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Thursday, February 12, 2004
By Steven
Milloy
Americans should slash their consumption
of salt by half says a new government report. But the
recommendation has no basis in science and may even be harmful
to your health.
“Healthy 19-to 50-year old adults should
consume no more than 1,500 milligrams of sodium per day,”
recommended a panel of the National Academy of Sciences’
Institute of Medicine (IOM). That’s quite a reduction from the
currently recommended 2,400 milligrams of sodium per day and
average consumption of more than 4,000 milligrams per day.
Too much dietary salt increases blood
pressure which, in turn, may lead to stroke, coronary heart
disease -- or so the IOM panel claims. Existing
scientific data, however, do not support this commonly-held
belief.
Dietary salt may, in some sensitive people,
slightly increase their blood pressure, but it’s not clear
that the increase leads to health effects or that restricting
their intake of salt makes them any healthier.
Since 1995, 10 studies have reported
on whether lower sodium diets produce health benefits. All 10
studies indicate that, among the general population, lower
sodium diets don’t produce health benefits. In fact, not a
single study has ever shown improved health outcomes for
broad populations on reduced sodium diets.
Just last week, in fact, a coalition of six
Canadian medical groups rejected a recommendation for
universal salt restriction, choosing instead to make lifestyle
recommendations for reducing blood pressure such as
exercising, eating a balanced diet, and stress management.
The IOM would be on firmer ground if it
limited its recommendation to “salt sensitive” individuals,
rather than the general public. Genetic background and
lifestyle make some people hypersensitive to salt intake.
The IOM panel recommendation is “nonsense,”
said Dr. Lawrence M. Resnik, executive editor of the American
Journal of Hypertension and a professor at Cornell Medical
College. Resnick was a member of the IOM panel until his
resignation over the panel’s disregard for testimony and data
that contradicted its apparently pre-determined
recommendation.
Dr. Alexander Logan, co-author of the
Canadian recommendations, observed that the difference between
the Canadian and U.S. recommendations came down to process.
The Canadian recommendations were based on a rigorous
examination and consideration of the available scientific
evidence according to an established protocol whereas the IOM
panel operated under “no rules” ― that is, without regard to
scientific standards and process ― according to Dr. Logan.
The conduct of the IOM panel is made more
egregious by the fact that its recommendation may very well
place some people at risk.
Studies by hypertension specialist and
American Hypertension Society past-president Michael Alderman
even report an increased risk of heart attack and a higher
death rate among some individuals on low-salt diets.
Since no data supports limiting sodium
intake to 1,500 milligrams per day, you might wonder why the
IOM panel would urge such an uncontrolled experiment on the
general public.
An IOM panel member who didn’t want to be
identified indicated that one of the panel’s goals was to get
African-Americans, who tend to be more salt sensitive, to
reduce their sodium intake.
But because the panel didn’t think that
singling out African-Americans was an effective public health
strategy, it decided to “overcompensate” and make the
recommendation for the general population ― thereby shifting
the burden to the food industry to reduce salt content in
foods. African Americans, then, couldn’t help but eat less
salt.
Another motivation is more political.
The U.S. health establishment’s official
position, as espoused for the last 30 years by the National
Institutes of Health, is that everyone should restrict their
salt intake. Regardless of the science, the NIH is not about
to admit it’s been wrong ― even to the extent of refusing to
make publicly available all the data on which the current
dietary salt recommendation is based.
Fortunately for the NIH, the IOM panel was
well stacked with sycophants that could be relied on not to
bite the hand that feeds them. A majority of the IOM panel,
including chairman Lawrence Appel, all receive research grants
from the NIH.
In an effort to make the food industry
rather than the NIH the problem, Dr. Appel told the Associated
Press, “There are commercial interests that don’t want this to
happen.”
But why should the food industry be forced
to sell less tasty food for no good reason?
More importantly, does it really make sense
to experiment with the public health so that government
bureaucrats don’t have to admit they’ve been wrong for the
last 30 years?
Steven Milloy is the publisher of
JunkScience.com,
an adjunct scholar at the Cato Institute and the author
of Junk Science Judo:
Self-Defense Against Health Scares and
Scams (Cato Institute, 2001).
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