Cutting a teaspoon of salt as good as medicine for high blood pressure


Most people around the world eat far more salt than is healthy for them. — AFP

Although essential for good health, the sodium contained in table salt and in certain foods can be harmful when consumed in excess.

In particular, it increases the risk of stroke and premature death.

A new study reveals that removing just a tiny amount of salt from the daily diet can lower blood pressure, with “a decline comparable to [the] effect achieved with drugs”.

Adults should consume no more than five grammes of salt per day (equivalent to 2g of sodium), or one teaspoon, according to World Health Organization (WHO) guidelines.

But the health authority estimates that the global average is 10.8g.

“Eating too much salt makes it the top risk factor for diet and nutrition-related deaths.

“More evidence is emerging, documenting links between high sodium intake and increased risk of other health conditions such as gastric cancer, obesity, osteoporosis and kidney disease,” the WHO warns.

It adds that the implementation of sodium reduction policies in all regions of the world “could save an estimated seven million lives globally by 2030”.

A team of researchers from Northwestern Medicine, Vanderbilt University Medical Center and the University of Alabama at Birmingham, all in the United States, examined this issue.

They based their study not on WHO recommendations, but on the total daily sodium intake recommended by the American Heart Association (AHA).

The AHA advises not exceeding 2.3g per day, while aiming for an ideal limit of 1.5g.

The scientists sought to assess the effect of lowering sodium in the participants’ diets on blood pressure, including in people being treated for hypertension (high blood pressure).

Down a teaspoon

The study followed 213 individuals aged between 50 and 75 from two US cities (Birmingham and Chicago), who were randomly divided into two groups.

The first group was asked to adopt a high-sodium diet (2.2g per day in addition to their usual diet), and the second, a low-sodium diet (0.5g in total per day) for one week.

Each group was then swapped onto the other diet for a week.

In both cases, analysis was carried out to measure systolic blood pressure.

Published in the Journal of the American Medical Association (JAMA), the study reports that systolic blood pressure fell by an average of seven to eight millimetres of mercury (mmHg) on the low-sodium diet, compared with the second diet, and by six mmHg compared with the participants’ usual diet.

This affected no less than 72% of the people included in the study.

“In the study, middle-aged to elderly participants reduced their salt intake by about one teaspoon a day compared with their usual diet.

“The result was a decline in systolic blood pressure by about six mmHg, which is comparable to the effect produced by a commonly-utilised first-line medication for high blood pressure,” said co-principal investigator and Vanderbilt University Medical Center associate professor of medicine Dr Deepak Gupta.

The scientist’s comments should only be taken in the context of the study, but they nevertheless highlight the impact that lowering salt, and therefore sodium, consumption can have day to day.

“The fact that blood pressure dropped so significantly in just one week and was well tolerated is important and emphasises the potential public health impact of dietary sodium reduction in the population, given that high blood pressure is such a huge health issue worldwide,” said co-investigator and University of Alabama at Birmingham professor and chair of the department of epidemiology and professor of medicine Dr Cora Lewis.

According to the WHO, nearly 1.3 billion people aged between 30 and 79 suffer from hypertension worldwide, almost half of whom are unaware of it.

Adopting a low-salt diet is one of the global health authority’s recommendations for combating hypertension, along with weight loss, physical activity and quitting smoking. – AFP Relaxnews

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