Sodium 101: Shaking the Salt Habit

Did you know that about 10-15% of the population is salt sensitive? That means when those folks eat too much salt, their blood pressure rises. Excessive salt intake is also a contributing factor to heart disease. Because we can’t usually pinpoint who exactly has a salt sensitivity, you may not even know you’re at risk for high blood pressure. To play it safe, pay close attention to where sodium lurks in your diet.

Who’s at Risk?
According to the National Heart, Lung and Blood Institute (NHLBI) 65 million adults have high blood pressure — that’s about 1 in 3 people! If you have a family history of high blood pressure, are overweight or don’t get much exercise, you have greater likelihood than most.

A blood pressure level of 140/90 mmHg or higher is considered high. Anybody with high blood pressure is at risk for heart attacks and stroke. About 90% of middle-aged adults have high blood pressure these days — that’s a lot of people at risk. Fortunately, there is a way to prevent it.

Taking Action!
According to the NHLBI, four of the six things you can do to prevent high blood pressure are related to food.

  1. Follow DASH: Dietary Approaches to Stop Hypertension (DASH) is an eating plan that has been scientifically proven to lower blood pressure and cholesterol. This diet emphasizes fruits, veggies, low-fat dairy and is low in total fat, saturated fat and cholesterol. It includes eating whole foods such as whole grains, poultry, fish, nuts and small amounts of red meats, sweets, fats and sugary drinks. You can learn more about the plan here.
  2. Reduce salt in your diet: The current sodium recommendation is 2,400 milligrams per day, which is equal to a teaspoon of salt. According to the Mayo Clinic, 77% of the salt you consume comes from prepared and packaged foods — that means those salty snacks, take-out, frozen and canned foods and salty condiments (i.e. dressings and jarred sauces).
  3. Maintain a healthy weight: Knowing your body mass index (BMI) and if you are at a healthy weight is essential. Find out where you stand by using the NHLBI’s BMI calculator.
  4. Limit alcohol: Drinking too much alcohol can raise blood pressure. Limit your alcohol to a maximum of 1 to 2 drinks per day for women and men, respectively. One drink is 12 ounces of beer, 5 ounces of wine or 1.5 ounces of an 80-proof liquor (like whiskey).

The NHLBI has more info on the other two ways to prevent high blood pressure.

Cutting Salt in the Kitchen
Fresh herbs and spices easily add sodium-free flavor to dishes. Knowing which combinations to use on your recipes is the key — like in this Basil-Flavored Shrimp. This handy guide has helpful hints for bringing out the best flavors.

When buying ground spices, avoid titles with the word “salt” — that is, garlic salt or onion salt. Choose garlic and onion powder instead. Mrs. Dash also makes various salt-free blends. Other salt-free flavorings include fresh citrus juices or vinegars, which go perfectly with fish and veggies.

(*Note: all recipes list sodium content)

[Photo: Steve Woods / SXC]

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23 Comments

To Whom It May Concern:
Thank you for your email and the article on healthy eating. My comment is that I have high blood pressure and was diagnose with HBP at the age of 27 yrs old at 130lbs. People have a misconception about HBP in that they believe you get HBP from eating and adding salt to your foods or the biggest one – eating pork and fried foods. On the contrary, I have found that snacks; chips, cookies, chocolate to include chocolate candy bars contribute a lot to raising your HBP levels. These foods are saturated in sodium content. Many articles seem to miss this point so the public is not totally educated on what adds to HBP. I wish that media outlets really get it right and dig deep on the real reality and not tell half truth but the entire truth.

Best Regards,
Angela Patterson, Author
http://www.dreamgirlbooks.com

Angela Patterson on March 18, 2009 at 10:13 am

You are harming the very children you profess to love,with the lunches you send them to school with.Most are riddled with sodium.Children develope their eating habits from the home cook.

Jeanne on March 18, 2009 at 10:16 am

i’ve been eating and snacking on cheez-it. it has 24o to 330 mg per serving. should i stay away from them? sometimes i find myself eating an entire box in one sitting.

