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ARTICLE |

Failure to Compensate Decreased Dietary Sodium With Increased Table Salt Usage FREE

Gary K. Beauchamp, PhD; Mary Bertino, PhD; Karl Engelman, MD
[+] Author Affiliations

Reprint requests to Monell Chemical Senses Center, 3500 Market St, Philadelphia, PA 19104 (Dr Beauchamp).


JAMA. 1987;258(22):3275-3278. doi:10.1001/jama.1987.03400220075040
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This study tested the extent to which individuals placed on a lowered sodium diet would compensate for the reduced dietary sodium by adding table salt to their food. Eleven students, unaware that their use of saltshakers was being studied, consumed all their meals and snacks in a clinical research center for 13 weeks. During the first three weeks and the last week (week 14), the diet contained approximately 135 mmol/d (135 mEq/24 h) of sodium, which was reduced to approximately 70 mmol/d (70 mEq/24 h) during weeks 4 through 13. A preweighed saltshaker was available for use throughout the entire 14-week period. Evaluations of salt taste preference and intensity scaling were conducted at regular intervals. Subjects compensated only slightly for the reduction of dietary sodium, making up less than 20% of the decrement with increased saltshaker usage. No changes in taste function were found. A substantial reduction in dietary sodium is possible if lowered-sodium foods are consumed in conjunction with ad libitum table salt.

(JAMA 1987;258:3275-3278)

REFERENCES

Fregly MS, Fregly MJ:  The estimates of sodium intake by man , in Fregly MJ, Kare MR (eds): The Role of Salt in Cardiovascular Hypertension . Orlando, Fla, Academic Press Inc, 1982;, pp 3-17.
Forbes AL:  FDA and related tracking systems concerned with sodium . Hypertension 1982;;4 ( (suppl 3) ):170-175.
Select Committee on Nutrition and Human Needs—US Senate, Dietary Goals for the United States, ed 2. Government Printing Office, 1977.
Kotchen TA:  Electrolytes , in Horan MJ, Blaustein M, Dunbar JB, et al (eds): NIH Workshop on Nutrition and Hypertension: Proceedings From a Symposium . New York, Biomedical Information Corp, 1985;, pp 363-366.
Kaunitz H:  Causes and consequence of salt consumption . Nature 1956;;178:141-144.
Pangborn RM, Pecore SD:  Taste perception of sodium chloride in relation to dietary intake of salt . Am J Clin Nutr 1982;;35:510-520.
Yamaguchi S, Takahashi C:  Hedonic functions of monosodium glutamate and four basic taste substances used at various concentration levels in single and complex systems . Agricul Biol Chem 1984;;48:1077-1081.
Beauchamp GK, Bertino M, Moran M:  Sodium regulation: Sensory aspects . J Am Diet Assoc 1982;;80:40-45.
Greenfield H, Smith AM, Wills RBH:  Influence of multi-holed shakers on salting of food . Hum Nutr Appl Nutr 1984;;38A:199-201.
Thaller BI, Paulin JM, Phelan EL, et al:  A pilot study to test the feasibility of salt restriction in a community . NZ Med J 1982;;95:839-842.
Kumanyika SK, Jones DY:  Patterns of week-to-week table salt use by men and women consuming constant diets . Hum Nutr Appl Nutr 1983;;37A:348-356.
Grommet JK, Howard AR, Altshul AM:  Role of salt substitutes in reducing total sodium intake . Am J Clin Nutr 1982;;36:33.
Frank GC, Nicolich J, Voors AW, et al:  A simplified inventory method for quantitating dietary sodium, potassium and energy . Am J Clin Nutr 1983;;38:474-480.
Shepherd R, Farleigh CA, Land DG:  Preference and sensitivity to salt taste as determinants of salt intake . Appetite 1984;;5:187-197.
Mattes R:  A strategy for improving compliance with reduced sodium diets . J Am Coll Nutr , in press.
Bertino M, Beauchamp GK, Engelman K:  Long-term reduction in dietary sodium alters the taste of salt . Am J Clin Nutr 1982;;36:1134-1144.
Maller O, Cardello A, Sweeney J, et al:  Psychophysical and cognitive correlates of discretionary usage of table salt and sugar by humans , in Steiner JE, Ganchrow JR (eds): Determination of Behavior by Chemical Stimuli . London, JRL Press, 1982;, pp 205-216.
Mickelson O, Makdani D, Gill JL, et al:  Sodium and potassium intakes and excretions of normal men consuming sodium chloride or a 1:1 mixture of sodium and potassium chlorides . Am J Clin Nutr 1977;;30:2033-2040.
DiNicolantonio R, Teow BH, Morgan TO:  Sodium detection threshold and preference for sodium chloride in humans on high and low sodium diets . Clin Exp Pharmacol Physiol 1984;;11:335-338.
Beauchamp GK, Bertino M, Engelman K:  Modification of salt taste . Ann Intern Med 1983;;98:763-769.
Bertino M, Beauchamp GK, Engelman K:  Increasing dietary salt alters salt taste preference . Physiol Behav 1986;;38:203-213.

