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Low-Sodium Diet Might Not Lower Blood Pressure

A new study that followed more than 2,600 men and women for 16 years found that consuming less sodium wasn't associated with lower blood pressure. The new findings call into question the sodium limits recommended by the current Dietary Guidelines for Americans.

Lynn L. Moore, DSc, MPH, an associate professor of medicine at Boston University School of Medicine, presented the new research at the American Society for Nutrition Scientific Sessions and annual meeting during the Experimental Biology 2017 meeting.

"We saw no evidence that a diet lower in sodium had any long-term beneficial effects on blood pressure," Moore says. "Our findings add to growing evidence that current recommendations for sodium intake may be misguided."

The 2015–2020 Dietary Guidelines for Americans recommends limiting sodium intake to 2,300 mg per day for healthy people. For the study, the researchers followed 2,632 men and women aged 30 to 64 who were part of the Framingham Offspring Study. The participants had normal blood pressure at the study's start. However, over the next 16 years, the researchers found that the study participants who consumed less than 2,500 mg sodium per day had higher blood pressure than participants who consumed higher amounts of sodium.

Other large studies published in the past few years have found what researchers call a J-shaped relationship between sodium and cardiovascular risk; that means people with low-sodium diets (as recommended by the Dietary Guidelines for Americans) and people with a very high sodium intake (above the usual intake of the average American) had higher risks of heart disease. Those with the lowest risk had sodium intakes in the middle, which is the range consumed by most Americans.

"Our new results support these other studies that have questioned the wisdom of low dietary sodium intakes in the general population," Moore says.

The researchers also found that people in the study who had higher intakes of potassium, calcium, and magnesium exhibited lower blood pressure over the long term. In Framingham, people with higher combined intakes of sodium (3,717 mg per day on average) and potassium (3,211 mg per day on average) had the lowest blood pressure.

"This study and others point to the importance of higher potassium intakes, in particular on blood pressure and probably cardiovascular outcomes as well," Moore says. "I hope that this research will help refocus the current Dietary Guidelines for Americans on the importance of increasing intakes of foods rich in potassium, calcium, and magnesium for the purpose of maintaining a healthy blood pressure."

Moore says that there's likely a subset of people sensitive to salt who would benefit from lowering sodium intake, but more research is needed to develop easier methods to screen for salt sensitivity and determine appropriate guidelines for intakes of sodium and potassium in this salt-sensitive group of people.

— Source: Federation of American Societies for Experimental Biology