Validation of an easy questionnaire on the assessment of salt habit: the MINISAL-SIIA Study Program

Eur J Clin Nutr. 2019 May;73(5):793-800. doi: 10.1038/s41430-018-0204-0. Epub 2018 Aug 8.

Abstract

Background/objectives: The aim of the present study was to validate a short questionnaire on habitual dietary salt intake, to quickly and easily identify individuals whose salt consumption exceeds recommended levels.

Subjects/methods: A total of 1131 hypertensive subjects participating in the MINISAL-SIIA study were included in the analysis. Anthropometric indexes, blood pressure, and 24-h urinary sodium excretion (NaU) were measured. A fixed-sequence questionnaire on dietary salt intake was administered.

Results: NaU was significantly associated with scores, with a linear association across categories (p for trend <0.0001). In addition, participants who achieved a total score above the median value (eight points) had significantly higher NaU than those whose score was below median (p < 0.0001). In the total sample, the prevalence of "high NaU" (NaU > 85 mmol/day) and "very high NaU" (NaU > 170 mmol/day) was 86 and 35%, respectively. The score of the questionnaire had a significant ability to detect both "high NaU"-with a specificity of 95% at the score of 10 points-and "very high NaU"-with a specificity of 99.6% at score of 13 points.

Conclusions: The main results of the study indicates that a higher score of this short questionnaire is distinctive of habitual high salt consumption in hypertensive patients.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Female
  • Humans
  • Hypertension / epidemiology*
  • Hypertension / etiology
  • Hypertension / prevention & control
  • Italy / epidemiology
  • Male
  • Middle Aged
  • Reproducibility of Results
  • Sodium Chloride, Dietary / administration & dosage*
  • Sodium Chloride, Dietary / urine
  • Surveys and Questionnaires*

Substances

  • Sodium Chloride, Dietary