Salt, Sodium, And Hypertension- Oh My!

Sodi­um And Thanks­giv­ing Dinner

In no way am I try­ing to ruin Thanks­giv­ing, but we have to talk about one lit­tle cul­prit that makes the hol­i­days a lot less heart-healthy. Salt added to food is a com­bi­na­tion of sodi­um and chlo­ride, and this small crys­tal has a huge effect on our health. Too much salt can raise blood pres­sure and lead to dan­ger­ous flu­id reten­tion, espe­cial­ly in those with dis­eases like kid­ney dis­ease or heart fail­ure. The biggest prob­lem is rarely the salt shak­er, but rather foods found on gro­cery store shelves or at restaurants.

How Much We Should Eat

Nutri­tion labels are based on 2,400mg of sodi­um per day, which is only about 1 tsp of sodi­um. 1 tsp may not sound like much, but for those with hyper­ten­sion, heart dis­ease, or oth­er risk fac­tors even less sodi­um, also called a sodi­um-restrict­ed diet, may be nec­es­sary. The Amer­i­can Heart Asso­ci­a­tion (AHA) specif­i­cal­ly rec­om­mends 1,500mg of sodi­um per day. Accord­ing to the AHA, if all Amer­i­cans ate 1,500mg of sodi­um per day we could decrease ele­vat­ed blood pres­sure in 25% of the population.

Gro­cery Shop­ping Tips

Some of the foods high­est in sodi­um are usu­al­ly frozen meals, sauces, gravies, broth, instant fla­vor” pack­ets, bouil­lon cubes, and processed meats (deli meat, sausage, bacon, and pep­per­oni). When­ev­er pos­si­ble, look­ing for items labeled as no salt added”, salt-free”, low-sodi­um”, or very-low sodi­um” are the best options. Options labeled as reduced-sodi­um” are not nec­es­sar­i­ly all that low in sodi­um, they just have at least 25% less than the orig­i­nal option. For exam­ple, if a soup nor­mal­ly has 1,000mg of sodi­um, the reduced-sodi­um option could still have up to 750mg of sodium.

Sea salt, pink salt, black salt, and most oth­er salts sold as health­i­er” actu­al­ly aren’t that great for you. As a dietit­ian, I am often asked: If sea salt isn’t bet­ter for me, why is that what I hear”? Like most fads and food trends, com­pa­nies try to do what­ev­er it takes to make an item seem health­i­er than it actu­al­ly is. All the salts men­tioned are real­ly just more expen­sive, and while some con­tain cer­tain min­er­als it is not enough to actu­al­ly be con­sid­ered beneficial.

Bot­tom Line

By eat­ing more meals at home rather than at restau­rants, usu­al­ly, can low­er dai­ly sodi­um con­sump­tion. Addi­tion­al­ly, read­ing labels and using herbs, spices, vine­gar, juices, and oth­er salt-free fla­vor­ings can make a huge dif­fer­ence. As always, if any­one out there in cyber­space has ques­tions about what they specif­i­cal­ly should be eat­ing please sched­ule an appoint­ment to see one of our dietitians.

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