Dietary salt intake in the Australian population.

TLDR: The dietary recall method used by the AHS likely substantially underestimated mean population salt consumption in Australia, resulting in an underestimate of daily salt intake for both Lithgow and Australia.

Abstract: Objective To update the estimate of mean salt intake for the Australian population made by the Australian Health Survey (AHS) Design A secondary analysis of the data collected in a cross-sectional survey was conducted Estimates of salt intake were made in Lithgow using the 24 h diet recall methodology employed by the AHS as well as using 24 h urine collections The data from the Lithgow sample were age- and sex-weighted, to provide estimates of daily salt intake for the Australian population based upon (i) the diet recall data and (ii) the 24 h urine samples Setting Lithgow, New South Wales, Australia Subjects Individuals aged ≥20 years residing in Lithgow and listed on the 2009 federal electoral roll Results Mean (95 % CI) salt intake estimated from the 24 h diet recalls was 6·4 (6·2, 6·7) g/d for the Lithgow population compared with a corresponding figure of 6·2 g/d for the Australian population derived from the AHS The corresponding estimate of salt intake for Lithgow adults based upon the 24 h urine collections was 9·0 (8·6, 9·4) g/d When the age- and sex-specific estimates of salt intake obtained from the 24 h urine collections in the Lithgow sample were weighted using Australian census data, estimated salt intake for the Australian population was 9·0 (8·6, 9·5) g/d Further adjustment for non-urinary Na excretion made the best estimate of daily salt intake for both Lithgow and Australia about 9·9 g/d Conclusions The dietary recall method used by the AHS likely substantially underestimated mean population salt consumption in Australia