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Letters |17 August 2010

Population Strategies to Decrease Sodium Intake

Mihaly Tapolyai, MD

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Author, Article, and Disclosure Information
Potential Conflicts of Interest: None disclosed.
  • From University of Hawaii Postgraduate Medical Program Chubu Hospital, Okinawa 904-2293, Japan.
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Potential Conflicts of Interest: None disclosed.
TO THE EDITOR:
Smith-Spangler and colleagues (1) strategize how to reduce dietary sodium in entire populations and countries for the benefits they assume will result. Unfortunately, their assumptions are incorrect. They state that “sodium consumption raises blood pressure, increasing the risk for heart attack and stroke.” This is true only in a small percentage of the population. Most persons (especially white persons) are not salt-sensitive, as shown in a Cochrane review (2), and salt restriction does not achieve better survival, as shown in NHANES I (First National Health and Nutrition Examination Survey) (3)...
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Tapolyai M. Population Strategies to Decrease Sodium Intake. Ann Intern Med. 2010;153:276. doi: 10.7326/0003-4819-153-4-201008170-00021

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Published: Ann Intern Med. 2010;153(4):276.

DOI: 10.7326/0003-4819-153-4-201008170-00021

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