Reducing Dietary Salt to Improve Health in the Americas: Patient/Consumer Fact Sheet

2013 ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Norm R. C. Campbell ◽  
Jillian A. Johnson ◽  
Tavis S. Campbell

Excess intake of dietary salt is estimated to be one of the leading risks to health worldwide. Major national and international health organizations, along with many governments around the world, have called for reductions in the consumption of dietary salt. This paper discusses behavioural and population interventions as mechanisms to reduce dietary salt. In developed countries, salt added during food processing is the dominant source of salt and largely outside of the direct control of individuals. Population-based interventions have the potential to improve health and to be cost saving for these countries. In developing economies, where salt added in cooking and at the table is the dominant source, interventions based on education and behaviour change have been estimated to be highly cost effective. Regardless, countries with either developed or developing economies can benefit from the integration of both population and behavioural change interventions.


Author(s):  
Sunitha Esther Raj ◽  
Lee Mei Tan ◽  
Adyani Md Redzuan

<p>ABSTRACT<br />Multiple lines of investigation including genetic, epidemiological, and interventional studies have demonstrated consistently a positive relationship<br />between salt intake, blood pressure (BP) increment, and cardiovascular consequences. In addition, it has been documented that excessive salt intake<br />can be attributed to various health complications such as asthma, osteoporosis, obesity, and gastric cancer. On the contrary, a reduction in salt intake<br />has been shown to reduce BP and improve health outcomes, although the evidence is not completely unequivocal. Despite this discrepancy, a lowsodium<br />diet<br />is widely<br />being recommended<br />to<br />all hypertensive<br />patients in<br />particular,<br />as evidence<br />against<br />its efficacy in<br />conjunction with optimum<br />hypertensive<br />treatment<br />is<br />well<br />established.<br />Determination<br />of<br />salt<br />intake<br />among hypertensive<br />patients is important<br />since dietary<br />salt<br />restriction<br />had</p><p>been<br />proven<br />to<br />improve<br />BP control<br />in conjunction with optimum pharmacological management.<br />Various<br />methods<br />have<br />been used to<br />estimate<br />sodium<br />intake<br />includes 24-hrs<br />urinary<br />sodium,<br />overnight<br />urinary sodium,<br />spot<br />urinary sodium/creatinine<br />ratio,<br />and dietary survey<br />methods. Reducing</p><p>population<br />salt<br />intake<br />has been proven<br />to<br />be beneficial, preventing<br />millions<br />of<br />deaths from<br />cardiovascular<br />disease<br />and<br />stroke,<br />and reducing<br />the burden</p><p>on<br />health<br />services.<br />Many<br />individual<br />countries around<br />the globe<br />have<br />already<br />taken<br />action against<br />reducing<br />population<br />salt<br />intake.<br />These strategies</p><p>were<br />either led by<br />government,<br />nongovernment<br />organizations,<br />or industry.<br />Keywords: Dietary sodium, Salt, Hypertension, Sodium measurement, Cost-effectiveness.</p>


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