What three things can we do to lower our sodium intake? Are there any tricks for interpreting nutrition facts labeling on processed foods?
Shaking the Salt Habit
The two most prominent dietary risks for death and disability in the world are not eating enough fruit and eating too much salt. Too little fruit kills nearly five million people every year, and too much salt kills four million.
There are three things we can do to lower our salt intake. First, don’t add salt at the table. A third of us add salt to our food before even tasting it! Number two: stop adding salt when cooking. At first, the food will taste bland. Two to four weeks later, however, the sensitivity of the salt taste receptors in the mouth will adjust to the taste of salt in the usual concentrations. Believe it or not, but after two weeks, you may actually prefer the taste of food with less salt. Some of the flavorings you can use instead of salt include pepper, onion, garlic, tomato, sweet peppers, basil, parsley, thyme, celery, lime, chilli, nettle, rosemary, smoke flavor, curry, coriander, and lemon.
Even if you do add salt, though, it’s probably better than eating out, where even at non-fast food restaurants, they tend to pile it on. And finally, avoid processed foods that have salt added.
In most countries, only about half of sodium intake comes from processed foods; so, there’s more personal responsibility, but in the U.S., even if we completely stopped adding salt in the kitchen and dining room, it would only bring down salt intake a small fraction. This has led public health commentators to note how challenging it is, then, for everyone to reduce their salt intake, since so much of our sodium intake is out of our control. But is it? We don’t have to buy all those processed foods. We can choose not to turn over our family’s health to food corporations that may not have our best interests at heart.
If we do buy processed foods, there are two tricks we can use. First, try to only buy foods with fewer milligrams of sodium on the label than there are grams in the serving size. So, if it’s a 100 gram serving size, it should have less than 100mg of sodium. Or, second, you can shoot for fewer milligrams of sodium than there are calories. For example, here the sodium is 720; calories are 260. 720 is greater than 260; so, this has too much sodium.
That’s a trick I learned from one of my favorite dieticians of all time, Jeff Novick. The reason it works is because most people get about 2,200 calories a day; so, if everything you ate had more calories than sodium, you’d at least get under 2,300 milligrams of sodium – the upper limit for healthy people under age 50. Of course, the healthiest foods have no labels at all. We should also try to buy as much fresh food as possible, as it is almost impossible to come up with a diet consisting of unprocessed natural foodstuffs that exceeds the strict American Heart Association guidelines for sodium reduction.
To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video. This is just an approximation of the audio contributed by Katie Schloer.
Please consider volunteering to help out on the site.
- S S Lim, T Vos, A D Flaxman, G Danaei, K Shibuya, H Adair-Rohani, M Amann, and more. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012 Dec 15;380(9859):2224-60.
- K Bibbins-Domingo, G M Chertow, P G Coxson, A Moran, J M Lightwood, M J Pletcher, L Goldman. Projected effect of dietary salt reductions on future cardiovascular disease. N Engl J Med. 2010 Feb 18;362(7):590-9.
- W C Roberts. High salt intake, its origins, its economic impact, and its effect on blood pressure. Am J Cardiol. 2001 Dec 1;88(11):1338-46.
- R S Newson, I Elmadfa, G Biro, Y Cheng, V Prakash, P Rust, M Barna, R Lion, G W Meijer, N Neufingerl, I Szabolcs, R van Zweden, Y Yang, G I Feunekes. Barriers for progress in salt reduction in the general population. An international study. Appetite. 2013 Dec;71:22-31.
- F Toldra, J M Barat. Strategies for salt reduction in foods. Recent Pat Food Nutr Agric. 2012 Apr 1;4(1):19-25.
- P Strazzullo, L D’Elia, G Cairella, L Scalfi, M Schiano di Cola. Recommending salt intake reduction to the hypertensive patient: more than just lip service. High Blood Press Cardiovasc Prev. 2012 Jun 1;19(2):59-64.
- F P Cappuccio, S Capewell, P Lincoln, K McPherson. Policy options to reduce population salt intake. BMJ. 2011 Aug 11;343:d4995.
- H Karppanen, E Vervaala. Sodium intake and hypertension. Prog Cardiovasc Dis. 2006 Sep-Oct;49(2):59-75.
Images thanks to Mark Poprocki via 123RF.
The two most prominent dietary risks for death and disability in the world are not eating enough fruit and eating too much salt. Too little fruit kills nearly five million people every year, and too much salt kills four million.
There are three things we can do to lower our salt intake. First, don’t add salt at the table. A third of us add salt to our food before even tasting it! Number two: stop adding salt when cooking. At first, the food will taste bland. Two to four weeks later, however, the sensitivity of the salt taste receptors in the mouth will adjust to the taste of salt in the usual concentrations. Believe it or not, but after two weeks, you may actually prefer the taste of food with less salt. Some of the flavorings you can use instead of salt include pepper, onion, garlic, tomato, sweet peppers, basil, parsley, thyme, celery, lime, chilli, nettle, rosemary, smoke flavor, curry, coriander, and lemon.
