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Judynyc
Mon, Dec-03-07, 08:44
AMA pushes to require food makers to cut salt
Health officials call intervention crucial to fighting heart disease


WASHINGTON - Think cooking the perfect Thanksgiving dinner is stressful? Something else is far more likely to raise your blood pressure: salt hidden in all those goodies.

Don't blame the chef. Much of that salt was hidden from him or her, too.

Americans eat nearly two teaspoons of salt daily, more than double what they need for good health — and it's not because of the table salt-shaker. Three-fourths of that sodium comes inside common processed foods like stuffing mix, gravy, and yes, pumpkin pie.

http://msnbcmedia3.msn.com/i/msnbc/Components/ArtAndPhoto-Fronts/HEALTH/071119/AP_SaltIntake.gif

Even raw turkey, which is naturally low in sodium, sometimes is injected with salt water before it reaches the store, a lot more salt than a home cook might sprinkle on. You have to read the brand's fine print to tell.

Now public health specialists are pressuring the Food and Drug Administration to require food makers to cut the sodium. In a hearing set for next week, they will call the government intervention crucial to fighting heart disease.

Public health threat
"There's just a growing scientific consensus that current levels of salt in the diet are one of the biggest health threats to the public," says Michael Jacobson of the Center for Science in the Public Interest, a consumer advocacy group that filed the FDA petition triggering the meeting.

"This is truly urgent," adds Dr. Stephen Havas of the American Medical Association. "We need to act."

The AMA says cutting in half the sodium in processed and restaurant foods within 10 years could wind up saving 150,000 lives annually.

The grocery industry knows there's a problem: Food makers and CSPI put aside their differences for an unprecedented, closed-door meeting on how to reduce sodium last month. And the salt content of many foods has inched down in recent decades.

But manufacturers argue they don't have tasty ways to make deeper cuts in salt, and fear consumer backlash if they slash it.

"There's a tremendous need for investment by government and industry to come up with salt alternatives," says Robert Earl of the Grocery Manufacturers Association. "There are just very few that exist that work and perform well in foods."

That's an excuse, argues Havas. Scientific studies show people get accustomed to eating less salt in mere months, and then usually find their old foods too salty.

One in three U.S. adults has high blood pressure, and almost 1 billion people worldwide. Hypertension in turn is a leading cause of heart attacks, strokes and kidney failure. And while being overweight and inactive raises blood pressure, too much salt is a big culprit as well.

Government guidelines set 2,300 milligrams of sodium a day as the safe upper limit. We don't need that much: The Institute of Medicine says just 1,500 mg a day, a little less for older adults, is enough to regulate the body's fluid balance, the mineral's job.

Yet the average American consumes between 3,300 and 4,000 mg of sodium a day.

Turkey day dangers
Thanksgiving dinner alone can easily reach those limits: Stuffing can harbor up to 600 mg of sodium a serving, plus 300 for gravy. If you bought the salt-added turkey, plan on 490 mg. A biscuit can mean 350, although a dinner roll might have half that. Pumpkin pie doesn't seem salty, but one popular brand has 300 mg a slice.

Cooking from scratch can slash those numbers — homemade cornbread for stuffing, for example, has little salt — and there are even reduced-sodium broths to make gravy.

But many processed foods don't need all their salt.

"We could fairly easily take 18 to 20 percent out of food without consumers knowing," says Patty Packard, nutrition manager at giant ConAgra Foods.

ConAgra has started doing that, beginning with kid-popular brands. Chef Boyardee, for instance, went from an average of 1,100 mg of sodium per serving in 2003 to 900 mg today. Over four years, ConAgra estimates it has removed 2.8 million pounds of salt from a list of products — kids brands, Banquet, Marie Callender's — without consumer complaint, possibly because it hasn't publicized the change.

"We know consumer perception is, if it's lower in sodium it doesn't taste good," Packard says. "If you told people ... they're going, 'Oooh, what'd you do to my Chef Boyardee?'"

Technology also can help. Better ways to freeze vegetables brought the sodium level of frozen peas down from almost 500 in the 1960s to less than 100 today — unless you buy them with high-salt butter sauce.

But other foods have gotten saltier. For example, between 2004 and 2007, average sodium in sliced cheese rose 35 percent, and frozen pizza saw a 23 percent jump, CSPI found.


It's not just a U.S. issue. Britain has a major government campaign under way to reduce salt consumption by one-third by 2010. In catchy TV ads, a shopper shouts, "Full of it!" as she tosses aside high-sodium foods, and a mound of salt crushes a grocery cart. Next year, Britain begins checking if manufacturers are meeting new reduced-sodium targets for different types of food.

