Mean population salt consumption in India: a systematic review
Claire Johnson1, Devarsetty Praveen, Alun Pope
1aThe George Institute for Global Health, Camperdown, New South Wales, Australia bThe George Institute for Global Health India, Hyderabad, India cThe University of Sydney, Sydney, New South Wales, Australia dThe INCLEN Trust International, New Delhi, India eImperial College London, London, UK fRoyal Prince Alfred Hospital, Camperdown, New South Wales, Australia.
Indian adults consume significantly more salt than recommended by the World Health Organization (WHO). This meta-analysis highlights the urgent need for public health interventions to reduce population salt intake and prevent noncommunicable diseases.
Area of Science:
- Public Health
- Nutrition Science
- Epidemiology
Background:
- Member states of the World Health Organization (WHO), including India, have committed to a 30% reduction in mean population salt consumption by 2025.
- This target aims to prevent noncommunicable diseases, a major global health concern.
Purpose of the Study:
- To summarize existing data on mean salt consumption in India.
- To support the WHO's initiative for salt reduction.
Main Methods:
- A systematic search of electronic databases (MEDLINE, EMBASE, CINAHL, Cochrane) was conducted up to November 2015.
- Studies reporting mean or median dietary salt intake in Indian adults (aged 19+) were included.
- Random effects meta-analysis was employed to determine summary estimates of salt intake.
Main Results:
- Twenty-one studies (18 cross-sectional, 2 randomized trials, 1 case-control) involving over 225,000 participants were analyzed.
- Reported mean salt consumption levels ranged from 5.22 to 42.30 g/day.
- The overall mean weighted salt intake, excluding an outlier, was 10.98 g/day, significantly exceeding the WHO recommendation of 5 g/day.
Conclusions:
- While exact figures may vary due to methodological differences, population salt consumption in India substantially exceeds the WHO-recommended maximum.
- Urgent public health strategies are needed to address high salt intake and mitigate risks of noncommunicable diseases.
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