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Overly restrictive salt intake may worsen outcomes for common form of heart failure
Medical Xpress / British Medical Journal / Heart ^ | July 18, 2022 | Jiayong Li et al

Posted on 07/19/2022 10:23:50 AM PDT by ConservativeMind

Restricting salt intake is a key component of heart failure treatment, but restricting it too much may actually worsen the outcomes for people with a common form of the condition, suggests research.

Salt restriction is recommended in heart failure guidelines, but the optimal restriction range (from less than 1.5 g to less than 3 g daily) and its effect on patients with heart failure with preserved ejection fraction isn't clear, as they have often been excluded from studies.

Heart failure with preserved ejection fraction, half of all heart failure cases, occurs when the lower left chamber of the heart (left ventricle) isn't able to fill properly with blood (diastolic phase), reducing the amount of blood pumped out into the body.

This trial was designed to find out whether the drug spironolactone could effectively treat symptomatic heart failure with preserved ejection fraction.

Around half the participants (816) had a cooking salt score of zero. More than half of them were men (56%) and most were of white ethnicity (81%). They weighed significantly more and had a lower diastolic blood pressure (70 mm Hg) than those with a cooking salt score above zero (897).

They had also been admitted to hospital more often for heart failure, were more likely to have type 2 diabetes, poorer kidney function, be taking medication to control their heart failure, and have a reduced left ventricular ejection fraction (lower cardiac output).

Participants with a cooking salt score above zero were at significantly lower risk of the primary endpoint than those whose score was zero, mainly driven by the fact that they were less likely to be admitted to hospital.

Restricting salt intake to control heart failure may prompt intravascular volume contraction, which could reduce congestion and the requirement for water tablets to ease fluid retention.

(Excerpt) Read more at medicalxpress.com ...


TOPICS: Health/Medicine
KEYWORDS: electrolytes
Prior studies have shown a “U-shaped” curve that shows the lowest death rate at sodium amounts between about 2,800 mg to just beyond 6,000 mg of sodium a day, yet, medical advice continues to stress “no sodium,” as an approach.

Of course, check with your doctor before making changes to your diet.

1 posted on 07/19/2022 10:23:50 AM PDT by ConservativeMind
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To: Pete from Shawnee Mission; Mazey; ckilmer; goodnesswins; Jane Long; BusterDog; jy8z; ...

The “Take Charge Of Your Health” Ping List

This high volume ping list is for health articles and studies which describe something you or your doctor, when informed, may be able to immediately implement for your benefit.

Email me to get on either the “Common/Top Issues” (20% fewer pings) or “Everything” list.

2 posted on 07/19/2022 10:24:20 AM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: ConservativeMind

Well, duh. Marathon runners know if you don’t replenish salt your heart will go kaput real fast.


3 posted on 07/19/2022 10:29:52 AM PDT by Boogieman
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To: ConservativeMind

Can you put this in teaspoon amounts please?


4 posted on 07/19/2022 10:37:04 AM PDT by ryderann
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To: Boogieman
"Marathon runners know if you don’t replenish salt your heart will go kaput real fast."

Don't forget potassium and calcium - the other two electrolytes your body loses with extensive exercise and sweating.

5 posted on 07/19/2022 10:42:29 AM PDT by A Navy Vet (USA Birth Certificate - 1787. Death Certificate - 2021. )
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To: ConservativeMind
I always try to maintain my electrolytes.


6 posted on 07/19/2022 10:47:52 AM PDT by smokingfrog ( sleep with one eye open (<o> --- )
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To: ConservativeMind
"Prior studies have shown a “U-shaped” curve that shows the lowest death rate at sodium amounts between about 2,800 mg to just beyond 6,000 mg of sodium a day, yet, medical advice continues to stress “no sodium,” as an approach. "

This is the 'somewhat' U-shaped Curve. The units on the bottom are Sodium Intake (as you mention above). You need to multiply this 2.5 to convert to table salt (due to table salt also having chlorine in its chemical composition).

On the left is All-Cause Mortality. Basically it's the death rate for all people, regardless of cause of death, including cancer, auto accidents, and of course heart disease. This is probably the best measure, because if, for example, deaths due to heart failure go down 10% by cutting salt in half, but the cancer rate triples, guess what - you lose.

Of the numbers on the below chart, the lowest points are between 4.0 and 5.5 grams of Sodium per day - which is where I'd want to be on this curve. It's basically TWICE the 'recommended' amount of 2.3 grams. Also worth noting that at 2.3 grams, the curve is starting to get quite steep as you cut back further (i.e., more dying) while if you go above 5.5 grams, the increase in deaths is very gradual.

So as Dr. Berry somewhat says: eat as much salt as you like, but don't dump huge quantities on your food thinking you'll be healthier.

And my disclaimer: Don't listen to any of the above as I'm not a tool of big pharma.

(now, back to fighting the Globalists and Neocons here on Ukraine)

7 posted on 07/19/2022 10:52:28 AM PDT by BobL (My hatred of Necons/Globalists exceeds my love of Ukraine or any other country, other than the US)
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To: ryderann

From Quirky Science:

>>> Teaspoons Salt = Milligrams Sodium x 0.00108 <<<

https://www.quirkyscience.com/convert-milligrams-sodium/


8 posted on 07/19/2022 11:05:18 AM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: smokingfrog

Brawndo’s got what plants crave...


9 posted on 07/19/2022 11:32:43 AM PDT by Mr. K (No consequence of repealing obamacare is worse than obamacare itself)
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To: ConservativeMind

Back in the 70’s I worked at a Kaiser Aluminum smelter in Tacoma, Washington. Hot, dirty work that required about 6-8 salt tablets before each shift or you cramped up terribly. It was a good place to get injured by heat stroke, electrocution, burned or crushed. Good money though.


10 posted on 07/19/2022 11:32:52 AM PDT by dainbramaged (Louis XVI of France and I share a common ancestor, but I still have my head.)
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To: Boogieman

Medical ping pong: Salt; coffee; eggs; oat bran. Good; no, bad; no, good; no, bad.


11 posted on 07/19/2022 11:44:21 AM PDT by DPMD ( )
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To: ConservativeMind

Many thanks. 1 tsp salt = 2325mg.


12 posted on 07/19/2022 11:49:26 AM PDT by ryderann
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To: ConservativeMind

Chemistry was never my strong suit, but I do know that sodium and chloride are vital to our bodies.


13 posted on 07/19/2022 11:52:18 AM PDT by Flaming Conservative ((Pray without ceasing))
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To: BobL

The problem with consuming too much salt is that you consume too much chloride.

You can drink water with sodium and you will want to use less salt.


14 posted on 07/19/2022 11:53:19 AM PDT by TTFX
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To: ConservativeMind

This has been a slow acceptance by the medical community.
This stuff was out there 5+ Years ago.Thanks for posting!


15 posted on 07/19/2022 12:15:12 PM PDT by MarMema (No bugs for consumption)
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To: ryderann

so 2 tsp per day?

4-5 grams per day recommended


16 posted on 07/19/2022 12:41:03 PM PDT by joshua c (Dump the LEFT. Cable tv, Big tech, national name brands)
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To: ConservativeMind

It’s a stupid act by ignorant people self-treating themselves to restrict sodium intake so dramatically as to cause self-induced Hyponatremia.

I know: I did it, too (and very quickly adjusted).

I now enjoy my salt.


17 posted on 07/19/2022 9:52:29 PM PDT by logi_cal869 (-cynicus the "concern troll" a/o 10/03/2018 /!i!! &@$%&*(@ -)
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To: logi_cal869

Me, too.


18 posted on 07/20/2022 5:51:08 AM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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