Sodium and Your Health


What is sodium to my body?

Sodium is a mineral that’s essential for life. It’s regulated in the body by your kidneys, and it helps control your body’s fluid balance. It also helps send nerve impulses and affects muscle function.

How does sodium affect my heart health?

When there’s extra sodium in your bloodstream, it pulls water into your blood vessels, increasing the total amount (volume) of blood inside your blood vessels. With more blood flowing through your blood vessels, blood pressure increases. It’s like turning up the water supply to a garden hose — the pressure in the hose increases as more water is blasted through it. Over time, high blood pressure may overstretch or injure the blood vessel walls and speed the build-up of gunky plaque that can block blood flow. The added pressure also tires out the heart by forcing it to work harder to pump blood through the body.

Here’s the scoop on high blood pressure, also known as the “silent killer” because its symptoms are not always obvious:

  • It’s one of the major risk factors for heart disease, the No. 1 killer worldwide.
  • It’s the leading risk factor of women’s deaths in the U.S., and the second leading risk factor for death for men.
  • One-third of American adults have high blood pressure. And 90 percent of American adults are expected to develop high blood pressure over their lifetimes.
  • More than 40 percent of non-Hispanic black adults have high blood pressure. Not only is high blood pressure more prevalent in blacks than whites, but it also develops earlier in life.

Even if you don’t have high blood pressure, eating less sodium can help blunt the rise in blood pressure that occurs with age, and reduce your risk of heart attack, heart failure, stroke, kidney disease, osteoporosis, stomach cancer and even headaches. The extra water in your body can also lead to bloating and weight gain.

No wonder the American Heart Association wants you to change your relationship with salt!

What about sodium in kids?

Kids aren’t immune to the heartbreak of too much sodium either. Nearly 80 percent of 1-3-year-olds and more than 90 percent of 4-18-year-olds in the U.S. get too much sodium, and this can start increasing their risk of high blood pressure when they are as young as 1 year old. Kids who have high-sodium diets are about 40 percent more likely to have elevated blood pressure than kids with lower-sodium diets. This puts them at higher risk for heart disease when they get older. Learn more about sodium in kids.


 

How much sodium is in salt?

Table salt is a combination of two minerals – sodium and chloride. By weight, table salt is approximately 40% sodium and 60% chloride. About 90% of Americans’ sodium intake comes from sodium chloride.

What are the common sources of sodium?

About 77% of the sodium we consume comes from packaged, prepared and restaurant foods. The rest of the sodium in our diets occurs naturally in food (about 12 percent) or is added by us when we’re cooking food or sitting down to eat.

The latter only makes up only about 10 percent of our total sodium intake, so even if you never use the salt shaker, you’re probably getting too much sodium.

Because most of the sodium we eat is in our food before we buy it, it makes it hard for people to limit how much sodium they are eating. Americans deserve the opportunity to choose how much sodium they are eating. An AHA survey found that 75% of adults in the U.S. preferred less sodium in processed and restaurant foods. Learn about the sources of sodium in the American diet and food supply.

For Americans age 18 and over, watch for the salty six; the top sodium sources in the U.S. diet in adults, and kids.


 

Do some people need to be more concerned about eating too much salt than others?

If someone is sensitive to salt, this means increasing or decreasing their salt intake has a greater effect on their blood pressure (compared to someone who is not sensitive to salt). The effects of salt and sodium on blood pressure tend to be greater in blacks, people over 50, and people with high blood pressure, diabetes or kidney disease. That’s about half the American population.

But don’t think you’re off the hook if you’re not in one of those groups. Almost everyone can benefit from cutting back on salt, because nearly all of us eat too much. Blood pressure rises with age, and eating less sodium now will curb that rise and put us on a path to a healthier life.


 

What are the benefits of cutting down on sodium?

Along with reducing your risk for high blood pressure, bloating and other effects of too much sodium, cutting sodium might save money:

  • One estimate suggested that if Americans moved to an average intake of 1,500 mg/day sodium, it could result in a 25.6 percent overall decrease in blood pressure and an estimated $26.2 billion in health care savings.
  • Another estimate projected that achieving this goal would reduce deaths from cardiovascular disease by anywhere from 500,000 to nearly 1.2 million over the next 10 years.

 

I heard that some research questions the connection between sodium and health problems, suggesting that sodium isn’t so bad after all. What’s up with that?

Some newer research questions the link between sodium consumption and health problems, but as the American Heart Association reiterated previously, the connection is well-established and Americans should still be cutting back on salt. The newer research adds to a larger discussion that has evolved over the last few years about appropriate levels of salt intake and its impact.

Much of the research that questions sodium intake and health problems relies on flawed data, such as inaccurate measurements of sodium intake and an overemphasis on studying sick people rather than the general population. Often, the studies with paradoxical findings are poorly designed to examine the relationship between sodium intake and the health outcome of interest.The American Heart Association published a Science Advisory in February 2014 that discussed the problems with many of the studies that question how sodium is related to heart disease.

It’s important to remember that new studies become just one part of decades of evidence on this topic. When considering that evidence as a whole, it is clear that a significant body of research reinforces the link between sodium intake and heart health.

The science behind sodium reduction is clear. Robust evidence has linked excess sodium intake with high blood pressure, which increases the risk of heart attack, stroke, and heart failure.


 

Why did the American Heart Association change its sodium recommendations?

Previously, the American Heart Association sodium recommendations set the limit at no more than 2,300 mg/day for the general population and 1,500 mg/day for hypertensive individuals, blacks, and middle-aged and older adults. The U.S. Centers for Disease Control and Prevention (CDC) released data in 2009 showing that nearly 70 percent of the U.S. population is made up of the groups for whom 1,500 mg a day sodium is recommended. Ninety percent of Americans adults are expected to develop high blood pressure in their lifetimes, and eating too much sodium is strongly linked to the development of high blood pressure. For these reasons and because the potential public health benefits of sodium reduction are significant and extend to all Americans, the American Heart Association in 2010 chose to recommend that Americans eat less than 1,500 mg/day sodium as part of the definition of ideal cardiovascular health.


 

What would the health impact be of lowering sodium consumption to less than 1,500 mg per day for most Americans?

One estimate suggested that if the U.S. population moved to an average intake of 1,500 mg/day sodium from its current level, it could result in a 25.6% overall decrease in blood pressure and an estimated $26.2 billion in health care savings. Another estimate projected that achieving this goal would reduce deaths from CVD by anywhere from 500,000 to nearly 1.2 million over the next 10 years.