<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">FNS</journal-id><journal-title-group><journal-title>Food and Nutrition Sciences</journal-title></journal-title-group><issn pub-type="epub">2157-944X</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/fns.2022.135035</article-id><article-id pub-id-type="publisher-id">FNS-117453</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biomedical&amp;Life Sciences</subject></subj-group></article-categories><title-group><article-title>
 
 
  Sodium Content in Takeaway Meals Sampled from Three Large China Cities
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Weisheng</surname><given-names>Xu</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Shuang</surname><given-names>Rong</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Jia</surname><given-names>Zhao</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Ying</surname><given-names>Lu</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Guodong</surname><given-names>Wang</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Jingming</surname><given-names>Yang</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Siyu</surname><given-names>Wang</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Zhu</surname><given-names>Wang</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Yuexin</surname><given-names>Yang</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, China</addr-line></aff><aff id="aff3"><addr-line>Key Laboratory of Trace Element Nutrition, National Health Commission, Beijing, China</addr-line></aff><aff id="aff2"><addr-line>School of Medicine, Wuhan University of Science and Technology, Wuhan, China</addr-line></aff><pub-date pub-type="epub"><day>26</day><month>05</month><year>2022</year></pub-date><volume>13</volume><issue>05</issue><fpage>471</fpage><lpage>478</lpage><history><date date-type="received"><day>7,</day>	<month>April</month>	<year>2022</year></date><date date-type="rev-recd"><day>27,</day>	<month>May</month>	<year>2022</year>	</date><date date-type="accepted"><day>30,</day>	<month>May</month>	<year>2022</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  <b>Objective: </b>
  The aim of the present study was to evaluate salt levels in popular hot takeaway meals in three large China cities, and to compare the difference 
  in
   sodium content in different types of takeaway meal
  s
  . <b>Methods:</b> We randomly collected a total of 4450 samples of 7 different types of takeaway meals, which were the most consumed by local residents from takeaway platforms. The main ingredients, auxiliary ingredients, as well as the weight used 
  in
   takeaway meals were collected. The sodium content in takeaway meals was obtained by calculation. <b>Results: </b>Obtained results show that the sodium content in three large China cities is alarmingly high. Comparing medians (interquartile range) of takeaway meals from different cities, Beijing contained the highest sodium content per portion (1371.3
   
  mg (890.3
   
  -
   
  2137.4)), followed by Hangzhou (1348.45
   
  mg (694.25
   
  -
   
  1541.62)) and Shanghai (340.1
   
  (259.75
   
  -
   
  942.25)). In addition, the sodium content between pasta and porridge, Chinese meals
  ,
   and western meals s
  how
   significant differences (p
   
  &lt;
   
  0.05). Compared with Chinese Dietary Reference Intakes, the average sodium content exceeded dietary recommendations for one takeaway meal. The sodium content differed among takeaway meals prepared with various cooking methods and meats. <b>Conclusion: </b>Notable differences are detected in takeaway meals
  ’
   sodium content between several large cities in China. To meet China
  ’
  s target salt intake, consumers in these cities are highly recommended
   to reduce sodium content in their everyday meals.
 