Finland places a "high-salt" label on foods that are, and has seen sodium intake decrease by 40 percent in three decades — along with a big drop in strokes. The World Health Organization this year called for worldwide sodium reduction in processed foods, plus consumer education on cutting the salt.

Here, the FDA won't say how quickly it will decide whether to intervene or let industry gradually cut the salt on its own.

"Regulation is one option, but it may not be the best one," says FDA food-additive chief Dr. Laura Tarantino.

http://www.msnbc.msn.com/id/21886095/

Nancy LC
Mon, Dec-03-07, 08:46
Yet another waste of time and effort.

Judynyc
Mon, Dec-03-07, 08:52
Government guidelines set 2,300 milligrams of sodium a day as the safe upper limit. We don't need that much: The Institute of Medicine says just 1,500 mg a day, a little less for older adults, is enough to regulate the body's fluid balance, the mineral's job.

Yet the average American consumes between 3,300 and 4,000 mg of sodium a day.

This is one of the reasons why I am against the use of all those Kraft SBD frozen meals as they are still loaded with salt (900-1100 mgs per meal)even after they tried to lower it. :thdown:

Now, when I eat something that is heavily salted, I get that lip smacking taste and I know its been heavily salted.

KarenJ
Mon, Dec-03-07, 09:38
"There's just a growing scientific consensus that current levels of salt in the diet are one of the biggest health threats to the public," says Michael Jacobson of the Center for Science in the Public Interest

What drivel. What consensus???

Consensus = the death of science.

rightnow
Mon, Dec-03-07, 11:50
So if a few buddies in positions of power agree, that negates the need for actual science to be involved.

Hmmmn, sounds like the Taubes book explanation of how fat=bad and carbs=good came to be accepted and promoted.

pennink
Mon, Dec-03-07, 11:58
I'm one who is REALLY salt sensitive, so I don't see a problem with them lowering the salt in things.

I went on the dash diet and my bp dropped FAST without so much salt. I know if I eat processed foods my whole body fills with water and that pressure pushes up my bp and I can't breathe as my lungs fill with water too.

I do wish, however, they were kicking corn out of things first.

Demokat
Mon, Dec-03-07, 12:16
I do wish, however, they were kicking corn out of things first.

Corn, especially in the form of HFCS would be a great start. I'm salt sensitive also-it doesn't affect my blood pressure but I tend to bloat if I eat too much of it.

Songwriter
Mon, Dec-03-07, 12:33
I'm one who is REALLY salt sensitive, so I don't see a problem with them lowering the salt in things.

I don't think there is a 'problem' with their lowering salt. The problem is that there are much more pressing things. I would think salt to be a minor issue.

pennink
Mon, Dec-03-07, 12:36
I don't think there is a 'problem' with their lowering salt. The problem is that there are much more pressing things. I would think salt to be a minor issue.


they don't believe there is though...

for me, lowering salt would have been a life saver... however, just avoiding it is my own responsiblity, just like i avoid sugar, grains, and all the other crap they stick in food.

Dodger
Mon, Dec-03-07, 13:12
There are certainly people who are salt sensitive. Those people should limit their salt intake (avoiding packaged foods in one way). For the rest of the population, reducing salt may cause some health problems.

rightnow
Mon, Dec-03-07, 13:57
I guess I'm just mostly concerned about the "precedent". The minute you allow anything to be taxed or prohibited, the door is wide open. We could be paying bigtime taxes on red meats, bacon and sausage because "all that fat is a health hazard" for example. That kind of thing gets out of control really easily. I'd rather have them put better food facts on labels and let individuals make the decisions, rather than mommy the world based on government guideliness. After all, we have government guidelines now, and they are mostly killing us, so it's a little worrisome thinking about that expanding.

mike_d
Mon, Dec-03-07, 18:07
Yeah, cut the white stuff. Salt & SUGAR!

Zei
Mon, Dec-03-07, 19:06
Is salt really bad for you (if you aren't known to be salt sensitive) or is this just more nutritional fluff? I've been wondering if I should try to eat less salt or if this is like the "eat less fat" advice. Anyone still out there with knowledge on this?

fujiwara
Mon, Dec-03-07, 22:07
I used to think I was salt sensitive because whenever I'd eat processed foods, I'd swell up like a water balloon, and have difficulty breathing. But since I've been low carbing, that has gotten much better. So I'm not salt sensitive, just insulin resistant.

There are people who are really salt sensitive, and those of us who puff up because of other issues. I think restricting salt is a good idea, but I'd rather see the manufactures doing this voluntarily than government intervention.

And other thing, if everyone goes on a low salt diet via Big Brother, are we going to be getting enough iodine?

