Cardiovascular diseases (CVDs) https://www.who.int/newsroom/factsheets/-detail/cardiovasculardiseases(cvds). Accessed 12 Jul 2019.
WHO. Global status report on noncommunicable diseases 2010. Geneva: WHO; 2011.
Erratum. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2013;381(9874):1276.
Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet. 2005;365(9455):217–23.
Hypertension. https://www.who.int/newsroom/factsheets/detail/hypertension. Accessed 07 Aug 2019.
Centre for Health Information Management. Outpatient morbidity in health facilities, Ghana. Accra: Ghana Health Service; 2008.
Sanuade O, Boatemaa S, Kushitor M. Hypertension prevalence, awareness, treatment and control in Ghanaian population: Evidence from the Ghana demographic and health survey. PLoS ONE. 2018;13(11):e0205985. https://doi.org/10.1371/journal.pone.0205985.
WHO: About 9 voluntary global targets. Global Monitoring Framework for NCDs. https://www.who.int/nmh/ncd-tools/definition-targets/en/. Accesed 22 Feb 2020.
WHO and World Economic Forum. From burden to “best buys”: reducing the economic impact of non-communicable diseases in low- and middle-income countries. Geneva: World Economic Forum; 2011.
Salt Reduction. https://www.who.int/news-room/fact-sheets/detail/salt-reduction. Accessed 06 Aug 2019.
Institute of Medicine (US). Panel on Dietary Reference Intakes for Electrolytes and Water. In: DRI, dietary reference intakes for water, potassium, sodium, chloride, and sulfate. Washington, DC: National Academies Press; 2005.
He FJ. How far should salt intake be reduced? Hypertension. 2003;42(6):1093–9.
He FJ, Li J, Macgregor GA. Effect of longer-term modest salt reduction on blood pressure. Cochrane Database Syst Rev. 2013;346:f1325325. https://doi.org/10.1136/bmj.f1325.
Strazzullo P, D’Elia L, Kandala NB, Cappuccio FP. Salt intake, stroke, and cardiovascular disease: Meta-analysis of prospective studies. BMJ (Online). 2009;339(7733):1296.
Graudal NA, Hubeck-Graudal T, Jurgens G. Effects of low sodium diet versus high sodium diet on blood pressure, renin, aldosterone, catecholamines, cholesterol, and triglyceride. Cochrane Database Syst Rev. 2017;2017(4).
Dickinson HO, Mason JM, Nicolson DJ, Campbell F, Beyer FR, Cook JV, et al. Lifestyle interventions to reduce raised blood pressure: a systematic review of randomized controlled trials. J Hypertens. 2006;24(2):215–23.
Dietary Guidelines Advisory Committee. Adults and sodium: what is the relationship between sodium and blood pressure in adults aged 19 years and older? Washington, D.C: Department of Health and Human Services and Department of Agriculture; 2010.
Cobb LK, Anderson CAM, Elliott P, Hu FB, Liu K, Neaton JD, et al. Methodological issues in cohort studies that relate sodium intake to cardiovascular disease outcomes: a science advisory from the american heart association. Circulation. 2014;129(10):1173–86.
WHO. ‘SHAKE’ the salt habit. Geneva: WHO; 2016.
Sookram CDM, Phori PM, Varenne B, Alisalad A. WHO’s supported interventions on salt intake reduction in the sub-Saharan Africa region. Cardiovasc Diagn Ther. 2015;5(3):186–90.
Cappuccio FP, Kerry SM, Micah FB, Plange-Rhule J, Eastwood JB. A community programme to reduce salt intake and blood pressure in Ghana [ISRCTN88789643]. BMC Public Health. 2006;6.
Chockalingam A, Balaguer-Vintro I, Achutti A, De Luna AB, Chalmers J, Farinaro E, et al. The world heart federation’s white book: impending global pandemic of cardiovascular diseases: challenges and opportunities for the prevention and control of cardiovascular diseases in developing countries and economies in transition. Can J Cardiol. 2000;16(2):227–9.
