%0 Journal Article
%9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES
%A Chan, K.
%A Gallant, J.
%A Leemaqz, S.
%A Baldwin, D. A.
%A Borath, M.
%A Kroeun, H.
%A Measelle, J. R.
%A Ngik, R.
%A Prak, S.
%A Wieringa, Franck
%A Yelland, L. N.
%A Green, T. J.
%A Whitfield, K. C.
%T Assessment of salt intake to consider salt as a fortification vehicle for thiamine in Cambodia
%D 2021
%L fdi:010080557
%G ENG
%J Annals of the New York Academy of Sciences
%@ 0077-8923
%K salt ; fortification ; thiamine ; beriberi ; human milk ; urinary sodium
%K CAMBODGE
%M ISI:000605558600001
%N 1
%P 85-95
%R 10.1111/nyas.14562
%U https://www.documentation.ird.fr/hor/fdi:010080557
%> https://horizon.documentation.ird.fr/exl-doc/pleins_textes/divers21-01/010080557.pdf
%V 1498
%W Horizon (IRD)
%X Thiamine deficiency is a public health issue in Cambodia. Thiamine fortification of salt has been proposed; however, the salt intake of lactating women, the target population, is currently unknown. We estimated salt intakes among lactating women (<6 months postpartum) using three methods: repeat observed-weighed intake records and 24-h urinary sodium excretions (n = 104), and household salt disappearance (n = 331). Usual salt intake was estimated by adjusting for intraindividual intakes using the National Cancer Institute method, and a thiamine salt fortification scenario was modeled using a modified estimated average requirement (EAR) cut-point method. Unadjusted salt intake from observed intakes was 9.3 (8.3-10.3) g/day, which was not different from estimated salt intake from urinary sodium excretions, 9.0 (8.4-9.7) g/day (P = 0.3). Estimated salt use from household salt disappearance was 11.3 (10.7-11.9) g/person/day. Usual (adjusted) salt intake from all sources was 7.7 (7.4-8.0) g/day. Assuming no stability losses, a modeled fortification dose of 275 mg thiamine/kg salt could increase thiamine intakes from fortified salt to 2.1 (2.0-2.2) mg/day, with even low salt consumers reaching the EAR of 1.2 mg/day from fortified salt alone. These findings, in conjunction with future sensory and stability research, can inform a potential salt fortification program in Cambodia.
%$ 054