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Published on: June 6, 2018
Development and validation of a sodium AnaLysis tool (SALT).
Marcia Cooper1, Janis Randall Simpson2, Rita Klutka3
1Bureau of Nutritional Sciences, HPFB, Health Canada, Sir Frederick G. Banting Research Centre, 251 Sir Frederick Banting Driveway, Ottawa, Ontario, K1A 0K9, Canada. marcia.cooper@canada.ca.
The Sodium AnaLysis Tool (SALT) shows potential for assessing Canadian adult sodium intake, though further refinement is needed for accurate classification. This tool helps evaluate population-level dietary sodium consumption.
Area of Science:
- Nutrition Science
- Public Health
- Dietary Assessment
Background:
- Excess dietary sodium is linked to elevated blood pressure.
- Most Canadians exceed the Tolerable Upper Intake Level (UL) of 2300 mg/day.
- Previous surveys show persistent high sodium consumption in Canada.
Purpose of the Study:
- To develop and assess the validity and reliability of the Sodium AnaLysis Tool (SALT).
- To evaluate SALT's effectiveness in measuring population sodium intake in Canadian adults.
Main Methods:
- Utilized Canadian Community Health Survey (CCHS) data to create SALT questions.
- Collected data from 100 participants using 24-hour recalls and SALT assessments over one month.
- Employed statistical tests (Bland-Altman plots, t-tests, correlations) for validity and reliability analysis.
Main Results:
- Validity testing showed a small bias (7 mg/day) and poor correlation (r=0.202) between SALT and 24-hour recalls.
- Fair agreement (κ=0.236) was found for classifying sodium intake above or below the UL.
- Test-retest reliability showed moderate agreement (κ=0.488) for classification, but significant differences in absolute intake values between SALT administrations.
Conclusions:
- The SALT demonstrates potential as a valid and reliable tool for assessing Canadian adult dietary sodium intake.
- While classification accuracy requires improvement, SALT may be useful for categorizing sodium intake levels.
- Further modifications to the SALT tool are recommended to enhance its precision.
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