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Sodium, added sugar and saturated fat intake in relation to mortality and CVD events in adults: Canadian National Nutrition Survey linked with vital statistics and health administrative databases

Published online by Cambridge University Press:  08 April 2022

Mahsa Jessri Open the ORCID record for Mahsa Jessri [Opens in a new window] ,
Deirdre Hennessey ,
Anan Bader Eddeen ,
Carol Bennett ,
Zefeng Zhang ,
Quanhe Yang ,
Claudia Sanmartin  and
Douglas Manuel
Mahsa Jessri*
Affiliation:
Food, Nutrition and Health Program, Faculty of Land and Food Systems, The University of British Columbia, Vancouver, BC, Canada Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada Health Analysis Division, Statistics Canada, Government of Canada, Ottawa, ON, Canada School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada
Deirdre Hennessey
Affiliation:
Health Analysis Division, Statistics Canada, Government of Canada, Ottawa, ON, Canada
Anan Bader Eddeen
Affiliation:
Institute for Clinical Evaluative Sciences, Ottawa, ON, Canada
Carol Bennett
Affiliation:
Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada Institute for Clinical Evaluative Sciences, Ottawa, ON, Canada
Zefeng Zhang
Affiliation:
Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA
Quanhe Yang
Affiliation:
Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA
Claudia Sanmartin
Affiliation:
Health Analysis Division, Statistics Canada, Government of Canada, Ottawa, ON, Canada
Douglas Manuel
Affiliation:
Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada Department of Family Medicine, University of Ottawa, Ottawa, ON, Canada C.T. Lamont Primary Health Care Research Centre Program, Bruyère Research Institute, Ottawa, ON, Canada
*
* Corresponding author: Mahsa Jessri, email mahsa.jessri@ubc.ca
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Abstract

This study aimed to determine whether higher intakes of Na, added sugars and saturated fat are prospectively associated with all-cause mortality and CVD incidence and mortality in a diverse population. The nationally representative Canadian Community Health Survey-Nutrition 2004 was linked with the Canadian Vital Statistics – Death Database and the Discharge Abstract Database (2004–2011). Outcomes were all-cause mortality and CVD incidence and mortality. There were 1722 mortality cases within 115 566 person-years of follow-up (median (interquartile range) of 7·48 (7·22–7·70) years). There was no statistically significant association between Na density or energy from saturated fat and all-cause mortality or CVD events for all models investigated. The association of usual percentage of energy from added sugars and all-cause mortality was significant in the base model with participants consuming 11·47 % of energy from added sugars having 1·34 (95 % CI 1·01, 1·77) times higher risk of all-cause mortality compared with those consuming 4·17 % of energy from added sugars. Overall, our results did not find statistically significant associations between the three nutrients and risk of all-cause mortality or CVD events at the population level in Canada. Large-scale linked national nutrition datasets may not have the discrimination to identify prospective impacts of nutrients on health measures.

Keywords

Nutrients of public health concernCVDNational nutrition surveyHealth administrative databases
Type
Research Article
Information
British Journal of Nutrition , Volume 129 , Issue 10 , 28 May 2023 , pp. 1740 - 1750
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Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of The Nutrition Society

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