Charlton K, Ware LJ, Menyanu E, Biritwum RB, Naidoo N, Pieterse C, et al. Leveraging ongoing research to evaluate the health impacts of South Africa’s salt reduction strategy: A prospective nested cohort within the WHO-SAGE multicountry, longitudinal study. BMJ Open. 2016;6(11).
Kowal P, Chatterji S, Naidoo N, Biritwum R, Fan W, Ridaura RL, et al. Data resource profile: the World Health Organization study on global AGEing and adult health (SAGE). Int J Epidemiol. 2012;41:1639–49.
World Health Organization. National Report of the World Health Survey in Ghana, 2002–2004. Geneva: WHO; 2006.
Protocol for population level sodium determination in 24hr urine samples. https://www.paho.org/hq/dmdocuments/2013/24h-urine-Protocol-eng.pdf. Accessed 15 Jan 2020.
Elliott P. Sodium intakes around the world. Background document prepared for the forum and technical meeting on reducing salt intake in populations (Paris 5-7th October 2006). Geneva: WHO; 2007.
Stolarz-Skrzypek K, Kuznetsova T, Thijs L, Tikhonoff V, Seidlerová J, Richart T, et al. Fatal and nonfatal outcomes, incidence of hypertension, and blood pressure changes in relation to urinary sodium excretion. J Am Med Assoc. 2011;305(17):1777–85.
Ohashi T, Yamaki M, Pandav CS, Karmarkar MG, Irie M. Simple microplate method for determination of urinary iodine. Clin Chem. 2000;46(4):529–36.
RibeiroI KCB, Nolasco EL, VanelliI CP, Mesquita HL, Corrêa JOA. Urine storage under refrigeration preserves the sample in chemical, cellularity and bacteriuria analysis of ACS. J Bras Patol Med Lab. 2013;49(6).
Ware LJ, Charlton K, Schutte AE, Cockeran M, Naidoo N, Kowal P. Associations between dietary salt, potassium and blood pressure in south African adults: WHO SAGE wave 2 Salt & Tobacco. Nutr Metab Cardiovasc Dis. 2017;27(9):784–91.
Topouchian JA, El Assaad MA, Orobinskaia LV, El Feghali RN, Asmar RG. Validation of two automatic devices for self-measurement of blood pressure according to the international protocol of the European Society of Hypertension: the Omron M6 (HEM-7001-E) and the Omron R7 (HEM 637-IT). Blood Pressure Monitoring. 2006;11(3):165–71.
O’Brien E, Pickering T, Asmar R, Myers M, Parati G, Staessen J, et al. Working group on blood pressure monitoring of the European Society of Hypertension International Protocol for validation of blood pressure measuring devices in adults. Blood Pressure Monitoring. 2002;7(1):3–17.
Takahashi Y, Sasaki S, Okubo S, Hayashi M, Tsugane S. Blood pressure change in a free-living population-based dietary modification study in Japan. J Hypertens. 2006;24(3):451–8.
Williams B, Mancia G, Spiering W, Rosei EA, Azizi M, Burnier M, et al. 2018 practice guidelines for the management of arterial hypertension of the European society of cardiology and the European society of hypertension ESC/ESH task force for the management of arterial hypertension. J Hypertens. 2018;36(12):2284–309.
Selvarag S, Elbez Y, Sorbets E, Feldman LJ, Eagle KA. Pulse pressure and risk for cardiovascular events in patients with atherothrombosis: from the REACH registry. J Am Coll Cardiol. 2016;67(4):392–403.
WHO: Global Physical Activity Questionnaire. https://www.who.int/ncds/-surveillance/steps/resources/GPAQ_Analysis_Guide.pdf.
Guideline: Potassium intake for adults and children. 2012. http://apps.who.int/iris/bitstream/10665/77986/1/9789241504829_eng.pdf?ua=1&ua=1 Accessed 21 Aug 2019.
Swanepoel B, Schutte AE, Cockeran M, Steyn K, Wentzel-Viljoen E. Sodium and potassium intake in South Africa: an evaluation of 24-hour urine collections in a white, black, and Indian population. J Am Soc Hypertens. 2016;10(11):829–37.