</p></abstract><kwd-group><kwd>Sodium Content</kwd><kwd> Takeaway Meals</kwd><kwd> Online Meal Order</kwd><kwd> Large Cities</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Nowadays, more and more people prefer takeaway food. Takeout is popular because of its variety, convenience, and taste. However, its disadvantage is also obvious [<xref ref-type="bibr" rid="scirp.117453-ref1">1</xref>]. From the perspective of taste, different types of restaurants have different tastes, from spicy to salty. Excessive ingestion of spicy food and salty food, however, invites health problem. Salt is an indispensable condition in people’s daily diet. Almost all foods need to use salt to improve their taste. Chinese medicine believes that a salty taste enters the kidneys. It has the function of regulating the osmotic balance of human cells and blood and normal water and sodium. Potassium metabolic function, especially after a lot of sweating, properly supplemented with light saline can avoid the symptoms of electrolyte disturbance [<xref ref-type="bibr" rid="scirp.117453-ref2">2</xref>]. However, excessive salt intake is also a prominent problem in today’s diet, which also increases the occurrence of some chronic non-communicable diseases [<xref ref-type="bibr" rid="scirp.117453-ref3">3</xref>]. A high-salt diet is the first dietary risk factor for cardiovascular metabolic death in Chinese residents. A high-salt diet will aggravate the mechanism of cerebral ischemic injury. Excessive intake of salt in the daily diet will become an important risk factor in the development of cerebral ischemic disease [<xref ref-type="bibr" rid="scirp.117453-ref4">4</xref>]. One of the common causes of hypertension is excessive salt intake. Hypertensive patients who do not strictly control sodium intake in their daily diet may aggravate the symptoms and course of hypertension [<xref ref-type="bibr" rid="scirp.117453-ref5">5</xref>] [<xref ref-type="bibr" rid="scirp.117453-ref6">6</xref>]. Studies have shown that reducing salt intake in the diet can delay or prevent the occurrence of antihypertensive treatment, can promote blood pressure reduction in patients with hypertension after receiving drug treatment, and may be a simple way to reduce cardiovascular morbidity and mortality cost-saving intermediaries [<xref ref-type="bibr" rid="scirp.117453-ref7">7</xref>]. Studies have shown that the salt intake of residents in northern China has reached an average of 11.2 grams per day, which is a decrease from 12.8 grams in the 1980s. The salt intake of residents in the South increased from an average of 8.8 grams per day in the 1980s to 10.2 grams today [<xref ref-type="bibr" rid="scirp.117453-ref8">8</xref>]. According to the “Dietary Guidelines for Chinese Residents”, the daily salt intake of Chinese residents should not exceed 6 g [<xref ref-type="bibr" rid="scirp.117453-ref9">9</xref>]. This study selects Beijing, Shanghai, and Zhejiang, three large Chinese cities, which have a high frequency of Internet takeaway consumption. By analyzing the sodium content of takeaway food in these regions, the sodium content level in takeaway food was evaluated. Provide a basis for reducing the content of salt in takeaway food.</p></sec><sec id="s2"><title>2. Materials and Methods</title><p>Collection and analysis of takeaway meals</p><p>For the purpose of this study, a takeaway meal was defined as food sold on an Internet platform, which was ready for immediate consumption. Regarding the Internet takeaway catering consumption data of local residents, select some takeaway restaurants in Beijing, Shanghai, and Hangzhou, and analyze the types of takeaway meals contained in the restaurants. This study collected a total of 4450 food items from 68 takeaway restaurants, including 30 in Beijing, 20 in Shanghai, and 18 in Hangzhou.