香港中文大学：攝取高鹽份會引致高血壓增加中風機會（PPT讲稿）Salt raises blood pressure, increasing the risk of stroke

攝取高鹽份會引致高血壓 增加中風機會 Salt raises blood pressure, increasing the risk of stroke 香港中文大學内科及藥物治療學系 及營養研究中心 Department of Medicine and Therapeutics 學赛 and Centre for Nutritional studies The Chinese University of Hong Kong tritional

攝取高鹽份會引致高血壓 增加中風機會 Salt raises blood pressure, increasing the risk of stroke 香港中文大學內科及藥物治療學系 及營養研究中心 Department of Medicine and Therapeutics and Centre for Nutritional Studies, The Chinese University of Hong Kong

甚麼是 WASH What iS WASH? 世界食鹽健康行動 World action on salt and health(WASH) 個全球性的志願團體,於2005年在英國成立. A global voluntary group established in 2005 in UK 427個的成員來自83個國家(主要是血壓科的專家) 427 members from 83 countries(mainly experts in hypertension) Arctic ocean China Iran Asia Europe Japan North Korea America Middle East Pacing Malaysia Caribbean ocean Africa Nepal Centra America Pakistan South America Singapore Australia Antarctica

甚麼是WASH? What is WASH? China Iran Japan Korea Malaysia Nepal Pakistan Singapore ◼ 世界食鹽健康行動 World Action On Salt and Health (WASH) ◼ 一個全球性的志願團體，於2005年在英國成立. A global voluntary group established in 2005 in UK ◼ 427個的成員來自83個國家（主要是血壓科的專家）. 427 members from 83 countries (mainly experts in hypertension)

世界食鹽健康行動的使命和策略 WASH's Mission and Strategies 提高人民健康’在食品加工,烹飪,餐桌上逐步减少用鹽 Improve populations' health by gradual salt reduction in processed foods, cooking, and at the table 政府 食品工業 公眾家住烹調 Government Food industry Public/Home cooking 幫助建立以科硏實證 與食品製造商在鹽與健康 通過媒體宣傳和公眾 為基礎的健康政策 的科研實證上達到共識 教育,教育市民明白 Help in formulation of Reach a consensus with 減少用鹽的重要性及 evidence based food manufacturers that 方法,以達到減低鹽 health policy strong evidence on salt 份攝取 與各國政府和衛生機 and health Educate the public 構分享最佳的減鹽策 作為一個全球性的監察 through media 略 Act as a global monitor publicity and public health campaigns to Share best practice 游說國際食品公司制定及 achieve salt for salt reduction 推行全球性的減鹽計劃 reduction strategies with Persuade international Governments and food companies to health organizations employ a global salt worldwide reduction plan

世界食鹽健康行動的使命和策略 WASH’s Mission and Strategies 提高人民健康，在食品加工，烹飪，餐桌上逐步減少用鹽 Improve populations’ health by gradual salt reductionin processed foods, cooking, and at the table -幫助建立以科研實證 為基礎的健康政策 Help in formulation of evidence based health policy - 與各國政府和衛生機 構分享最佳的減鹽策 略 Share best practice for salt reduction strategies with Governments and health organizations worldwide -與食品製造商在鹽與健康 的科研實證上達到共識 Reach a consensus with food manufacturers that strong evidence on salt and health - 作為一個全球性的監察 Act as a global monitor - 游說國際食品公司制定及 推行全球性的減鹽計劃 Persuade international food companies to employ a global salt reduction plan 政府 Government 食品工業 Food industry 公眾/家住烹調 Public/Home cooking - 通過媒體宣傳和公眾 教育，教育市民明白 減少用鹽的重要性及 方法，以達到減低鹽 份攝取 Educate the public through media publicity and public health campaigns to achieve salt reduction

世界食鹽關注週 World salt awareness Week 2010年:食鹽與你的健康 2011年:食鹽與男士健康 Year 2010: Salt and your health Year 2011 Salt and mens health SALT CAN DAMAGE 止纵aod0 n Steve that there was such a thing as too much salt. YOUR HEALTH XIE ISEA HEART DISFASE World Salt WASH Awareness Weok

世界食鹽關注週 World Salt Awareness Week 2010年: 食鹽與你的健康 Year 2010: Salt and Your Health 2011年: 食鹽與男士健康 Year 2011: Salt and Men’s Health