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Fregly MS, Fregly MJ:  The estimates of sodium intake by man , in Fregly MJ, Kare MR (eds): The Role of Salt in Cardiovascular Hypertension . Orlando, Fla, Academic Press Inc, 1982;, pp 3-17.
Forbes AL:  FDA and related tracking systems concerned with sodium . Hypertension 1982;;4 ( (suppl 3) ):170-175.
Select Committee on Nutrition and Human Needs—US Senate, Dietary Goals for the United States, ed 2. Government Printing Office, 1977.
Kotchen TA:  Electrolytes , in Horan MJ, Blaustein M, Dunbar JB, et al (eds): NIH Workshop on Nutrition and Hypertension: Proceedings From a Symposium . New York, Biomedical Information Corp, 1985;, pp 363-366.
Kaunitz H:  Causes and consequence of salt consumption . Nature 1956;;178:141-144.
Pangborn RM, Pecore SD:  Taste perception of sodium chloride in relation to dietary intake of salt . Am J Clin Nutr 1982;;35:510-520.
Yamaguchi S, Takahashi C:  Hedonic functions of monosodium glutamate and four basic taste substances used at various concentration levels in single and complex systems . Agricul Biol Chem 1984;;48:1077-1081.
Beauchamp GK, Bertino M, Moran M:  Sodium regulation: Sensory aspects . J Am Diet Assoc 1982;;80:40-45.
Greenfield H, Smith AM, Wills RBH:  Influence of multi-holed shakers on salting of food . Hum Nutr Appl Nutr 1984;;38A:199-201.
Thaller BI, Paulin JM, Phelan EL, et al:  A pilot study to test the feasibility of salt restriction in a community . NZ Med J 1982;;95:839-842.
Kumanyika SK, Jones DY:  Patterns of week-to-week table salt use by men and women consuming constant diets . Hum Nutr Appl Nutr 1983;;37A:348-356.
Grommet JK, Howard AR, Altshul AM:  Role of salt substitutes in reducing total sodium intake . Am J Clin Nutr 1982;;36:33.
Frank GC, Nicolich J, Voors AW, et al:  A simplified inventory method for quantitating dietary sodium, potassium and energy . Am J Clin Nutr 1983;;38:474-480.
Shepherd R, Farleigh CA, Land DG:  Preference and sensitivity to salt taste as determinants of salt intake . Appetite 1984;;5:187-197.
Mattes R:  A strategy for improving compliance with reduced sodium diets . J Am Coll Nutr , in press.
Bertino M, Beauchamp GK, Engelman K:  Long-term reduction in dietary sodium alters the taste of salt . Am J Clin Nutr 1982;;36:1134-1144.
Maller O, Cardello A, Sweeney J, et al:  Psychophysical and cognitive correlates of discretionary usage of table salt and sugar by humans , in Steiner JE, Ganchrow JR (eds): Determination of Behavior by Chemical Stimuli . London, JRL Press, 1982;, pp 205-216.
Mickelson O, Makdani D, Gill JL, et al:  Sodium and potassium intakes and excretions of normal men consuming sodium chloride or a 1:1 mixture of sodium and potassium chlorides . Am J Clin Nutr 1977;;30:2033-2040.
DiNicolantonio R, Teow BH, Morgan TO:  Sodium detection threshold and preference for sodium chloride in humans on high and low sodium diets . Clin Exp Pharmacol Physiol 1984;;11:335-338.
Beauchamp GK, Bertino M, Engelman K:  Modification of salt taste . Ann Intern Med 1983;;98:763-769.
Bertino M, Beauchamp GK, Engelman K:  Increasing dietary salt alters salt taste preference . Physiol Behav 1986;;38:203-213.
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