Seko C, Odani K, Wada S, Yoshii K, Segawa H, Kitaoka K, et al. Characteristic dietary habits associated with high values of estimated 24-hours urinary sodium excretion and sodium-to-potassium ratio assessed by age group among the residents of a rural town in Japan. Clin Exp Hypertens. 2020;42(5):449–59.
Morrissey E, Giltinan M, Kehoe L, Nugent AP, McNulty BA, Flynn A, et al. J. Sodium and Potassium Intakes and Their Ratio in Adults (18–90 y): Findings from the Irish National Adult Nutrition Survey. Nutrients. 2020;12:938.
Kerry SM, Emmett L, Micah FB, Martin-Peprah R, Antwi S, Phillips RO, et al. Rural and semi-urban differences in salt intake, and its dietary sources, in Ashanti, West Africa. Ethn Dis. 2005;15(1):33–9.
Monteiro CA, Moubarac JC, Cannon G, Ng SW, Popkin B. Ultra-processed products are becoming dominant in the global food system. Obes Rev. 2013;14(S2):21–8.
Andam KS, Tschirley D, Asante SB, Al-Hassan RM, Diao X. The transformation of urban food systems in Ghana: findings from inventories of processed products. Outlook Agric. 2018;47(3):233–43.
Menyanu E, Charlton KE, Ware LJ, Russell J, Biritwum R, Kowal P. Salt use behaviours of ghanaians and south africans: A comparative study of knowledge, attitudes and practices. Nutrients. 2017;9(9).
Wentzel-Viljoen E, Steyn K, Lombard C, De Villiers A, Charlton K, Frielinghaus S, et al. Evaluation of a mass-media campaign to increase the awareness of the need to reduce discretionary salt use in the South African population. Nutrients. 2017;9(11).
Ghana: Stakeholder Campaign On the Use of Iodated Salt. http://allafrica.com/-stories/-201110060238.html. Accessed 05 May 2020.
Intensify Universal Salt Iodization Campaign—Official. http://www.ghananews-agency.org/print/36. Accessed 04 Apr 2020.
ICCIDD. Progress of Household Consumption of Iodated Salt in Some African Countries. Iodine Defic Disord Newsl. 2008;31:71–8.
Combatting IDD in Ghana. http://www.ign.org/newsletter/idd_nl_may06_ghana.-pdf. Accessed 04 Apr 2020.
Menyanu E, Russell J, Charlton K. Dietary Sources of Salt in Low- and Middle-Income Countries: A Systematic Literature Review. Int J Environ Res Public Health. 2019;16(12).
Nwanguma BC, Okorie CH. Salt (sodium chloride) content of retail samples of Nigerian white bread: implications for the daily salt intake of normotensive and hypertensive adults. J Hum Nutr Diet. 2013;26(5):488–93.
Will Cassava Remain a Staple Food in the Congo? http://www.fao.org/docrep/-U3550t/. Accessed 8 Mar 2020.
Ghana Demographic and Health Survey. http://www.statsghana.gov.gh/docfiles/-publications/2014%20GDHS%20%20Report.pdf. Accessed 10 Mar 2020.
National Iodine Survey Report 2015. https://www.ghanahealthservice.org/-downloads/Iodine_Survey_Report.pdf Accessed 28 Mar 2020.
Keogh JB, Lange K, Hogarth R, Clifton PM. Foods contributing to sodium intake and urinary sodium excretion in a group of Australian women. Public Health Nutr. 2013;16(10):1837–42.
Villani AM, Clifton PM, Keogh JB. Sodium intake and excretion in individuals with type 2 diabetes mellitus: a cross-sectional analysis of overweight and obese males and females in Australia. J Hum Nutr Diet. 2012;25(2):129–39.
Margerison C, Riddell LJ, Wattanapenpaiboon N, Nowson CA. Dietary sources and meal distribution of sodium and potassium in a sample of Australian adults. Nutr Diet. 2013;70(4):294–9.
