0
ARTICLE |

Dietary Sodium and Blood Pressure FREE

Theodore A. Kotchen, MD; Ronald M. Krauss, MD
JAMA. 1996;276(18):1468-1468. doi:10.1001/jama.1996.03540180024014
Text Size: A A A
Published online

To the Editor.  —Just as the meta-analysis that addressed the impact of dietary salt reduction on blood pressure was published in JAMA,1 an updated analysis from the Intersalt study was published in the BMJ.2 The investigators of this large, observational study indicate that their earlier estimates of the association of salt intake with both level of blood pressure and increase of blood pressure with age were underestimated because of incomplete statistical correction for regression dilution bias. They concluded that the results of the Intersalt study support population-based recommemdations for salt reduction for the prevention and control of adverse blood pressure levels. Several accompanying editorials and letters to the editor concur with this recommendation and are critical of the "vested interest" of the food industry for keeping the salt controversy alive. The media continue to publicize this apparent controversy.Any guideline for an upper limit of sodium intake is admittedly arbitrary and

REFERENCES

Midgley JP, Matthew AG, Greenwood CMT, Logan AG.  Effect of reduced dietary sodium on blood pressure: a meta-analysis of randomized controlled trials . JAMA . 1996;;275:1590-1597.
Elliott P, Stamler J, Nichols R, et al, for the Intersalt Cooperative Research Group.  Intersalt revisited: further analysis of 24 hour sodium excretion and blood pressure within and across populations . BMJ . 1996;;312:1249-1253.
Nutrition Committee.  Rationale of the diet-heart statement of the American Heart Association . Circulation . 1993;;88:3008-3029.
Grim CE, Luft FC, Weinberger MH, Miller JZ, Rose RJ, Christian JC.  Genetic, familial, and racial influences on blood pressure control systems in man . Aust N Z J Med . 1984;;14:453-457.
Cook NR, Cohen J, Herbert P, Taylor JV, Hennekens CH.  Implications of small reductions in diastolic blood pressure for primary prevention . Arch Intern Med . 1995;;155:701-709.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Midgley JP, Matthew AG, Greenwood CMT, Logan AG.  Effect of reduced dietary sodium on blood pressure: a meta-analysis of randomized controlled trials . JAMA . 1996;;275:1590-1597.
Elliott P, Stamler J, Nichols R, et al, for the Intersalt Cooperative Research Group.  Intersalt revisited: further analysis of 24 hour sodium excretion and blood pressure within and across populations . BMJ . 1996;;312:1249-1253.
Nutrition Committee.  Rationale of the diet-heart statement of the American Heart Association . Circulation . 1993;;88:3008-3029.
Grim CE, Luft FC, Weinberger MH, Miller JZ, Rose RJ, Christian JC.  Genetic, familial, and racial influences on blood pressure control systems in man . Aust N Z J Med . 1984;;14:453-457.
Cook NR, Cohen J, Herbert P, Taylor JV, Hennekens CH.  Implications of small reductions in diastolic blood pressure for primary prevention . Arch Intern Med . 1995;;155:701-709.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.