Does Salt Intake Influence Blood Pressure?
Janda J.1, Seeman T.1, Velemínský M.2
Pediatrická klinika UK 2. LF, FN Motol, Praha1 prednosta prof. MUDr. J. Lebl, CSc. Zdravotne sociální fakulta Jihoceské univerzity, Ceské Budejovice2 dekan prof. MUDr. M. Velemínský, CSc. |
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Summary:
Hypertension is among the most important risk factors of cardiovascular morbidity
and mortality and the relation of salt to blood pressure is therefore a topic discussed
by professional and layman communities for almost a hundred years. The topic is obviously
controversial, the approach is surprisingly infested by emotions even in the scientific
community and advocated and opponents of the idea whether salt influences
blood pressure are unable to find consensus for a long period of time. Far from surprising,
those who disclaim any role of salt in increased blood pressure are reporesentatives
of the salt trade and the food product and canning lobbies. In contrast, the fact
that in advanced countries the salt intake in human phylogenesis used to be by orders
of magnitude less over hundreds of thousands of years plays into the hands of those who believe that increased salt intake participates in hypertension. Moreover, in ethnics,
where a low salt intake (1–2 g/day) is still present, hypertension is virtually
absent, whereas in the advanced countries, where the salt intake is commonly around
10 g/day, up to 30% of population encounters hypertension. Facts that population response
to increased salt intake is different, increasing blood pressure is some and
decreasing intake resulting in a minor, though significant decrease provides a new
aspect.
The response to salt makes in possible to differentiate individuals into the salt-sensitive
and salt-resistant subjects, where the first react to salt load by a marked increase
of blood pressure, whereas those of the other group do not. It would be contributive
to find some simple way to identify the salt-sensitive group, where the individuals
would take advantage of decreasing the salt intake. Unfortunately such kind of identification
in a all-population screening is still not possible, although the scientific community
intensively searches for genetic molecular markers which could be used in this
way.
In any case it is obvious that salt intake in advanced countries is higher that necessary.
Based on the present knowledge it is therefore possible to recommend to control
salt intake and to draw attention of the public to this fact. The other fact, mostly unknown
to the public (possible to various physicians) is that increased potassium intake
(vegetable food) tends to balance the unfavorable effect of sodium on blood pressure.
Reports that increased salt intake in the childhood may probably influence blood
pressure in adulthood is of interest for pediatricians and sc. imprinting seems therefore
possible. Therefore we should draw attention to our children eating habits and
salt intake in various kinds of foods. Present way of catering in various institutions of
the fast food type eg. in pupils certainly deserves such control.
Key words:
salt intake, blood pressure, salt sensitive, salt resistant, blood pressure
imprinting, recommendation for salt intake
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