ARNETTA BARNES on March 18, 2009 at 10:47 am

Arnetta,
If you are eating a whole box in one sitting, then I think maybe you should stay away from them. Not only is sodium a problem, but the calories in an enitre box isn’t exactly low either.

Stone on March 18, 2009 at 11:01 am

I love these kinds of articles that aren’t really helpful beyond the obvious CUT BACK! Duh.

Also, 2,400 mg of salt a day is way too much anyway, and I’m surprised the article didn’t say anything about it. People are only supposed to get along with around half of that, maybe even less.

My problem is, even with fresh spices and herbs, I find that nothing has taste, or spice mixes designed to ‘replace’ salt make food even worse, like make food bitter. Bitter and sour do NOT equal savory or salty.

Violet on March 18, 2009 at 11:26 am

I started a “low sodium” diet after reading of all the health issues from to much sodium in our diets. Read the labels of everything in your pantry and you will be surprised. Look up the sodium of the fast food restaurants (OH MY GOODNESS). Adults should limit thier sodium from 2100mg to 2400mg per day. Thats a couple of fast food sandwiches at most places. Sodium will be the next big health issue.

Lance on March 18, 2009 at 11:38 am

Watch out for those frozen diet meals. Check the sodium levels and don’t be shocked if you find most have 700-800mg or more.

Nick Rao on March 18, 2009 at 11:49 am

Watch sodium in can goods just put on low sodium diet and was amazed at salt levels in everyday items

Geo on March 18, 2009 at 11:50 am

As a registered nurse who ran an assisted living business, I have seen the changes in people after I admit them and put them on a low salt diet. One man lost eleven pounds of water in one week. His physician had not even addressed it as a problem! I would love to see an movement to get the FDA to regulate the amount of sodium in prepared packaged foods and restaurant foods. Most people don’t read the labels on packages in the grocery. Salt can be as high as 38% of MDR for one serving, which are usually small. Food in restaurants have way too much salt. I get so thirsty after eating out in some restaurants. Some sodium is necessary, but an excess can cause mega health problem. Food that naturally taste better with salt like chips can have the salt content in large letters. Elderly people who shop for themselves often have poor eyesight, or don’t realize the high salt food in their purchases. Salt can contribute to congestive heart failure and hypertension, edema, etc. By the way the gentleman who lost eleven pounds could then fasten the belt on his pants, wear his watch and was more physically active. His breathing was easier, etc. (His wife collapsed in our driveway and we learned she had hypertension. The same geriatric physician had not identified that problem either!)
Salt content should be in large letters on the front of packages! Problems from excessive salt costs us a tremendous amount in health care costs. If anyone knows how to start public concern regarding this problem and help get a bill passed to make the FDA act would be doing a great public service. I have no idea how to start. I will call my legislator and talk with his staff, and why don’t you.

Judith on March 18, 2009 at 11:59 am

@Violet: are you a smoker? I’m not asking to be rude, but I’m a former smoker and I wonder if the bitter taste that you’re getting is a result of taste buds not functioning at full capacity. I found that food began to taste better after I had quit smoking. What spices are you trying? Tony Chachere’s Salt-Free Spice mix is fantastic if you like a little kick in your food. Montreal Steak/Chicken seasoning is great (the spicy versions are fantastic, too), but check the sodium content in those. If you’re looking for more standard flavors, garlic powder and onion powder are common staples in my kitchen.

howlingwolfe27 on March 18, 2009 at 12:10 pm

Any one know the effect of salt if you have glaucoma?

Evelyn on March 18, 2009 at 12:29 pm

My fiancee and I cut back on eating out and processed foods. We also use Kosher Salt, which actually has less sodium than table salt. I love Kosher salt and recommend it highly!

Lori on March 18, 2009 at 12:40 pm

I was diagnosed w/high blood pressure a couple of years ago. My Dr. at the time (she is no longer)never asked about family history, diet, water or salt intake, exercise or anything! She said she would start me on medicine and then never gave me a prescription!! I started doing research on my own. I dropped my daily sodium levels to 1500mg or less (not easy) and my bp is now a steady 120/78 consistently. This takes consistent monitoring and reading labels. You are shocked by labels on things you wouldn’t expect to have high levels in them…it’s an eye opener. I do feel better and within the first week of watching my sodium levels dropped 5 pounds and have kept it off.

