Believe it or not, limiting salt HURTS the heart

The chef prepares fresh salmon fish, smorgu trout, sprinkling salt with the ingredients.

Many so-called “experts” say eat less salt — but here’s what the science really says…

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Believe it or not, limiting salt HURTS the heart

Sodium is an essential dietary element – most of the sodium people consume comes in the form of sodium chloride — AKA salt.

Sodium and salt have received a very bad rap from the medical community over the last century.

People with cardiovascular problems are often told that they should limit their intake of salt to lower their disease risk.

Salt/sodium restriction is often recommended to prevent heart failure… 

…but research shows that limiting salt or sodium intake can actually do more harm than good.

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The human research was carried out at the Department of preventive medicine, Rush University Medical Center, Chicago, Illinois. The results were published in JACC Heart Failure.

Many patients without problems, including heart failure, are advised by doctors and cardiologists to limit their sodium intake.

The researchers who carried out this study wanted to know whether these recommendations are wise.

“Although sodium restriction is advised for patients with heart failure, data on sodium restriction and heart failure outcomes are inconsistent.”

The researchers took information gathered from a study carried out into patients with class II/III heart failure.

“We analyzed data from the multi-hospital heart failure Adherence and Retention Trial, which enrolled 902 heart failure patients.”

During this research, the 900 patients carried out numerous food frequency questionnaires. 

These questionnaires asked about the amount of sodium consumed by everyone taking part in the research.

“Sodium intake was serially assessed by a food frequency questionnaire.”

The researchers split the participants into different groups according to their sodium intake.

Less than 2.5g of sodium per day was considered restricted. 

More than 2.5g of sodium per day was considered unrestricted – the high sodium group.

“Based on the mean daily sodium intake prior to the first event of death or heart failure hospitalization, patients were classified into sodium restricted and unrestricted groups.”

The researchers followed all of the participants for an average of 3 years. They gathered all information on heart failure outcomes during the period.

“We followed up with the patients for a median of 36 months.”

The researchers then compared major health outcomes in the sodium restricted versus unrestricted groups.

“The primary outcome was a composite of death or heart failure hospitalization.”

The low-sodium group had a significantly higher risk of death or hospitalization from heart failure.

“Sodium restriction was associated with significantly higher risk of death or heart failure hospitalization.”

Those who ate less than 2.5g of sodium per day had a greater than 50% likelihood of being hospitalized for heart failure or dying during the follow-up period.

Most of the increased risk was due to hospitalization for heart failure. 

The researchers also found a particular relationship between sodium restriction and ACE drugs.

Those eating low sodium and not using these types of medications were of particular risk.

“Sodium restriction was associated with increased risk of death or heart failure hospitalization in patients not receiving angiotensin-converting enzyme inhibitor or angiotensin receptor blocker.”

These people are almost 6 times more likely to be hospitalized or die from heart failure.

The researchers concluded that the common advice for heart failure patients to restrict sodium intake is wrong. 

Restricting sodium intake led to worse outcomes in patients with heart failure.

“In symptomatic patients with chronic heart failure, sodium restriction may have a detrimental impact on outcome.”

The researchers recommended the completion of a high-quality human trial looking into the effects of sodium in heart failure patients.

“A randomized clinical trial is needed to definitively address the role of sodium restriction in heart failure management.”

Sodium is an important mineral which can restrain degenerative stress hormone levels – restriction is not something that should be taken lightly.

You should always consult a healthcare practitioner about treating and diagnosing health-related problems.

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Matt Cook is editor-in-chief of Daily Medical Discoveries. Matt has been a full time health researcher for 26 years. ABC News interviewed Matt on sexual health issues not long ago. Matt is widely quoted on over 1,000,000 websites. He has over 300,000 daily newsletter readers. Daily Medical Discoveries finds hidden, buried or ignored medical studies through the lens of 100 years of proven science. Matt heads up the editorial team of scientists and health researchers. Each discovery is based upon primary studies from peer reviewed science sources following the Daily Medical Discoveries 7 Step Process to ensure accuracy.

 

Impact of Dietary Sodium Restriction on Heart Failure Outcomes: https://www.ncbi.nlm.nih.gov/pubmed/26738949