Dietary sodium restriction

Take it with a grain of salt

James J. Dinicolantonio, Asfandyar K. Niazi, Rizwana Sadaf, James H. O'Keefe, Sean C. Lucan, Carl J. Lavie

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

The American Heart Association recently strongly recommended a dietary sodium intake of <1500 mg/d for all Americans to achieve "Ideal Cardiovascular Health" by 2020. However, low sodium diets have not been shown to reduce cardiovascular events in normotensive individuals or in individuals with pre-hypertension or hypertension. Moreover, there is evidence that a low sodium diet may lead to a worse cardiovascular prognosis in patients with cardiometabolic risk and established cardiovascular disease. Low sodium diets may adversely affect insulin resistance, serum lipids, and neurohormonal pathways, leading to increases in the incidence of new cardiometabolic disease, the severity of existing cardiometabolic disease, and greater cardiovascular and all-cause mortality. Although a high sodium intake also may be deleterious, there is good reason to believe that sodium intake is regulated within such a tight physiologic range that there is little risk to leaving sodium intake to inherent biology as opposed to likely futile attempts at conscious control.

Original languageEnglish (US)
Pages (from-to)951-955
Number of pages5
JournalAmerican Journal of Medicine
Volume126
Issue number11
DOIs
StatePublished - Nov 2013

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Dietary Sodium
Sodium-Restricted Diet
Sodium
Cardiovascular Diseases
Prehypertension
Insulin Resistance
Hypertension
Lipids
Mortality
Incidence
Health
Serum

Keywords

  • Cardiology
  • Cardiovascular health
  • Public health
  • Salt
  • Sodium

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Dinicolantonio, J. J., Niazi, A. K., Sadaf, R., O'Keefe, J. H., Lucan, S. C., & Lavie, C. J. (2013). Dietary sodium restriction: Take it with a grain of salt. American Journal of Medicine, 126(11), 951-955. https://doi.org/10.1016/j.amjmed.2013.05.020

Dietary sodium restriction : Take it with a grain of salt. / Dinicolantonio, James J.; Niazi, Asfandyar K.; Sadaf, Rizwana; O'Keefe, James H.; Lucan, Sean C.; Lavie, Carl J.

In: American Journal of Medicine, Vol. 126, No. 11, 11.2013, p. 951-955.

Research output: Contribution to journalArticle

Dinicolantonio, JJ, Niazi, AK, Sadaf, R, O'Keefe, JH, Lucan, SC & Lavie, CJ 2013, 'Dietary sodium restriction: Take it with a grain of salt', American Journal of Medicine, vol. 126, no. 11, pp. 951-955. https://doi.org/10.1016/j.amjmed.2013.05.020
Dinicolantonio, James J. ; Niazi, Asfandyar K. ; Sadaf, Rizwana ; O'Keefe, James H. ; Lucan, Sean C. ; Lavie, Carl J. / Dietary sodium restriction : Take it with a grain of salt. In: American Journal of Medicine. 2013 ; Vol. 126, No. 11. pp. 951-955.
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