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Nutrition
Note: The Salt Story
Throughout
history, salt was a precious commodity not easily obtained. In fact,
it was so precious that wars were fought over it. Salt was so valuable
that the word "salary" comes from the Latin word salarium
meaning "salt money"3.
Nowadays over consumption
of salt is the issue. But our bodies need salt. More correctly,
our bodies need what salt is made of. Salt is approximately 40%
sodium and 60% chloride. Both sodium and chloride are required by
the body. The safe minimum intake of sodium is 500 mg/day; however
normal diets usually have approximately 800% of this amount5.
Most people can handle higher levels of sodium when adequate intake
of water is available. However, some people are genetically more
susceptible to sodium than others. These people are known as "salt
sensitive"3 6. In these people, as the level of
sodium increases so does hypertension (see
box insert on Hypertension).
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Hypertension
Blood circulates
through the body under pressure. Blood pressure is measured
at its highest (systolic) and lowest (diastolic) levels. When
blood pressure is too high, this is known as hypertension.
Hypertension affects 10 – 20% of the adults in the world.
Hypertension increases the risk of heart disease and kidney
failure. Hypertension is caused by many factors. For example,
in people who are genetically salt sensitive, decreasing the
sodium level of their diet helps to lower their blood pressure.
The following
table indicates normal blood pressure and levels of hypertension3.
| 1 |
Systolic
(mm Hg)
|
Diastolic
mm Hg)
|
|
Normal
|
Less than
135
|
Less than
85
|
|
Mild hypertensive
|
140 – 159
|
90 -99
|
|
Moderate
Hypertensive
|
160 – 179
|
100 – 109
|
|
Severe
Hypertensive
|
180 – 209
|
110 – 119
|
|
Very Severe
Hypertensive
|
Greater
than 210
|
Greater
than 120
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What should your
blood pressure be? An individual with a blood pressure of
120 over 60 is considered normal, however a blood pressure
of 185 over 110 is classified as severe hypertension and corrective
action is necessary.
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Sodium is a mineral
with a positive ionic charge.
This positive charge is important because the charge of the sodium
acts to help maintain our body’s water balance, acid – base balance,
and function of muscles and nerves3 5 6. Since our body
is 60% water, the role of sodium to maintain the water level correctly
is vital to our survival2.
Our kidney’s job is
to regulate how much sodium is in our bodies. When sodium intake
increases, the hormone aldosterone decreases, which is a signal
to the kidney to excrete more sodium in the urine. Conversely, when
sodium consumption is low, the level of the hormone aldosterone
increases, which tells the kidney to conserve the sodium5.
Rarely does a deficiency
in sodium occur. Athletes who sweat profusively, like marathon runners
and bicyclists, may need to be careful of excessive sodium loss.
People with persistent diarrhea, renal disease, or trauma may also
be at risk of sodium deficiency5.
The source of sodium
is predominantly salt, which can be found in processed food, cured
meats, milk and cheese, salad dressing, and sauces. In a typical
diet, 77% of the sodium comes from processed food, 12% from fresh
foods, 6% added at the table, and 5% added while cooking3.
Not all food has to taste salty to contain high levels of salt.
Take for example corn flakes, they do not taste salty but 1 cup
contains approximately 245 mg of salt4. This indicates
the importance of reading labels. Low sodium foods have 140 mg or
less of sodium in a serving. Eating plenty of fresh fruit and vegetables
will help keep sodium levels at a minimum3.
| Read
Labels |
|
Watch out
for the Words:
Sodium
Soda
Salt
MSG
Na
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Science indicates there
is no benefit to excessive levels of sodium intake. Overindulgence
in sodium can lead to hypertension in those people that are susceptible,
kidney disease, and heart problems3. The general population
needs to limit sodium intake. Yet, salt tastes good! Research has
indicated that by lowering salt intake, over time a person’s taste
adapts to and prefers the lower level of salt. On a lower salt diet,
initially the person may crave salt, but with persistence over several
months the desire for salt diminishes1.
| Limit
Salt by Avoiding |
|
1. Food processed
in brine like pickles and olives
2. Salted and smoked meat and fish
3. Cheeses, especially processed cheeses
4. Salted butter and margarine
5. Snack food such as salted popcorn, potato chips, pretzels
6. Sauces like soy, mustard, tomato, Worcestershire, barbecue,
meat sauces and bouillon cubes
7. Fast foods
8. Instant foods
9. Canned foods, such as soups, vegetables
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The other component
of salt, which is chloride, is also required by the body. The estimated
level required is 750 mg/day5. Chloride has a negative
ionic charge, therefore it has a role in fluid balance, acid – base
balance like sodium3 5. Chloride is also found in the
stomach as a part of the gastric juice hydrochloric acid, which
helps to breakdown our food for absorption by the body5.
With normal lifestyle, chloride deficiency does not occur. However,
chloride deficiency may occur with excessive sweating, trauma, diarrhea,
and renal disease.
| You
won't miss salt by |
|
* Leaving the
salt shaker off the table
* Do not add salt while cooking
* Using non salt containing spices to flavour food
* Using lemon juice to flavour food
* Eating fresh vegetables instead of canned
* Enjoying plenty of fresh fruit
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Salt, a valuable commodity
in ancient times is still required for its sodium and chloride content.
However, remember more is not better.
Reference
for Nutrition Note: The Salt Story
- Bertino, M., Beauchamp,
G. K., and Engelman, K. 1982. Long - term reduction in dietary
salt alters the taste of salt. Am J Clin Nut. 36:1134-1144.
- Brody, T. Nutritional
Biochemistry. 1994. Academic Press, New York
- Brown, J. E. 1999.
Nutrition Now. 2nd ed. West/Wadsworth Publishing. Ca
- Hamilton, E. M.
N., Whitney, E. N., and Sizer F. S. 1979. Nutrition: Concepts
and Controversies.3rd ed. West Publishing, St. Paul
- RDA. Recommended
Dietary Allowances. 1989. National Academy of Science, Washington,
D. C.
- Weigley E. S., Mueller,
D. H and Robinson, C. H. 1993. Robinson’s Basic Nutrition and
Diet Therapy. 8th ed. Prentice Hall, Columbus, Ohio
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