世界食鹽關注週2012 World salt Awareness Week 2012 2012年3月26日-4月1日26 March-1Aprl2012 主題:減低食鹽一防止中風 Theme: Reducing salt- Preventing stroke 少鹽 SAI LOWER 降低 BLOOD PRESSURE 血展 LESS RISK OF 内上少中(A STROKE 風危機 lecam the ru ef sef eee te togus caus of dean ad uisatiuire World Salt 世 界食注 Awareness week 利上+ WASH WASH

世界食鹽關注週 2012 World Salt Awareness Week 2012 ◼ 2012年3月26日 – 4月1日 26th March – 1 st April 2012 ◼ 主題: 減低食鹽 – 防止中風 Theme: Reducing Salt – Preventing Stroke

有關鹽份攝取量和中風風險的全球性數據 Global evidence on salt intake and stroke risk 每年全球300萬婦女和250萬男性死於中風 Worldwide 3 million women and 2.5 milion men die from stroke every year 在發達國家’中風是第三大最常見的死亡原因 Stroke is the third most common cause of death in developed countries 高鹽份攝取量與較高中風風險有關聯 High salt intake is associated with higher risk of stroke 口高鹽份的攝取會令到血壓升高,從而增加中風的風險 High salt intake raises blood pressure, which in turn increases risk of stroke

有關鹽份攝取量和中風風險的全球性數據 Global evidence on salt intake and stroke risk ◼ 每年全球300萬婦女和250萬男性死於中風 Worldwide 3 million women and 2.5 million men die from stroke every year ◼ 在發達國家，中風是第三大最常見的死亡原因 Stroke is the third most common cause of death in developed countries ◼ 高鹽份攝取量與較高中風風險有關聯 High salt intake is associated with higher risk of stroke ❑ 高鹽份的攝取會令到血壓升高, 從而增加中風的風險 High salt intake raises blood pressure, which in turn increases risk of stroke

有關鹽份攝取量和血壓的全球性證據 Global evidence on salt intake and blood pressure E12 52 Centres: b=00034 810 (SE 0.0006) mm Hg/ year/mmol sodium Esc 05 08 峭啪 02 c02 000 52 Centres: b=0.0021 ISE 0.0003)mm Hg ye 3-02 50 Adjusted sodium excretion(mmol: 24h) djusted sodium excretion (mmol: 24h) 尿液鈉質拼出量 尿液鈉質拼出量 Reference and adapted from: Intersalt Cooperative Research Group 1988

Reference and adapted from: Intersalt Cooperative Research Group 1988 有關鹽份攝取量和血壓的全球性證據 Global evidence on salt intake and blood pressure 尿液鈉質排出量 尿液鈉質排出量 收縮壓 舒張壓

有關血壓和中風風險的全球性證據 Global evidence on blood pressure and stroke risk Stroke and usual BP 4.00 中風風險 2.00 Relative Risk 1.00 of stroke 0.50 025 收縮壓 Usual SBP123136148162175 舒張壓 Usual DBP76849199105 Approximate mean usual BP (mmHg) 平均血壓 Reference and adapted from: MacMahon etal. 1990

有關血壓和中風風險的全球性證據 Global evidence on blood pressure and stroke risk Reference and adapted from: MacMahon et al. 1990 中風風險 平均血壓 收縮壓 舒張壓

有關鹽份攝取量和因中風死亡的全球性證據 Global evidence on salt intake and deaths from stroke Salt and Stroke 2210 Portugal 1810 140 Malta. 氢120 NIrvana. c82 P<0001 Belgium /e&w Germany 810 Holland 670 75&0B59095100105 dinary sodium Excretion as grams of saltdkay 尿液鈉質排出量 Reference and adapted from: He et al. 2009

有關鹽份攝取量和因中風死亡的全球性證據 Global evidence on salt intake and deaths from stroke Reference and adapted from: He et al. 2009 尿液鈉質排出量 每年因中風死亡人數

對鹽份攝取量的建議 Recommended salt intake level 世界衛生組織 現時鹽份攝取量約每日10克减少5克鹽份播取 鹽份攝取量建議-每日少於5克 Current salt intake World Health organization 5g salt reduction Around 10 g/d Recommended salt intake Less than 5 gld 减低全球23%中風風險 每年救回125萬人的性命 Reduce stroke by Save 1.25 million lives 23% worldwide per year

對鹽份攝取量的建議 Recommended salt intake level 現時鹽份攝取量約每日10克 Current salt intake Around 10 g/d 世界衛生組織 鹽份攝取量建議 - 每日少於5克 World Health Organization Recommended salt intake Less than 5 g/d 減低全球23%中風風險 Reduce stroke by 23% worldwide 每年救回125萬人的性命 Save 1.25 million lives per year 減少5克鹽份攝取 5 g salt reduction