Even if you do add salt, though, it’s probably better than eating out, where even at non-fast food restaurants, they tend to pile it on. And finally, avoid processed foods that have salt added.
In most countries, only about half of sodium intake comes from processed foods; so, there’s more personal responsibility, but in the U.S., even if we completely stopped adding salt in the kitchen and dining room, it would only bring down salt intake a small fraction. This has led public health commentators to note how challenging it is, then, for everyone to reduce their salt intake, since so much of our sodium intake is out of our control. But is it? We don’t have to buy all those processed foods. We can choose not to turn over our family’s health to food corporations that may not have our best interests at heart.
If we do buy processed foods, there are two tricks we can use. First, try to only buy foods with fewer milligrams of sodium on the label than there are grams in the serving size. So, if it’s a 100 gram serving size, it should have less than 100mg of sodium. Or, second, you can shoot for fewer milligrams of sodium than there are calories. For example, here the sodium is 720; calories are 260. 720 is greater than 260; so, this has too much sodium.
That’s a trick I learned from one of my favorite dieticians of all time, Jeff Novick. The reason it works is because most people get about 2,200 calories a day; so, if everything you ate had more calories than sodium, you’d at least get under 2,300 milligrams of sodium – the upper limit for healthy people under age 50. Of course, the healthiest foods have no labels at all. We should also try to buy as much fresh food as possible, as it is almost impossible to come up with a diet consisting of unprocessed natural foodstuffs that exceeds the strict American Heart Association guidelines for sodium reduction.
To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video. This is just an approximation of the audio contributed by Katie Schloer.
Please consider volunteering to help out on the site.
- S S Lim, T Vos, A D Flaxman, G Danaei, K Shibuya, H Adair-Rohani, M Amann, and more. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012 Dec 15;380(9859):2224-60.
- K Bibbins-Domingo, G M Chertow, P G Coxson, A Moran, J M Lightwood, M J Pletcher, L Goldman. Projected effect of dietary salt reductions on future cardiovascular disease. N Engl J Med. 2010 Feb 18;362(7):590-9.
- W C Roberts. High salt intake, its origins, its economic impact, and its effect on blood pressure. Am J Cardiol. 2001 Dec 1;88(11):1338-46.
- R S Newson, I Elmadfa, G Biro, Y Cheng, V Prakash, P Rust, M Barna, R Lion, G W Meijer, N Neufingerl, I Szabolcs, R van Zweden, Y Yang, G I Feunekes. Barriers for progress in salt reduction in the general population. An international study. Appetite. 2013 Dec;71:22-31.
- F Toldra, J M Barat. Strategies for salt reduction in foods. Recent Pat Food Nutr Agric. 2012 Apr 1;4(1):19-25.
- P Strazzullo, L D’Elia, G Cairella, L Scalfi, M Schiano di Cola. Recommending salt intake reduction to the hypertensive patient: more than just lip service. High Blood Press Cardiovasc Prev. 2012 Jun 1;19(2):59-64.
- F P Cappuccio, S Capewell, P Lincoln, K McPherson. Policy options to reduce population salt intake. BMJ. 2011 Aug 11;343:d4995.
- H Karppanen, E Vervaala. Sodium intake and hypertension. Prog Cardiovasc Dis. 2006 Sep-Oct;49(2):59-75.
Images thanks to Mark Poprocki via 123RF.
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Shaking the Salt Habit
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Content URLDoctor's Note
Not eating enough fruit as a leading killer? For more, see my video Inhibiting Platelet Aggregation with Berries.
My early videos on sodium include:
- Changing Our Taste Buds
- Canned Beans or Cooked Beans?
- Cooking to Live Longer
- Improving on the Mediterranean Diet
- How to Treat Kidney Stones with Diet
In my latest series, I lay out the evidence and dive into the manufactured controversy to expose salt industry shenanigans. See:
- High Blood Pressure May Be a Choice
- Sprinkling Doubt: Taking Sodium Skeptics with a Pinch of Salt
- The Evidence That Salt Raises Blood Pressure
- Sodium Skeptics Try to Shake Up the Salt Debate
- Sodium and Arterial Function: A-Salting Our Endothelium
- Sodium and Autoimmune Disease: Rubbing Salt in the Wound?
- Salt of the Earth: Sodium and Plant-Based Diets
2022 Update – I just added a few new videos about a salt substitute:
- Fewer Than 1 in 5,000 Meet Sodium and Potassium Recommended Intakes
- Are Potassium Chloride Salt Substitutes Effective?
- Potassium Chloride Salt Substitute Side Effects
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