Cor Vasa 2011, 53(4-5):257-259 | DOI: 10.33678/cor.2011.057
The role of salt in cardiovascular diseases prevention
- 1 Klinika dětského a dorostového lékařství, 1. lékařská fakulta Univerzity Karlovy a Všeobecná fakultní nemocnice
- 2 Dětské kardiocentrum, FN Motol, Praha, Česká republika
Current salt intake is markedly higher compared with its actual requirements. The World Health Organization recommends to reduce salt intake in adults to 5 g per day; this value is three times higher in the Czech Republic. Recent studies on salt intake have consistently shown that increased salt intake results in an increased blood pressure with all its repercussions such as increased mortality from stroke, heart failure or myocardial infarction. By contrast, a reduced salt intake in the population leads to a decrease in blood pressure as well as a decrease in mortality from cardiovascular disease. Salt intake reduction can be achieved by decreasing dietary salt intake as up to 80% of our daily salt intake is from food. As salt sensitivity is largely habitual, efforts at preventing the development of salt addiction should be initiated in early childhood.
Keywords: Salt; Hypertension; Prevention
Published: April 1, 2011 Show citation
References
- Centers for Disease Control and Prevention. Sodium intake among adults - United States 2005-2006. MMWR Morb Mortal Wkly Rep 2010;59:746-749.
- Geleijnse JM, Hofman A, Witteman JC, et al. Long-term effects of neonatal sodium restriction on blood pressure. Hypertension 1997;29:913-991.
Go to original source...
Go to PubMed...
- Morris MJ, Na ES, Johnson AK. Salt craving: the psychobiology of pathogenic sodium intake. Physiol Behav 2008;94:709-721.
Go to original source...
Go to PubMed...
- Šamánek M, Urbanová Z. Prevence aterosklerózy v dětském věku. Praha: Galén, 2003.
- MacGregor GA, Markandu ND, Sagnella GA, et al. Double-blind study of three sodium intakes and long-term effects of sodium restriction in essential hypertension. Lancet 1989;334:1244-1247.
Go to original source...
Go to PubMed...
- Sacks FM, Svetkey LP, Vollmer WM, et al. Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. N Engl J Med 2001;344:3-10.
Go to original source...
Go to PubMed...
- Ritz E, Mehls O. Salt restriction in kidney disease - a missed therapeutic opportunity? Pediatr Nephrol 2009;24:9-17.
Go to original source...
Go to PubMed...
- Cook, NR, Cutler JA, Obarzanek E, et al. Long term effects of dietary sodium reduction on cardiovascular disease outcomes: observational follow-up of the trials of hypertension prevention (TOHP). BMJ 2007;334:885-888.
Go to original source...
Go to PubMed...
- Strazzullo P, D'Elia L, Kandala N-B, et al. Salt intake, stroke, and cardiovascular disease: meta-analysis of prospective studies. BMJ 2009;339:b4567.
Go to original source...
Go to PubMed...
- He FJ, MacGregor GA. Effect of modest salt reduction on blood pressure: a meta-analysis of randomized trials. Implications for public health. J Hum Hypertens 2002;16:761-770.
Go to original source...
Go to PubMed...
- Pimenta E, Gaddam KK, Oparil S, et al. Effects of dietary sodium reduction on blood pressure in subjects with resistant hypertension. Hypertension 2009;54:475-481.
Go to original source...
Go to PubMed...
- He FJ, MacGregor GA. A comprehensive review on salt and health and current experience of worldwide salt reduction programmes. J Hum Hypertens 2009;23:363-384.
Go to original source...
Go to PubMed...
- World Health Organization. Reducing salt intake in populations: report of a WHO forum and technical meeting. WHO 2007:1-60.
- Bibbins-Domingo K, Chertow GM, Coxson PG, et al. Projected effect of dietary salt reductions on future cardiovascular disease. N Engl J Med 2010;362:590-599.
Go to original source...
Go to PubMed...
- Appel LJ, Anderson CAM. Compelling evidence for public health action to reduce salt intake. N Engl J Med 2010;362:650-652.
Go to original source...
Go to PubMed...
- Franco V, Oparil S. Salt sensitivity, a determinant of blood pressure, cardiovascular disease and survival. J Am Coll Nutr 2006;25:247S-255S.
Go to original source...
Go to PubMed...
- Urbanová Z, Šamánek M. Výskyt hypertenze ve věku 5, 13 a 18 let a její vztah k nadváze a obezitě. Cor Vasa 2007;49:174-178.
Go to original source...