"
Reduce your salt intake" is one of those standard pieces of nutrition advice that is so ubiquitous we all assume it
must be true. Sodium is a popular target as supreme diet evil-doer among media favorites like Eat This, Not That (from the geniuses at Men's Health), Dr. Oz and his questionable health advice dispensed 5-days a week from the set of his new TV show, and the colorful labels of packaged food declaring the product to be "reduced sodium!!!". Dieticians everywhere insist that you absolutely
must reduce your sodium intake and provide horrifying statistics on the sodium content of Subway subs, McDonald's breakfast, and Campbell's soup.
Does anybody ever bother to question whether this advice has any scientific justification? Clearly not. Much like the anti-fat movement of the last few decades, sodium has been the victim of an overzealous rush to spread "information" to the public before it had been properly investigated, tested, and proven. Several decades ago, researches established a tenuous association between sodium intake and incidence of hypertension (high blood pressure) and heart disease. This research has since been discredited for several reasons including questionable data analysis, too many confounding variables, and a statistically insignificant correlation between sodium intake and health problems. But apparently, science doesn't matter, because before any of that could be worked out by the scientific community, the public health duo of politicians and media got together to declare that we should all reduce our sodium intake. The Public Health Sector makes decisions like this NOT based on what is best or most effective for any one person, but on the idea that even a teeny tiny difference per person spread out over millions of people could have a big impact on national statistics for the incidence of disease.
A
Meta-Analysis (that means a big 'ol analysis of all the studies ever done on a particular topic) conducted by the University of Copenhagen on studies regarding the effects of dietary sodium reduction concluded:
These results do not support a general recommendation to reduce sodium intake
Gary Taubes wrote an article called
The (Political) Science of Salt back in 1998. It's long, and well researched (as are most thing written by Taubes... and for this we love him). Among the many paragraphs worth quoting, is the following:
After decades of intensive research, the apparent benefits of avoiding salt have only diminished. This suggests either that the true benefit has now been revealed and is indeed small, or that it is nonexistent, and researchers believing they have detected such benefits have been deluded by the confounding influences of other variables.
Those other variables?
Tom Naughton lays them out nicely like this...
- Refined carbohydrates produce high blood sugar and high levels of insulin, which in turn are both bad news for your arteries. Refined carbohydrates also cause water retention, which raises your blood pressure. (So if you really want to reduce your blood pressure, give up the sugar and starch.)
[Our note - the effect of a high carbohydrate diet on hypertension is twofold: A byproduct of the chemical reaction of metabolising sugar is water, which is not present when your body metabolises fat for energy. Insulin also signals your kidneys to retain sodium and therefore retain fluid. Chronic hyperinsulinemia leads to chronic hypertension]
- Blood pressure tends to go up as we get older. (Mine hasn't, but bear with me here.) We're also more likely to suffer heart attacks and strokes as we get older.
- Stress causes your body to produce more cortisol, which can damage your arteries. Stress also raises your blood pressure.
- Eating lots of vegetables may be good for your heart. Vegetables are also high in potassium, which lowers blood pressure.
So in decades of research, no conclusion has been reached. If you believe dietary sodium has little or no effect on health then clearly you've sold out to the salt industry's high paid lobbyists. If you are adamant that sodium is the major identifiable factor in the north american diet giving everyone high blood pressure and heart attacks, then obviously your bias has deluded your view of the evidence and led you to vastly overstate any detectable benefit (if one even exists at all). There are mountains of evidence on either side of this argument.
Unless you already have high blood pressure or reduced renal function that prevents you from properly processing salt, there is absolutely no reason to reduce your sodium intake. None. Nada. And for athletes, the effects of cutting your sodium intake can be downright disastrous. From a lowered metabolism, to diminished athletic performance, to fainting and even death.
Further reading...
Sodium Is Your Friend Part I and
Part II.
Labels: Food, Health, Heart Disease, Insulin, Myths, Research, Science