Association between Taste Sensitivity and Self-Reported and Objective Measures of Salt Intake among Hypertensive and Normotensive Individuals

Paula de Moura Piovesana, Karina de Lemos Sampaio, Maria Cecília B J Gallani, Paula de Moura Piovesana, Karina de Lemos Sampaio, Maria Cecília B J Gallani

Abstract

This study investigated the gustatory threshold for salt and its relationship with dietary salt intake among hypertensive (n = 54) and normotensive (n = 54) subjects. Salt intake was evaluated through 24-hour urinary sodium excretion and self-reported measures (discretionary salt, Sodium- Food Frequence Questionnaire (Na-FFQ), and 24-hour recall). Detection and recognition thresholds were higher among hypertensive subjects, as well as the total sodium intake. Detection and recognition thresholds were positively related to discretionary salt and total intake of the group as whole. Hypertensive and normotensive subjects presented positive correlations between taste sensitivity and the different measures of salt intake. To conclude, a positive correlation exists between taste threshold and salt intake and both seem to be higher among hypertensive subjects. The combined use of methods of self-report and assessment of taste thresholds can be useful in health promotion and rehabilitation programs, by screening subjects at higher risk of elevated salt intake and the critical dietary behaviors to be targeted as well to evaluate the result of targeted interventions.

References

    1. Kannel WB. Hypertensive risk assessment: cardiovascular risk factors and hypertension. Journal of Clinical Hypertension. 2004;6(7):393–399.
    1. Bibbins-Domingo K, Chertow GM, Coxson PG, et al. Projected effect of dietary salt reductions on future cardiovascular disease. New England Journal of Medicine. 2010;362(7):590–599.
    1. Hooper L, Bartlett C, Davey SM, Ebrahim S. Reduced dietary salt for prevention of cardiovascular disease. Cochrane Database of Systematic Reviews. 2003;(4, article CD003656)
    1. del Carmen Bisi Molina M, de Sá Cunha R, Herkenhoff LF, Mill G. Hypertension and salt intake in an urban population. Revista de Saude Publica. 2003;37(6):743–750.
    1. Sacks FM, Svetkey LP, Vollmer WM, et al. Effects on blood pressure of reduced dietary sodium and the dietary approaches to stop hypertension (dash) diet. New England Journal of Medicine. 2001;344(1):3–10.
    1. Scientific Advisory Committee on Nutrition. Salt and Health. London, UK: The Stationery Office; 2003.
    1. Sarno F, Claro RM, Levy RB, et al. Estimativa de consumo de sódio pela população brasileira, 2002-2003. Journal of Public Health. 2009;43(2):219–225.
    1. Cornélio ME, Gallani M-CBJ, Godin G, Rodrigues RCM, Nadruz W, Mendez RDR. Behavioural determinants of salt consumption among hypertensive individuals. Journal of Human Nutrition and Dietetics. 2012;25(4):334–344.
    1. Ferreira-Sae MCS, Gallani MCBJ, Nadruz W, et al. Reliability and validity of a semi-quantitative FFQ for sodium intake in low-income and low-literacy Brazilian hypertensive subjects. Public Health Nutrition. 2009;12(11):2168–2173.
    1. Malherbe M, Walsh CN, Vand Der Merwe Consumer acceptability and salt perception of food with a reduced sodium content. Journal of Family Ecology and Consumer Sciences. 2003;31:12–20.
    1. Isezuo SA, Saidu Y, Anas S, Tambuwal BU, Bilbis LS. Salt taste perception and relationship with blood pressure in type 2 diabetics. Journal of Human Hypertension. 2008;22(6):432–434.
    1. Málaga S, Díaz JJ, Arguelles J, Perillán C, Málaga I, Vijande M. Blood pressure relates to sodium taste sensitivity and discrimination in adolescents. Pediatric Nephrology. 2003;18(5):431–434.
    1. Antonello VS, Antonello ICF, De Los Santos CA. Salt taste threshold, 24 hour natriuresis and blood pressure variation in normotensive individuals. Revista da Associacao Medica Brasileira. 2007;53(2):142–146.
    1. Dahl LK. Possible role of salt intake in the development of essential hypertension. International Journal of Epidemiology. 2005;34(5):967–972.
    1. WHO/PAHO. Regional Expert Group for Cardiovascular Disease Prevention through Population-wide Dietary Salt Reduction, 2010, .
    1. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd edition. New York, NY, USA: Academic Press; 1988.
    1. Brazilian Society of Cardiology and Brazilian Society of Nephrology. VI Diretrizes Brasileiras de Hipertensão Arterial. Brazilian Journal of Hypertension. 2010;17(1):1–64.
    1. Piovesana PM, Gallani MCBJ, Sampaio KL. Metodologias para análise da sensibilidade gustativa ao sal. Brazilian Journal of Food Technology. 2012;15(3):182–190.
    1. Nilsson B. Taste acuity of the human palate. III. Studies with taste solutions on subjects in different age groups. Acta Odontologica Scandinavica. 1979;37(4):235–252.
    1. Hatae K, Takeutchi F, Sakamoto M, Ogasawara Y, Akano H. Saltiness and acidity: detection and recognition thresholds and their interaction near the threshold. Journal of Food Science. 2009;74(4):S147–S153.
    1. Mojet J, Christ-Hazelhof E, Heidema J. Taste perception with age: generic or specific losses in threshold sensitivity to the five basic tastes? Chemical Senses. 2001;26(7):845–860.
    1. Monneuse MO, Rigal N, Frelut ML, Hladik CM, Simmen B, Pasquet P. Taste acuity of obese adolescents and changes in food neophobia and food preferences during a weight reduction session. Appetite. 2008;50(2-3):302–307.
    1. Pasquet P, Oberti B, El Ati J, Hladik CM. Relationships between threshold-based PROP sensitivity and food preferences of Tunisians. Appetite. 2002;39(2):167–173.
    1. Spritzer N. Limiares gustativos ao sal em hipertensos. Arquivos Brasileiros de Cardiologia. 1985;44(3):151–155.
    1. Nutwin—Programa de Apoio à Nutrição [software] Version 1.6, Departamento de Informática em Saúde da Universidade Federal de São Paulo, São Paulo, Brazil, 2010, .
    1. Statistical Analysis System (SAS)—System for Windows [software]. Version 9.1.3. Cary, NC, USA: SAS Institute; 2002.
    1. Olayemi SO, Mabadeje AF. Comparative study of salt taste threshold of hypertensives, their normotensive relatives and non-relatives. The Nigerian Postgraduate Medical Journal. 2003;10(2):96–98.
    1. Lastra G, Dhuper S, Johnson MS, Sowers JR. Salt, aldosterone, and insulin resistance: impact on the cardiovascular system. Nature Reviews Cardiology. 2010;7(10):577–584.
    1. Dyer A, Elliott P, Chee D, Stamler J. Urinary biochemical markers of dietary intake in the INTERSALT study. American Journal of Clinical Nutrition. 1997;65(4):1246S–1253S.
    1. Legetic B, Campbell N. Reducing salt intake in the Americas: pan American health Organization actions. Journal of Health Communication. 2011;16(supplement 2):37–48.
    1. Arcand J, Floras JS, Azevedo E, Mak S, Newton GE, Allard JP. Evaluation of 2 methods for sodium intake assessment in cardiac patients with and without heart failure: the confounding effect of loop diuretics. American Journal of Clinical Nutrition. 2011;93(3):535–541.

Source: PubMed

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