CVH
Tue, Dec-04-07, 02:01
Careful what you wish for, cut out the salt, what's the substitute? MSM, HFCS, Starch, fat from oil, etc....?

pennink
Tue, Dec-04-07, 02:02
I used to think I was salt sensitive because whenever I'd eat processed foods, I'd swell up like a water balloon, and have difficulty breathing. But since I've been low carbing, that has gotten much better. So I'm not salt sensitive, just insulin resistant.

There are people who are really salt sensitive, and those of us who puff up because of other issues. I think restricting salt is a good idea, but I'd rather see the manufactures doing this voluntarily than government intervention.

And other thing, if everyone goes on a low salt diet via Big Brother, are we going to be getting enough iodine?

That's because low carb foods are naturally lower in sodium except for bacon and processed meats. So really, you're on a natural diuretic, the diet, and you might find if you eat a package of pork rinds you swell up again.


and no... iodine won't be a problem for people ... we only need 1000 mg a day and trust me, that's available just shaking some into veggies, etc. Long way to go before the iodine is missing.

rightnow
Tue, Dec-04-07, 04:28
I used to think I was salt sensitive because whenever I'd eat processed foods, I'd swell up like a water balloon, and have difficulty breathing. But since I've been low carbing, that has gotten much better.
I had exactly this issue -- but in my case, I tracked it down to a sensitivity to gluten. Which is in more stuff than you would believe, even things that have no form of grains overtly, but definitely it's in for example nearly everything you'd get from fast food or a box. It causes bloating and asthma in me. -- essentially histamine (allergic) reactions, though mild.

Since I spent my entire life in the thrall of that I had no idea until I went lowcarb and by chance when doing meat/eggs just happened to drop the gluten out of my diet. (Of course you can lowcarb and still get plenty of gluten. In fact most lowcarb breads, flours, wraps/tortillas, etc. are much *higher* in gluten, sigh.) Now I can actually tell if I've eaten a little gluten by accident, by the bloating/asthma effect.

Hard to believe I spent my entire life eating foods I'm sensitive to and not noticing my misery (much) because it was so chronic.

I also once thought it related to salt, as for example I really reacted to pizza (my fave food), known to be salty esp. the crust. The salt might have an effect too, who knows, but it was the gluten that was the core issue.

ValerieL
Tue, Dec-04-07, 07:41
Salt being bad for you is another one of those dietary myths that doesn't have a lot of real science to back it up. Gary Taubes did an article debunking much of the salt-hypertension connection years ago. Here is a summary of the article - http://www.saltinfo.com/news4.htm and the actual article itself (it's quite long) http://www.junkscience.com/news3/taubes.htm.

There are people (such as Pennink) with real issues with salt. But there are people that can't ingest aspartame either and we don't legislate it out of use. There are people who die if they eat a peanut, we don't legislate peanuts out of the food supply.

There isn't sufficient good science to prove that salt is bad for the most people. If it affects you, fine, eat less of it. It doesn't affect me, or most people, so I'd really rather no one mess with it. I like my salt.

Didn't we get into enough trouble with the low-fat people convincing the mainstream that "it wouldn't do anyone any harm to eat less fat even though we haven't proved it's definitely bad for you, so we might as well push a low-fat diet just in case"? Let's not do it with salt, too.

pennink
Tue, Dec-04-07, 07:49
I remember years ago John Stossel did a report on how the US gov't had made a mistake reading a journal article about salt, but due to the money they had socked into it, they let the myth go on.
I also remember him talking about how the 'spinach has iron' myth was propogated similarly. When most nutritionists know that iron is not bio-available in spinach, and neither is calcium in broccoli!

Junk science controls us, but the obvious (taking out HFCS) seems to allude those who hold the control.

bike2work
Tue, Dec-04-07, 07:55
Careful what you wish for, cut out the salt, what's the substitute? MSM, HFCS, Starch, fat from oil, etc....?
Excellent point. :idea: Food manufacturers add salt to extend shelf life, to cause the food to hold more water, to compensate for a lack of flavor, etc. If they have to lower the salt to appease public opinion they will, doubtless, replace it with something else.

And isn't that what happened when CSPI got involved in eliminating lard from everything? Suddenly restaurants had to stop using animal fat for frying, as shortening, and they replaced it with partially hydrogenated oils. Which are much more dangerous.

Dodger
Tue, Dec-04-07, 08:05
I remember years ago John Stossel did a report on how the US gov't had made a mistake reading a journal article about salt, but due to the money they had socked into it, they let the myth go on.
I also remember him talking about how the 'spinach has iron' myth was propogated similarly. When most nutritionists know that iron is not bio-available in spinach, and neither is calcium in broccoli!

