Relationship between Sodium Consumption Behavior and Kidney Function in Diabetes Patients with Chronic Kidney Disease

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Chamaiporn Niyomchit
Saifon Aekwarangkoon
Naiyana Noonil
Rachadaporn Jantasuwan


This cross-sectional analysis aims to investigate sodium consumption behavior and the relationship between quantity and frequency of sodium consumption and kidney functions of diabetic patients with chronic kidney conditions. The sample participants recruited through accidental sampling comprised 267 diabetic patients diagnosed with this condition for less than ten years and had stage 2 to 3 Estimated Glomerular Filtration Rate (eGFR). Research instruments consisted of 1) demographic data and patient health condition data and 2) a questionnaire addressing sodium consumption behavior being classified according to type, quantity and frequency (CVI 0.9, reliability .83). Data were collected from May to August 2018 and analyzed using descriptive statistics frequency, percentage, average, standard deviation and variable Chi-square test.

Results indicated that research participants had the highest sodium consumption behavior from curry, followed by deep-fried foods and then chili paste at 51.44, 13.35 and 9.01 respectively. In terms of consumption quantity, it was found that 63.76% engaged in excessive sodium consumption (M = 2,301.06, SD = 810.39) mg./day beyond the daily average standard. Those with stage 3b eGFR results had the highest sodium consumption at 85.71%, followed by the 3a and 2 groups, accounting for 67.86% and 57.95% respectively. Results revealed that the frequency and the quantity of high sodium intake had statistically significant correlate with the eGFR of diabetic patients (p < .01).

As a results, it is advisable that diabetic patients be given accurate in-depth advice concerning sodium consumption in order to effectively mitigate chronic kidney conditions by health care personnel.


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Niyomchit, C., Aekwarangkoon, S., Noonil, N., & Jantasuwan, R. (2019). Relationship between Sodium Consumption Behavior and Kidney Function in Diabetes Patients with Chronic Kidney Disease. Songklanagarind Journal of Nursing, 39(3), 103–114. Retrieved from
Research Articles


Kanchuwassiri S. Guideline for screening and treating kidney complications in diabetes and hypertension patients. The Agricultural Co-operative Federation of Thailand; 2012. Thai.

Hill R, Fatoba T, Oke L, et al. Global prevalence of chronic kidney disease–a systematic review and meta-analysis. 2016; [cited 2018 Nov 20] 11: 7. Available from: https:// /10.1371/ journal. pone: 0158765

Konlaeid S. Practice guidelines for prevention and treatment complications from diabetes (eyes, kidneys, feet). 1st ed. O-Wit (Thailand). Medical Technology Research and Evaluation Institute; 2010. Thai.

Pichaiwong W. Kidney disease from diabetes. J Med Assoc Thai. 2015; Sep-Oct 2015:19-24. Thai.

Dechma J, Durongritichai V, Kijtorntham W. A study of predictable factors of diabetes mellitus complication in the community under King’s nursing theory. J Public Health Nurs. 2013; 27(2): 63-80. Thai.

Thanakitjaru P. Current situation of chronic kidney disease in Thailand. J Med Assoc Thai. 2015; Sep-Oct 2015: 5-18. Thai.

Pongputthipat R. Factors influencing quality of life in patients with chronic kidney disease before renal replacement therapy. J Nurs Assoc Major Northeast. 2013; 31(1): 52-61. Thai.

Theeracoup P. Sodium consumption in chronic kidney disease patients. J Med Assoc Thai. 2013; 21(4): 12-20. Thai.

Nephrology Society of Thailand. Clinical practice recommendation for the evaluation and management of chronic kidney disease in adults 2015. [internet]. 2015; [cited 2017 October 07]. Available from: Thai.

World Health Organization. Guideline: Sodium intake for adults and children. 2012; Retrieved 2019 March, Available from:

Aekpalakorn W. Thai People’s health survey report by the 5th physical examination 2014. Nonthaburi: Health Systems Research Institute; 2014. Thai.

Sinawat S. Survey report of sodium chloride intake of Thai population. Nonthaburi: Nutrition Division, Department of Health, Ministry of Public Health; 2009. Thai.

Health Education Division, Ministry of Public Health. Consumption behavior of sweet, salty and fat food. Nonthaburi; 2013. Thai.

Lambers Heerspink J, Navis G, Ritz E. Salt intake in kidney disease—a missed therapeutic opportunity?. Nephrol Dial Transplant, 2012; 27(9), 3435-3442.

McMahon J, Bauer D, Hawley M, et al. A Randomized trial of dietary sodium restriction in CKD. J Am Soc Nephrol, 2013; 24(12), 2096-2103.

Provenzano F, Stark S, Steenkiste A, et al. Dietary Sodium Intake in Type 2 Diabetes. Clin Diabetes, 2014; 32(3), 106-112.

Yamane T. Statistics: An Introductory Analysis. 3rd Edition, Harper and Row, New York; 1973.

Greangsinyod W. Reduce sodium, prolong life. Bangkok: The war veterans organization of Thailand under royal patronage of his Majesty the King Printing; 2012. Thai.

Nephrology Society of Thailand. National Health Security Office. Handbook for caring in early stage of chronic kidney disease patients. Bankok; 2012. Thai.

American Diabetes Association. Standards of medical care in diabetes-2014. Diabetes Care, 37(Supplement 1), 2014; S14-S80.

Henry Ford Health System. Chronic kidney disease (CKD): Clinical practice recommendations for primary care physicians and healthcare providers. University of California, Los Angeles; 2011.

Kidney International Supplements. KDIGO Clinical Practice Guidelin for the Management of Blood Pressure in Chronic Kidney Disease. Kidney Int Rep, 2012; 2(5).

Iseki K, Yamagata K, A Practical approach of salt and protein restriction for CKD patients in Japan. BMC NEPHROL, 2016; 17(1), 87.

Suckling J, He J, Markandu D, et al. Modest salt reduction lowers blood pressure and albumin excretion in impaired glucose tolerance and type 2 diabetes mellitus novelty and significance: A randomized double-blind trial. Hypertension, 2016; 67(6), 1189-1195.

Sawanyawisut P. The effect of participatory learning process to modify food consumption behavior of diabetes mellitus patients with nephropathy attending Kumphawapi primary care unit, Udonthani Province, 2013.

Vegter S, Perna A, Postma J, et al. Sodium intake, ACE inhibition, and progression to ESRD. J AM SOC NEPHROL, 2012; 23, 165-173.

Yu W, Luying S, Haiyan W, et al. Importance and benefits of dietary sodium restriction in the management of chronic kidney disease patients: Experience from a single Chinese center. INT UROL NEPHROL. 2012; 44(2), 549-556.

He J, & MacGregor A. A comprehensive review on salt and health and current experience of worldwide salt reduction programmes. J Hum Hypertens. 2009; 23(6), 363-384.