Bifalgorithm post · Human Nutrition · Consequences of Deficiency or Excess

Sodium Intake

Sodium Intake (Human Nutrition · Consequences of Deficiency or Excess) — "There has been much debate about the role sodium plays in hypertension. In the latter…

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  • Dietary sodium, blood pressure, hypertension, and public-health responses
  • Epidemiological studies have examined the relationship between sodium intake and cardiovascular outcomes
  • The INTERSALT study included more than 10,000 men and women from 32 countries
  • INTERSALT concluded that higher sodium intake is linked to higher blood pressure
  • A later study of more than 12,000 US citizens examined the sodium-to-potassium intake ratio
  • A higher sodium-to-potassium ratio was linked to higher cardiovascular and all-cause mortality
  • The DASH-Sodium trial evaluated a specified eating plan with and without reduced sodium intake
  • The DASH diet emphasizes fruits, vegetables, low-fat dairy, whole grains, fish, poultry, and nuts while limiting red meat, sweets, and sugary beverages
  • The diet is low in saturated fat, cholesterol, and total fat
  • Participants without hypertension on the low-sodium DASH diet had systolic pressure 7.1 mmHg lower than control participants
  • Participants with hypertension who followed the DASH diet had systolic pressure 11.5 mmHg lower than those on the control diet
  • The DASH diet lowers sodium intake and increases potassium, calcium, and magnesium intake; these electrolytes benefit blood pressure, although their mechanisms are largely unknown
  • Some large studies have found little or no significant relationship between sodium intake and blood pressure
  • The overall scientific evidence supported low-sodium diets as preventive and therapeutic measures against hypertension
  • The US government responded by emphasizing salt reduction in the Consolidated Appropriations Act of 2008
  • The act tasked the CDC, under IOM guidance, with recommending ways for Americans to reduce dietary sodium
  • The ongoing task examines government actions, food-supply changes, product reformulation, and public and professional education
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Sodium Intake

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Human Nutrition

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"There has been much debate about the role sodium plays in hypertension. In the latter 1980s and early 1990s the largest epidemiological study evaluating the relationship of dietary sodium intake with blood pressure, called INTERSALT, was completed and then went through further analyses. More than ten thousand men and women from thirty-two countries participated in the study. The study concluded that a higher sodium intake is linked to an increase in blood pressure. A more recent study, involving over twelve thousand US citizens, concluded that a higher sodium-to-potassium intake is linked to higher cardiovascular mortality and all-causes mortality.\n\nThe DASH-Sodium trial was a clinical trial which evaluated the effects of a specified eating plan with or without reduced sodium intake. The DASH diet is an eating plan that is low in saturated fat, cholesterol, and total fat. Fruits, vegetables, low-fat dairy foods, whole-grain foods, fish, poultry, and nuts are emphasized while red meats, sweets, and sugar-containing beverages are mostly avoided. In this study, people on the low-sodium (1500 milligrams per day) DASH diet had mean systolic blood pressures that were 7.1 mmHg lower than people without hypertension not on the DASH diet. The effect on blood pressure was greatest in participants with hypertension at the beginning of the study who followed the DASH diet. Their systolic blood pressures were, on average, 11.5 mmHg lower than participants with hypertension on the control diet. Following the DASH diet not only reduces sodium intake, but also increases potassium, calcium, and magnesium intake. All of these electrolytes have a positive effect on blood pressure, although the mechanisms by which they reduce blood pressure are largely unknown.\n\nWhile some other large studies have demonstrated little or no significant relationship between sodium intake and blood pressure, the weight of scientific evidence demonstrating low-sodium diets as effective preventative and treatment measures against hypertension led the US government to pass a focus on salt within the Consolidated Appropriations Act of 2008. A part of this act tasked the CDC, under guidance from the IOM, to make recommendations for Americans to reduce dietary sodium intake. This task is ongoing and involves “studying government approaches (regulatory and legislative actions), food supply approaches (new product development, food reformulation), and information/education strategies for the public and professionals.”"

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