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- Salt Reduction - Trojan Horse of Public Health Policy . Appears attractive on surface, but conceals great risk to consumers!. Morton Satin Vice President, Science and Research Salt Institute Alexandria, VA 22314. The benefits of blood pressure reduction depend on how it’s done! .

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salt reduction trojan horse of public health policy

- Salt Reduction -Trojan Horse of Public Health Policy

Appears attractive on surface, but conceals great risk to consumers!

Morton Satin

Vice President, Science and Research

Salt Institute

Alexandria, VA 22314

the benefits of blood pressure reduction depend on how it s done
The benefits of blood pressure reduction depend on how it’s done!

Salt Institute (SI) agrees blood pressure reduction may benefit hypertensive individuals

Exercise, the Mediterranean diet or relaxation reduce BP with no negative consequences

However,

Salt reduction is a dangerous strategy to reduce BP because of the negative consequences

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The latest evidence, just published in the American Journal of Hypertension:

the benefits of population wide salt reduction are minimal
The benefits of population-wide salt reduction are minimal!

Graudal, N.A., Hubeck-Graudal, T & Jurgens, J., “Effects of Low-Sodium Diet Vs High-Sodium Diet on Blood Pressure, Renin, Aldosterone, Catecholamines, Cholesterol and Triglyceride (Cochrane Review), Am J Hypertension, 2011, 24

the risks of population wide salt reduction are significant
The risks of population-wide salt reduction are significant!

All are risk factors for cardiovascular disease, diabetes and increased all-cause mortality!

Stolarz-Skrzypek K, Kuznwtsova T, Thijs L, et al. “Fatal and nonfatal outcomes, incidence of hypertension, and BP changes in relation to urinary sodium excretion,” JAMA. 2011;305:1777-1785.

Graudal, N.A., Hubeck-Graudal, T & Jurgens, J., “Effects of Low-Sodium Diet Vs High-Sodium Diet on Blood Pressure, Renin, Aldosterone, Catecholamines, Cholesterol and Triglyceride (Cochrane Review), Am J Hypertension, 2011, 24

the risks of population wide salt reduction are significant1
The risks of population-wide salt reduction are significant!

Risk factors for cardiovascular disease, heart attach, stroke and increased all-cause mortality!

Stolarz-Skrzypek K, Kuznwtsova T, Thijs L, et al. “Fatal and nonfatal outcomes, incidence of hypertension, and BP changes in relation to urinary sodium excretion,” JAMA. 2011;305:1777-1785.

Graudal, N.A., Hubeck-Graudal, T & Jurgens, J., “Effects of Low-Sodium Diet Vs High-Sodium Diet on Blood Pressure, Renin, Aldosterone, Catecholamines, Cholesterol and Triglyceride (Cochrane Review), Am J Hypertension, 2011, 24

no relationship between rates of hypertension and salt consumption
No relationship between rates of hypertension and salt consumption!
  • Hypertension increasing
  • Salt intake stable
  • No relationship

Hypertensives per 100,000

Bernstein, A.M, Willett, W.C., “Trends in 24-h urinary sodium excretion in the

United States, 1957–2003: a systematic review,” Am J ClinNutr2011;92:1172–80.

Ayala, C., Croft, J.B., Wattigney, W.A., and Mensah, G.A., “Trends in Hypertension-Related Death in the United States: 1980-1998,” J ClinHypertens, 6(12):675-681, (2004).

salt reduction precipitates strong international criticism
Salt reduction precipitates strong international criticism

“Given the side effects of sodium reduction, this effect is not sufficient to recommend general sodium reduction. Sodium reduction is probably the largest delusion in the history of preventive medicine.”

BMJ 2011;343:d6119

“The IOM recommendations regarding a population-based policy of salt restriction may not be valid since important evidence has not been included in their analysis.”

ScandinavianCardiovascular Journal, 2011; 45: 194–197

population wide salt reduction will place consumers at risk
Population-wide salt reduction will place consumers at risk!

The peer-reviewed clinical evidence is

clear and incontrovertible!

If we limit salt intake to the levels recommended in the Dietary Guidelines, American consumers will be the victims of increased morbidity and mortality!

All who knowingly chose to ignore the clinical evidence and pursue the myth of salt reduction must bear this responsibility and burden.