Dawn Bingaman on March 18, 2009 at 1:02 pm

The comment that stated Kosher salt has less sodium then table salt is absolutely incorrect. All “salt” is sodium chloride, with the exception of sea salt and salt substitute which usually has more potassium and less sodium. Kosher salt and table salt are both sodium chloride–the same. The only difference is that table salt (most of it) is iodized (which means that iodine is added to prevent goiter which is a kind of hypothyroidism that results from not enough iodine in the diet. Land locked states without access to lots of seafood in the diet have benefitted from the addition of iodine to our salt–less goiter these days. But the sodium content is exactly the same.

Mary Kay on March 18, 2009 at 1:34 pm

My boyfriends swears by his salt substitute, which I believe is just potassium. Does having an excess of potassium cuase any harmful side effects?

Jill on March 18, 2009 at 2:57 pm

Just use Sea Salt if you have to have salt!!!

Karen on March 18, 2009 at 3:18 pm

I’m on a no salt diet. I hear talk of sea salt and even have some in my cabinet. But do I dare use it? HELP

Ann on March 18, 2009 at 4:13 pm

All very well -but beware the dreaded goitre!

gwen on March 18, 2009 at 6:00 pm

Use a little kosher salt when cooking, and do not add more. You get used to not adding it. My Dr.told me all of the above not long ago and thinks we should limit salt intake to 1100 mg. Salt is the next big epidemic and causes so many health issues.

janet on March 18, 2009 at 8:51 pm

The thing about sea salt is that you need considerably LESS to flavor –it has a strong salt taste.

patrice on March 18, 2009 at 9:37 pm

If you can stop salt for two weeks, you will not be able to add salt to your food, because it will be to salty. Your taste buds change every two weeks and I don’t know if you have noticed that the more salt you use the more it takes the next time you eat. Try the two week test and see if it works. You cannot add any salt to your food for two weeks and you really need to eat fresh foods, not canned or frozen.

Maggie on March 20, 2009 at 7:16 pm

As a meat dept. employee for almost 20yrs. I can’t get over how many people purchase lunch meats for themselves and family-as a budding chef I know first hand how bad the sodium content is in ALL lunch meats and some frozen foods. Right now, the trend is to rid all pre-made and frozen foods of trans-fat,BUT sodium is the biggest culprit! I’ve been a lable reader for years and now I tell my customers the hazards of some of the items of which they purchase! Almost all proccessed meats contain several forms of sodium,not only as a flavor agent but as a preserative. Next time you want to buy some lunch meat that’s on sale,read the ingredient lable first-SCARY! Most of those proccessed meats contain: salt,artificial color,flavor-MORE sodium,nitraits and nitrites,caramel coloring AND yes more sodium! Oh and some mechanically separated meat of some sort-maybe? And it has been proven that hot dogs and bacon cause cancer in our children (aol health news at aol.com/health). As a cook ,I only use kosher salt. And only enough for flavor. My b.p. and cholesterol are at normal rates for my age group(47). I highly recommend using only fresh herbs (grow them yourself) and/or kosher salt/seasalt in your meals and don’t buy or at least read the lables on your lunch meat and frozen items and consider, it could save your life or someone you love! And as a after thought,ponder these two things:”How WAS that bologna made? What part of the animal am I REALLY eating? And,I buy some luch meat that has a four month shelf life.How long would YOU keep a roast in YOUR refridgerator???

R.Kelly Knight on March 21, 2009 at 12:37 am

I use sea salt but I still use very little. Since i was a child to much salt on potato chips or food makes my lips and tounge crack and bleed so I guess it is my bodys way of saying you’ve had enough.

Rhonda Arrington on March 22, 2009 at 9:30 pm

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On 10 Healthy Foods Under $3, Courtney said:

I lived in Cape and Jackson, I would make your own, I can't think of where you could get it other than Schnucks. And why pay more for it when you can make your own.

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