Junk science controls us, but the obvious (taking out HFCS) seems to allude those who hold the control.I wish the USDA listed vitamin/mineral content of foods was based on bioavailablity to humans rather than on the gross amount in the food item. The form of iron in meat is readily taken into the body and available for use, while the form of iron in spinach is not easily used by the body and is mostly flushed down the toilet. Many foods are advertised as a great source of some nutrient when the form of the nutrient cannot be used by out bodies.

mike_d
Tue, Dec-04-07, 08:36
Careful what you wish for, cut out the salt, what's the substitute? MSM, HFCS, Starch, fat from oil, etc....?Potassium chloride, MSG or its potassium analog MPG?

http://www.jneurosci.org/cgi/content/full/26/8/2227

Nancy LC
Tue, Dec-04-07, 08:39
Wow, that Taubes article is interesting. Long though!

CLASYS
Fri, Dec-07-07, 03:43
I thought it had been largely disproven that salt contributes to problems such as hypertension? Admittedly, there are individuals that are already using diuretics as part of the regimen, and salt intake could disrupt that delicate balance, but, other than perhaps temporary water build-up, what's the problem here for the bulk of people, even including the hypertension grouping?

Personally, I am blessed with low blood pressure. My mother was normal and my father exceptionally hypotensive. For years, despite obesity, my blood pressure [without stress or caffeine] is always about 108/65. Salt seems incapable of modifying this at all, but it can occasionally cause some water retention, but no clear cause-and-effect pattern.

Caffeine, on the other hand, has some radical effects on me: Really wakes me up [I seldom have it], can raise my blood pressure to 150/90, and is clearly a diuretic. Thus, a bad counter-measure against salt-induced water buildup leaving me jangly with relatively high blood pressure but not bloated at all.

I'll take the salt over the caffeine!

Anyone notice this one: When I occasionally get sick, if bacterial, the usual prescription is for some penicillin derivative such as ampicillin or amoxicillin. Generally it is effective, and if so, I have an extreme reaction as if I am taking some form of diuretic. Or is it that being sick is water-retentive and thus the cure is diuretic?

cjl

Dodger
Fri, Dec-07-07, 08:27
There are already a whole bunch of low-salt packaged and canned goods on the shelves. Those who are sensitive to salt can buy those.

LessLiz
Fri, Dec-07-07, 08:42
Careful what you wish for, cut out the salt, what's the substitute? MSM, HFCS, Starch, fat from oil, etc....?Salt and sugar are already substitutes for that most evil of ingredients -- fats. I remember when the only processed foods sold that were sweet tasting were inexpensive no-name brands -- sugar is cheaper than oil. When fear of fat hit, fats were taken out of everything from processed meats to pasta sauces and were replaced by different forms of sugar and salt.

I shop occasionally at a German deli, the meats are *much* lower in sodium and sugars than other deli meats, and taste much better. They aren't made in Germany though, they are made in the US.

confession
Fri, Dec-07-07, 09:38
I do get some water retension with extra salt, so I do appreciate detailed food labels.

I have to say that watching salt made very little improvement when I had slightly elevated blood pressure. Cutting down my carbs as I have with my eating plan now has lowered my BP into very respectable levels.(118/74 at last check) What I find particularly frustrating is that when the doctor recommended how to improve my BP, she mentioned losing weight, exercise, and cutting salt. Those did not work well, yet the thing that has helped most, LC, was never even mentioned. Irritating, but not very surprising.

NorthPeace
Fri, Dec-07-07, 18:13
The manager of my grocery store has hypertension. When I want salt free products I just ask him where they are and he finds them in a jiffy. But why they stock the corresponding products that contain salt is beyond me. Why does the world so often default to the unhealthy option?

glennette
Fri, Dec-07-07, 19:39
There are already a whole bunch of low-salt packaged and canned goods on the shelves. Those who are sensitive to salt can buy those.

Quite true! I've never had any problem finding low salt product. They even have a bunch of low salt TV dinner's.

Sad to say, I've been low salt a lot longer than I've been low carb. If they had just told me to go low carb instead of low salt/low fat 10 yrs ago I wouldn't have become a diabetic.

Salt didn't cause my health problem...carbs did. Until they can show that this would actually improve the health of even a few they have no business imposing it on anyone.

KarenJ
Fri, Dec-07-07, 20:59
Somewhere in Taubes book he says that even a stage 2 hypertensive who cuts half the amount of salt in his diet (hard to do) will only reduce his blood pressure by ~4mm/hg ... not enough. So what's the point?

I do have a friend who has an ear problem, if he eats any salt he gets vertigo.

I happen to think that salt is good. I'm on a Celtic sea-salt kick. Lots of other minerals besides just refined sodium chloride & iodine. Phosphorus, Potassium, magnesium, zinc, copper, iodine, etc. Tastes amazing!