To the Editor: In examining the relationship
of dietary sodium intake and health outcome, Dr He and colleagues1 have refined and extended our earlier analysis2 of the long-term mortality experience of the National
Health and Nutrition Examination Survey (NHANES) participants. Their findings
support our prediction that the nature of this relationship would be affected
by other patient characteristics. Indeed, He et al now report that, in the
obese minority of a subset of the entire NHANES population, increased sodium
intake was associated with increased mortality. This was not true in the majority
(72%) who were not obese.
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