RT Journal
A1 Weinberger MH
T1 MOre spice on the salt debate
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 1997
FD November 24
VO 157
IS 21
SP 2407
OP 2408
DO 10.1001/archinte.1997.00440420025003
UL http://dx.doi.org/10.1001/archinte.1997.00440420025003
AB JUST AS the names "Star Wars" and Strategic Defense Initiative piqued interest and emotions in the 1980s, the terms salt war1 and salt saga2 and a recent editorial entitled "A Salty Issue"3 discussing a series of articles published in the British Medical Journal have elicited debate in the 1990s. The medical community and the lay public rarely have been as confused and polarized about a health issue as they are concerning the role of sodium chloride in human health and disease. Thus, it seems appropriate to examine the evidence, devoid of emotionalism and innuendo.Epidemiological evidence has established a direct relationship between the level of sodium intake and the prevalence of hypertension and its cardiovascular consequences in various societies throughout the world.4 Despite the limitations of many of these observational studies, they have demonstrated that in societies in which habitual sodium chloride intake exceeds 50 to