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26/01/2005

Elderly Cautioned on Suspect Salt Advice

The UK’s salt manufacturers today (26 January) urged elderly people to seek their doctors’ advice before responding to the latest blanket advice to cut their salt consumption.

The recommendation from the Salt Manufacturers Association comes in response to a new campaign launched today by the action group Consensus Action on Salt and Health (CASH), which targets older people. Its “Salt Awareness Day” materials claim that a reduction in salt intake will result in an “immediate fall in blood pressure and a reduction in the risk of developing a stroke or heart attack”.

This is in direct opposition to recent research in Germany which revealed that a low-salt diet could be dangerous for the elderly. Studies undertaken by Professor Ingo Füsgen of the Department of Geriatrics at the University of Witten-Herdecke show that up to 10 per cent of older people suffer from sub-acute sodium deficiency which can result in problems such as nervous disposition, hallucinations, muscle cramps and incontinence. The symptoms of hyponatraemia (low sodium level in the blood) - tiredness, difficulty in concentrating and loss of balance - can develop into confusion and even coma if left untreated.

“CASH has never acknowledged the fact that there are many experts who totally disagree with it on the suggested link between salt and blood pressure,” said SMA general secretary Peter Sherratt. “This latest advice carries potential risk for older people. If they suffer from high blood pressure, they should consult their doctors rather than follow what CASH suggests is an ‘immediate’ cure.


Notes to news editors:

The Department of Health's own National Diet and Nutrition Survey, published in 2004, concluded that there is no significant effect on the blood pressure of healthy people from eating salt.
The 1988 Intersalt study is one of the prime motivators for the current campaign, yet it failed to prove its own primary hypothesis that systolic blood pressure is associated directly with sodium excretion.
Several large-scale intervention studies have shown that restriction of sodium in the diet has no effect on diastolic blood pressure and only a minimal effect on systolic blood pressure.
The National Health Service's own website includes an evaluation of the evidence base for reduction of salt in the diet which concludes that the calculations are "theoretical" and that the authors have "over-emphasised" a key section. The reviewers suggest that further research is needed.
Since 1995, 10 studies in the United States have reported on whether low sodium diets produce health benefits. All 10 indicate that, among the general population, lower sodium diets don't produce health benefits. In fact, not a single study has ever shown improved health outcomes for broad populations on reduced sodium diets.

Links to key papers, together with further information, photographs and a sound interview with a UK expert on hypertension are available from tab www.saltsense.co.uk.

 

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