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Cutting salt could save 500,000

| Sunday, Feb. 17, 2013, 6:24 p.m.

As many as half a million deaths could be prevented during the next decade if Americans cut their salt intake to within national guidelines, according to a recent study.

That finding, which was made the week New York City announced success toward its goals of cutting salt levels by one-quarter by 2014, is based on computer simulations using data from various studies on the effects of extra sodium on blood pressure and heart risks.

The Institute of Medicine recommends most healthy people get 1,500 milligrams of sodium per day, with an upper limit of 2,300 mg. But the average American eats about 3,600 mg a day, largely through processed food.

“Reducing sodium intake is important for everyone, not just a small subset of people who are salt-sensitive,” study lead author Pamela Coxson said at the University of California, San Francisco.

Although the health effects of cutting back on salt might be small for the average person, she said, the results show they add up when projected across millions of Americans.

Coxson and her colleagues ran three salt-reduction scenarios through models that predicted how a lower-sodium diet would have an impact on a person's risk of having high blood pressure or dying of cardiovascular disease.

The most realistic scenario was a gradual decline in the average sodium intake over ten years to about 2,200 mg per day. That goal would be “optimistic but potentially achievable,” the researchers wrote in the journal Hypertension.

Based on their calculations, and taking into account uncertainties about sodium's direct effect on the heart, Coxson and her colleagues calculated 280,000 to 500,000 fewer Americans would die during the next decade as a result of that reduction.

A more dramatic and immediate decline to 1,500 mg of salt per day across the nation's population could prevent as many as 1.2 million deaths, largely from heart disease or stroke, the researchers said. But that isn't very realistic, policy-wise.

“The gradual reduction is something that many countries around the world are working on in various ways,” Coxson told Reuters Health, noting that some countries have worked with food producers to cut back salt in meat, canned goods and bread.

“The big majority of our intake of sodium is coming from those types of processed foods,” Coxson said. “The individual at home with their salt shakers only controls maybe 20 to 25 percent of their intake.”

But other researchers said the models didn't reflect the full picture of variations in salt intake.

Michael Alderman from the Albert Einstein College of Medicine in New York said the researchers' calculations are missing data on how too little sodium can also raise heart risks, through its effect on blood fats and insulin.

He added that there's no evidence that eating less than 2,000 mg of sodium per day is beneficial for the average person.

“Like every other essential nutrient that I know of, too little is not good for you, and too much is not good for you,” he said.

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