Chariton K, Yeatman H, Houweling F, Guenon S. Urinary sodium excretion, dietary sources of sodium intake and knowledge and practices around salt use in a group of healthy Australian women. Aust N Z J Public Health. 2010;34(4):356–63.
Sarmugam R, Worsley A, Flood V. Development and validation of a salt knowledge questionnaire. Public Health Nutr. 2014;17(5):1061–8.
Consensus Action on Salt and Health Salt and Your Health—TNS Public Opinion Survey Summary report. http://www.actiononsalt.org.uk/Docs/39307.pdf. Accessed 07 Mar 2020.
Stadlmayr B, Charrondière UR, Burlingame B. Development of a regional food composition table for West Africa. Food Chem. 2013;140(3):443–6.
Food and Agriculture Organization. Food balance sheets: a handbook, Economic and Social Development Department, Food and Agriculture Organization of the United Nations, Rome, Italy; 2012.
Yawson DO, Adu MO, Ason B, Armah FA, Boateng E, Quansah R. Ghanaians might be at risk of excess dietary intake of potassium based on food supply data. J Nutr Metab. 2018. https://doi.org/10.1155/2018/5989307.
Aburto NJ, Hanson S, Gutierrez H, Hooper L, Elliott P, Cappuccio FP. Effect of increased potassium intake on cardiovascular risk factors and disease: Systematic review and meta-analyses. BMJ (Online). 2013;346(7903).
Rose G, Stamler J, Stamler R, Elliott P, Marmot M, Pyorala K, et al. Intersalt: an international study of electrolyte excretion and blood pressure. Results for 24 hour urinary sodium and potassium excretion. Br Med J. 1988;297(6644):319–28.
Stamler J, Chan Q, Daviglus ML, Dyer AR, Van Horn L, Garside DB, et al. Relation of dietary sodium (salt) to blood pressure and its possible modulation by other dietary factors the intermap study. Hypertension. 2018;71(4):631–7.
Charlton KE, Steyn K, Levitt NS, Zulu JV, Jonathan D, Veldman FJ, et al. Diet and blood pressure in South Africa: intake of foods containing sodium, potassium, calcium, and magnesium in three ethnic groups. Nutrition. 2005;21(1):39–50.
Olde Engberink RHG, Van Den Hoek TC, Van Noordenne ND, Van Den Born BJH, Peters-Sengers H, Vogt L. Use of a single baseline versus multiyear 24-hour urine collection for estimation of long-term sodium intake and associated cardiovascular and renal risk. Circulation. 2017;136(10):917–26.
Lerchl K, Rakova N, Dahlmann A, Rauh M, Goller U, Basner M, et al. Agreement between 24-hour salt ingestion and sodium excretion in a controlled environment. Hypertension. 2015;66(4):850–7.
Markanday S, Brennan SL, Gould H, Pasco JA. Sex-differences in reasons for non-participation at recruitment: Geelong Osteoporosis Study. BMC Res Notes. 2013;6(1).
Campbell NRC, He FJ, Tan M, Cappuccio FP, Neal B, Woodward M, et al. The International Consortium for Quality Research on Dietary Sodium/Salt (TRUE) position statement on the use of 24-hour, spot, and short duration (<24 hours) timed urine collections to assess dietary sodium intake. J Clin Hypertens. 2019;21(6):700–9.
Charlton KE, Steyn K, Levitt NS, Peer N, Jonathan D, Gogela T, et al. A food-based dietary strategy lowers blood pressure in a low socio-economic setting: a randomised study in South Africa. Public Health Nutr. 2008;11(12):1397–406.
John KA, Cogswell ME, Campbell NR, Nowson CA, Legetic B, Hennis AJM, et al. Accuracy and usefulness of select methods for assessing complete collection of 24-hour urine: a systematic review. J Clin Hypertens. 2016;18(5):456–67.
Stamler J, Elliott P, Dennis B, Dyer AR, Kesteloot H, Liu K, et al. INTERMAP: background, aims, design, methods, and descriptive statistics (nondietary). J Hum Hypertens. 2003;17(9):591–608.