</p><p>We collected various data of takeaway meals in randomly selected restaurants, including dish name, weight per serving, and weight of ingredients and accessories. According to the nature of takeaway meals and the types of main ingredients, takeaway meals were divided into two categories: Category 1: Chinese food, Western food, and Beverages; Category 2: Fried foods, spicy foods, meat dishes (meat, eggs, and aquatic products), vegetarian dishes (vegetables, soybeans and products), combined staple food, porridge, soup, and juices. According to the data in the “China Food Composition” (Volumes 1 and 2 of the Standard Edition), all ingredients in the takeaway food were calculated, and the sodium content in each serving and per 100 grams (edible portion) of the takeaway food was calculated respectively. The sodium content of raw materials and ingredients of takeaway meals that were not in the “China Food Composition” were replaced by the data of similar food.</p><p>Statistical analysis</p><p>The data were analysed using Excel tables and SPSS version 25, p &lt; 0.05 was considered statistically significant, and results were shown as 95% confidence intervals. Due to non-normal distributions, data are expressed as medians with interquartile range (25<sup>th</sup> and 75<sup>th</sup> percentiles). The takeaway meals were classified into three groups according to their origin: 1) Chinese meals, 2) Western fast food, 3) Porridge. Salt levels in takeaway meals were compared with the China target of 6 g (Dietary guidelines for Chinese Residents, China, 2016).</p></sec><sec id="s3"><title>3. Results</title><sec id="s3_1"><title>3.1. Distribution of Online Ordering Time</title><p>The online ordering time of Chinese residents in large cities is shown in <xref ref-type="table" rid="table1">Table 1</xref>. According to data from the takeaway platform, namely the Lazarus Network Technology (Shanghai) Co., Ltd., the takeaway meals ordering time was mainly concentrated on lunch, dinner, breakfast, afternoon tea, and night snack were relatively small.</p></sec><sec id="s3_2"><title>3.2. Types of Takeaway Meal</title><p>In total, the takeaway meals of Beijing, Shanghai, and Hangzhou mainly focus on Chinese meals, followed by Western fast food with the fewest juices. The takeaway</p><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Time slot and quantity of takeaway consumer orders (%)</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Region</th><th align="center" valign="middle" >Breakfast</th><th align="center" valign="middle" >Lunch</th><th align="center" valign="middle" >Afternoon tea</th><th align="center" valign="middle" >Dinner</th><th align="center" valign="middle" >Night snack</th><th align="center" valign="middle" >Total</th></tr></thead><tr><td align="center" valign="middle" >Beijing</td><td align="center" valign="middle" >19 (0.8%)</td><td align="center" valign="middle" >1564 (67.3%)</td><td align="center" valign="middle" >13 (0.6%)</td><td align="center" valign="middle" >682 (29.3%)</td><td align="center" valign="middle" >46 (2.0%)</td><td align="center" valign="middle" >2324 (100%)</td></tr><tr><td align="center" valign="middle" >Shanghai</td><td align="center" valign="middle" >5 (0.2%)</td><td align="center" valign="middle" >1356 (42.2%)</td><td align="center" valign="middle" >132 (4.1%)</td><td align="center" valign="middle" >1667 (51.8%)</td><td align="center" valign="middle" >56 (1.7%)</td><td align="center" valign="middle" >3216 (100%)</td></tr><tr><td align="center" valign="middle" >Hangzhou</td><td align="center" valign="middle" >1 (0.1%)</td><td align="center" valign="middle" >747 (51.2%)</td><td align="center" valign="middle" >39 (2.7%)</td><td align="center" valign="middle" >624 (42.8%)</td><td align="center" valign="middle" >48 (3.3%)</td><td align="center" valign="middle" >1459 (100%)</td></tr><tr><td align="center" valign="middle" >Total</td><td align="center" valign="middle" >25 (0.4%)</td><td align="center" valign="middle" >3669 (52.4%)</td><td align="center" valign="middle" >184 (2.6%)</td><td align="center" valign="middle" >2973 (42.5%)</td><td align="center" valign="middle" >150 (2.1%)</td><td align="center" valign="middle" >7001 (100%)</td></tr></tbody></table></table-wrap><p>meals of Beijing had the most orders for meat dishes, followed by porridge, Shanghai had the most orders for vegetarian dishes, followed by meat dishes, and Hangzhou had the largest order for combined staple foods, followed by fried foods.