode JL. Nutrition assessment in chronic kidney disease. In : Byham-Gray L, Wiessen K, editors. A Clinical Guide to Nutrition Care in Kidney Disease. Chicago (IL): American Dietetic Association;2004. p. 7–20.
32. Jain N, Kotla S, Little BB, Weideman RA, Brilakis ES, Reilly RF, Banerjee S. Predictors of hyperkalemia and death in patients with cardiac and renal disease. Am J Cardiol. 2012; 109(10):1510–1513.
Article
33. Wang HH, Hung CC, Hwang DY, Kuo MC, Chiu YW, Chang JM, Tsai JC, Hwang SJ, Seifter JL, Chen HC. Hypokalemia, its contributing factors and renal outcomes in patients with chronic kidney disease. PLoS One. 2013; 8(7):e67140.
Article
Full Text Links
  • JNH
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr