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In light of the fact that approximately 90% of all Americans will develop high blood pressure during their lifetime, the American Heart Association recommends a daily intake of no more than 1,500 milligrams of sodium to reduce the risk of high blood pressure, heart attacks, stroke, and kidney disease.
In a prospective, population-based cohort study, researchers tested urinary sodium excretion in 3,681 people without cardiovascular disease (CVD) (average age 40) for approximately 8 year to assess whether 24-hour urinary sodium excretion predicts blood pressure and health outcomes.
The study results have been met with criticism from medical experts and other studies have also concluded that sodium reduction results in decreased cardiovascular disease risk in the general population.
Stolarz-Skrzypek K, Kuznetsova T, Thijs L, Tikhonoff V, SeidlerovA? J, Richart T, Jin Y, Olszanecka A, Malyutina S, Casiglia E, FilipovskA? J, Kawecka-Jaszcz K, Nikitin Y, Staessen JA, & European Project on Genes in Hypertension (EPOGH) Investigators (2011). I’m glad they used urine sodium, as that provides a better reflection of the intracellular state than serum sodium, which reflects extracellular levels. The longstanding medical fashion for low-salt diets has not yet led to a corresponding understanding of these dynamics in practice.


Angela M Sexton, PharmD, is a licensed pharmacist and freelance medical writer with experience in clinical pharmacy, retail pharmacy, and pharmacovigilance in both the United States and Europe. However, results published in the Journal of the American Medical Association (JAMA) from a recent European study coordinated in Belgium have challenged the notion that a reduced sodium (salt) consumption lowers the risk of heart attacks, congestive heart failure, and stroke.
According to JAMA, the study concluded that “systolic blood pressure, but not diastolic pressure, changes over time aligned with change in sodium excretion, but this association did not translate into a higher risk of hypertension or CVD complications. These specific groups include approximately 70% of the adult population in the United States. Fatal and nonfatal outcomes, incidence of hypertension, and blood pressure changes in relation to urinary sodium excretion.
She is an honors graduate of The Samford University McWhorter School of Pharmacy with a Doctor of Pharmacy degree and also earned a bachelora€™s degree in biology from the University of Alabama.


The lack of any mention of the role of potassium here is a horrifying omission, clinically speaking. Her professional interests include traditional pharmaceutical therapies, immunizations, and preventative health initiatives. Processed and restaurant foods are the largest source of dietary sodium intake (77%) in the United States, while table salt and cooking accounts for 10%.



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