</p></sec><sec id="s3_3"><title>3.3. Sodium Content of Takeaway Meals</title><p>The sodium content of takeaway meals in three large China cities was shown in <xref ref-type="table" rid="table2">Table 2</xref>. It can be seen that in Beijing the weight of per takeaway meal，the median sodium content per meal and per 100 g was 430 g, 1371.3 mg, and 322.6 mg, in Shanghai was 750 g, 340.1 mg, and 66.2 mg, in Hangzhou was 385 g, 1348.4 mg, and 432.2 mg.</p><p>The sodium content in different types of takeaway meals was shown in <xref ref-type="table" rid="table3">Table 3</xref>. It was shown that the sodium content of vegetarian vegetables in each region was significantly higher than that of meat vegetables, and all exceed the recommended values of Dietary guidelines for Chinese Residents, China, 2016. Except in Shanghai, the sodium content of Chinese and western foods in Beijing and Hangzhou were excessive. The sodium content of western food has significant differences in different regions, p &lt; 0.05. There were significant differences in the sodium content of pasta and porridge in different regions, and the results were statistically significant. Pasta: p &lt; 0.05; Porridge: p &lt; 0.001.</p></sec></sec><sec id="s4"><title>4. Discussion</title><p>In this study, takeaway meals from Beijing, Shanghai, and Hangzhou were selected as the research object. A series of data about takeaway meals were collected to analyze whether the sodium content in takeaways exceeded the standard. Now more and more people choose takeout to solve the three meals. According to the “Report on China’s Takeaway Industry Survey”, the overall development of the Chinese takeout industry is good in the first three quarters of 2019. It is expected that the annual takeaway transaction volume will exceed 600 billion yuan [<xref ref-type="bibr" rid="scirp.117453-ref10">10</xref>]. This also shows that takeaways are becoming an increasingly important part of daily life, and the safety of takeaways should be guaranteed. It is discovered in this study that the sodium content of takeaway food in the above mentioned three large cities exceeds the standard, which results in people who choose takeaway food taking in excessive sodium and which in turn causes a series of health problems [<xref ref-type="bibr" rid="scirp.117453-ref11">11</xref>].</p><p>In the results of this study, the sodium content of takeaway meals in Beijing</p><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> Quartiles of takeaway weight and sodium content by region</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Rengion</th><th align="center" valign="middle" >n</th><th align="center" valign="middle" >Weight g per meal</th><th align="center" valign="middle" >Sodium mg per meal</th><th align="center" valign="middle" >Sodium mg per 100g</th></tr></thead><tr><td align="center" valign="middle" >Beijing</td><td align="center" valign="middle" >2035</td><td align="center" valign="middle" >430 (275 - 468)</td><td align="center" valign="middle" >1371.3 (890.3 - 2137.4)</td><td align="center" valign="middle" >322.6 (170.8 - 374.4)</td></tr><tr><td align="center" valign="middle" >Shanghai</td><td align="center" valign="middle" >1348</td><td align="center" valign="middle" >750 (185 - 750)</td><td align="center" valign="middle" >340.1 (259.8 - 942.2)</td><td align="center" valign="middle" >66.2 (34.7 - 486.0)</td></tr><tr><td align="center" valign="middle" >Hangzhou</td><td align="center" valign="middle" >1067</td><td align="center" valign="middle" >385 (235 - 450)</td><td align="center" valign="middle" >1348.4 (694.2 - 1541.6)</td><td align="center" valign="middle" >432.2 (336.9 - 523.6)</td></tr></tbody></table></table-wrap>


