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Johns Hopkins Health Alert

Another Reason To Go Easy on the Salt Shaker

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You know that cutting back on salt is good for your blood pressure, but now there's evidence it also prevents heart attack and stroke and death from cardiovascular disease.

Blood pressure levels tend to increase with higher intakes of sodium. By limiting your salt intake, you may be able to lower your systolic blood pressure by 2-8 mm Hg.

Salt added to foods during cooking and at the table makes up only about 10% of the sodium consumed in the typical American diet. A much larger proportion of the salt we consume comes from the sodium in processed foods like cold cuts; canned vegetables, meats, and soups; frozen dinners; cheeses; salad dressings; snack foods (such as potato chips); and fast food. Thus, reducing your salt intake means not only avoiding the saltshaker while cooking and at meals, but also reading food labels and choosing foods that are low in sodium.

And now there's even more reason to go easy on the salt shaker, according to a study reported in the journal BMJ (volume 334, page 885). Researchers followed more than 3,100 adults with prehypertension. Participants who cut their sodium intake were 25% less likely to suffer a cardiovascular event (heart attack, stroke, or need for angioplasty or bypass surgery) or die of cardiovascular disease than those who stuck with their regular, often salt-laden diets. The findings come from two clinical trials that involved men and women 30-54 years old with high-normal blood pressure.

The participants were randomly assigned to either follow their usual diets or learn how to cut salt from their meals; those in the latter group lowered their sodium intake by 25-35%. During the five-year follow-up period, which began 10-15 years after the trials ended, the salt reducers had fewer heart attacks, strokes, and heart procedures, as well as a lower death rate.

Bottom line: These new findings show that the benefits of salt reduction extend beyond lowered blood pressure. So it's even more important to follow experts' advice on sodium: no more than 2,300 mg per day, and less than 1,500 mg if you have high blood pressure. Since processed foods are a major sodium source, always read product labels and opt for low-sodium versions whenever possible.

Posted in Hypertension and Stroke on March 17, 2009


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Health Alerts registered users may post comments and share experiences here at their own discretion. We regret that questions on individual health concerns to the Johns Hopkins editors cannot be answered in this space.

The views expressed here do not constitute medical advice, and do not represent the position of Johns Hopkins Medicine or Remedy Health Media, LLC, which has no responsibility for any comments posted on this site.


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