</sec></body>
<back><ref-list><title>References</title><ref id="scirp.117453-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Zhang, J.Q., Xu, Z.Y. and Tang, J.D. (2020) Study on the Status Quo of Takeout Food Safety. Modern Food, 13, 141-143.</mixed-citation></ref><ref id="scirp.117453-ref2"><label>2</label><mixed-citation publication-type="other" xlink:type="simple">Hipgrave, D.B., Chang, S.Y., et al. (2016) Salt and Sodium Intake in China. JAMA, 315, 703-705. https://doi.org/10.1001/jama.2015.15816</mixed-citation></ref><ref id="scirp.117453-ref3"><label>3</label><mixed-citation publication-type="other" xlink:type="simple">He, L., Liu, Y.J., Zheng, T., et al. (2018) Effect of High-Salt Diet on Health: Relationship with Intestinal Microflora. World Chinese Journal of Digestology, 26, 143-149. https://doi.org/10.11569/wcjd.v26.i3.143</mixed-citation></ref><ref id="scirp.117453-ref4"><label>4</label><mixed-citation publication-type="other" xlink:type="simple">Wang, S.S., Zhang, T.S., Wang, D.D., et al. (2017) Mechanism of High Salt Diet Exacerbating Cerebral Ischemia Injury. Journal of Harbin Medical University, 51, 95-98,103.</mixed-citation></ref><ref id="scirp.117453-ref5"><label>5</label><mixed-citation publication-type="other" xlink:type="simple">Hong, Y., Jiang, H., Meng, C.S., et al. (2021) Effects of High Salt Intake on Human Health. Journal of Food Safety and Quality, 12, 2618-2623.</mixed-citation></ref><ref id="scirp.117453-ref6"><label>6</label><mixed-citation publication-type="other" xlink:type="simple">Grillo, A., Salvi, L., Coruzzi, P., Salvi, P. and Parati, G. (2019) Sodium Intake and Hypertension. Nutrients, 11, Article 1970. https://doi.org/10.3390/nu11091970</mixed-citation></ref><ref id="scirp.117453-ref7"><label>7</label><mixed-citation publication-type="other" xlink:type="simple">Frisoli, T.M., Schmieder, R.E., Grodzicki, T. and Messerli, F.H. (2012) Salt and Hypertension: Is Salt Dietary Reduction Worth the Effort? The American Journal of Medicine, 125, 433-439. https://doi.org/10.1016/j.amjmed.2011.10.023</mixed-citation></ref><ref id="scirp.117453-ref8"><label>8</label><mixed-citation publication-type="other" xlink:type="simple">Chen, X.X., Bai, Y.M., Lu, Z.L., et al. (2020) The Influencing of Reducing Salt Intervention on Condiment Salt Intake in Self-Reported Adult Hypertension Patients (18-69 Years Old) of Shandong Province. Chinese Journal of Prevention and Control of Chronic Disease, 28, 570-573.</mixed-citation></ref><ref id="scirp.117453-ref9"><label>9</label><mixed-citation publication-type="other" xlink:type="simple">Sacks, F.M., Scetkey, L.P., Vollmer, W.M., et al. (2001) Effects on Blood Pressure of Reduced Dietary Sodium and the Dietary Approachesto Stop Hypertension (DASH) diet. DASH-Sodium Collaborative Research Group. The New England Journal of Medicine, 344, 3-10. https://doi.org/10.1056/NEJM200101043440101</mixed-citation></ref><ref id="scirp.117453-ref10"><label>10</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Luo</surname><given-names> S.H. </given-names></name>,<etal>et al</etal>. (<year>2020</year>)<article-title>Meituan Takeaway Expands the Healthy Ecosystem</article-title><source> Sustainable Business Practices</source><volume> 9</volume>,<fpage> 45</fpage>-<lpage>47</lpage>.<pub-id pub-id-type="doi"></pub-id></mixed-citation></ref><ref id="scirp.117453-ref11"><label>11</label><mixed-citation publication-type="other" xlink:type="simple">Wang, Z., Xiang, X.S., Li, X.Q., et al. (2015) A Survey on Dietary Nutrition Consumption of Restaurant Diners in Beijing. Journal of Hygiene Research, 44, 232-6+41.</mixed-citation></ref><ref id="scirp.117453-ref12"><label>12</label><mixed-citation publication-type="other" xlink:type="simple">Cao, K.K., Zhu, Z.N., Feng, X., et al. (2014) Investigation on the Use of Salt and Edible Oil in Restaurant Dishes in Three Cities. Journal of Hygiene Research, 43, 515-518.</mixed-citation></ref><ref id="scirp.117453-ref13"><label>13</label><mixed-citation publication-type="other" xlink:type="simple">Jaworowska, A., Blackham, T., Stevenson, L. and Davies, I.G. (2012) Determination of Salt Content in Hot Takeaway Meals in the United Kingdom. Appetite, 59, 517-522. https://doi.org/10.1016/j.appet.2012.06.018</mixed-citation></ref><ref id="scirp.117453-ref14"><label>14</label><mixed-citation publication-type="other" xlink:type="simple">Zeng, F.H., Zhang, J., Wang, B.F., et al. (2018) Hypertension Factor Analysis of High Salt Diet Groups Based on Determination Degree. Fuzzy Systems and Mathematics, 32, 176-184.</mixed-citation></ref><ref id="scirp.117453-ref15"><label>15</label><mixed-citation publication-type="other" xlink:type="simple">Hu, S.S., Gao, R.L., Liu, L.S., et al. (2019) Summary of China Cardiovascular Disease Report 2018. Chinese Circulation Journal, 34, 209-220.</mixed-citation></ref><ref id="scirp.117453-ref16"><label>16</label><mixed-citation publication-type="other" xlink:type="simple">Xu, J.W., Dong, J., Liu, P., et al. (2015) Qualitative Study on Attitude and Behavior about Salt Reduction in Catering Units in Shandong Province. Chinese Primary Health Care, 29, 76-77.</mixed-citation></ref><ref id="scirp.117453-ref17"><label>17</label><mixed-citation publication-type="other" xlink:type="simple">Lu, L.X., Yue, C., Bai, L.X., et al. (2017) Analysis of Salt Reduction Related Knowledge, Attitude, Behaviors and Salt Reduction Foods Related Attitude among Diners. Chinese Journal of Health Education, 33, 128-131.</mixed-citation></ref><ref id="scirp.117453-ref18"><label>18</label><mixed-citation publication-type="other" xlink:type="simple">Li, Y.Q., Liu, X.R., Liu, F., et al. (2008) The Level of Common Salt of Beijing Residents. Chinese Journal of Health Education, 5, 345-346.</mixed-citation></ref></ref-list></back></article>