Salt in the American Diet (Part 2)

  • Health professionals often work to reduce their patients salt intake to reduce high blood pressure. Should the government get involved too? (Photo by James Gathany for the US CDC)

New research shows that Americans’ health
would benefit dramatically if we ate less
salt. But some people say it’s not the
salt in the saltshaker that’s the
problem. Julie Grant reports:

Transcript

New research shows that Americans health would benefit dramatically if we ate less salt. But some people say it’s not the salt in the saltshaker that’s the problem. Julie Grant reports:

Darryl Bosshardt comes from a salt family. His grandfather started mining salt on their farm in central Utah. When Bosshardt hears about a new study that shows 100-thousand American lives could be saved each year if everyone reduced their salt intake by just a half teaspoon – he cringes.
He says salt is being given a bad name.

“And the challenge is, how we define salt.”

Most of the salt today all looks the same – perfectly pour-able, uniform bright white grains. It’s pure sodium and chloride, but Bosshardt, whose family owns the Real Salt Company, says it’s not the same as naturally occurring sea salt.

“Sea water occurs with many trace minerals. Over 50 to 60 trace minerals. It doesn’t occur, the salt in sea water doesn’t occur, as pure sodium and chloride.”

Bosshardt says those trace minerals help the body to process sodium, but most salt today looks perfect because the trace minerals have been taken out. He says when our bodies lack the minerals needed to process sodium; it raises blood pressure, which can lead to heart problems.

There are some books by holistic doctors that make these kinds of claims,but there’s not much science to prove this.

Most doctors today say salt is salt; sodium chloride. Our bodies need it, but not as much as much as most Americans are eating.

Dr. Kirsten Bibbins-Domingo is a professor of medicine and epidemiology at the University of California in San Francisco. She’s lead author of that new study on salt – the one that finds Americans could reduce deaths from heart disease by 100-thousand just by slightly reducing salt consumption:

“I don’t think we’re saying salt is bad and one of these other types of salt would be good. I think the newer types of salt that are on the market might have a lower sodium content for the taste that they have and so that would certainly be potentially beneficial.”

But Bibbins-Domingo says most Americans only get 6-percent of their sodium from their own saltshakers. The rest comes from processed foods and restaurants. So buying expensive sea salts with those trace minerals isn’t going to make much difference to most people. She says the problem is that salt is ubiquitous – people don’t even realize they’re eating it:

“If you start out with a healthy bowl of cereal with some milk, you’ve already consumed quite a bit of salt right there. If you have that healthy turkey sandwich or tuna sandwich, you have a bit of salt right there. If you have the marinara sauce with the pasta, you have salt there. So you realize that there are so many different ways, without you choosing items that we might clearly associate with a high sodium content, that there are a lot of places that we’re all consuming salt.”

Bibbins-Domingo supports efforts like the one in New York City. There Mayor Michael Bloomburg is urging food manufacturers to reduce the salt in their foods by 25% over the next five years.

Mark Kurlansky thinks it’s a terrible idea. He wrote a book called “Salt.” When laws curb smoking – that’s one thing. But salt is something different:

“You have to deal with the fact that people like salt. There isn’t the moral imperative of cigarettes because there isn’t a problem of second hand salt. If you don’t want to eat salt and the guy at the next table wants to eat it, it’s not going to affect you. It becomes an issue of government messing around with individual choice.”

But most people don’t realize they’re making that choice – there’s just so much salt in all the foods they buy. Other countries, such Finland and England, have worked with food manufacturers to lower salt content. In the UK, they cut sodium in foods by 10-percent. And researchers say the public didn’t even notice. They’re still studying to see if it’s actually improved health.

For The Environment Report, I’m Julie Grant.

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Salt in the American Diet (Part 1)

  • Dr. Bibbins-Domingo says the health savings of reducing salt are comparable to cutting the number of smokers in half. (Photo by Paul Goyette)

If you read nutrition labels on food packages, you might be surprised by how much sodium there is in a lot of foods.
Some researchers say all that salt is causing a plethora of health problems – and they want the government to force food manufacturers to lower the salt content. Julie Grant reports.

Transcript

If you read nutrition labels on food packages, you might be surprised by how much sodium there is in a lot of foods.
Some researchers say all that salt is causing a plethora of health problems – and they want the government to force food manufacturers to lower the salt content. Julie Grant reports.

When Dr. Kirsten Bibbins-Domingo sees patients with high blood pressure, she advises them to cut back the on the salt.

She says they often return to the office – happy to announce that they’ve cut out fast food and processed snacks.

“AND THEN I ASK THEM TO TELL ME WHAT THEY’RE EATING AND I AM AWAYS BLOWN AWAY WHEN THEY COME BACK WITH THESE NICE HEALTHY VEGETABLE SOUPS THAT ARE CHOCKED FULL OF SALT. AND SO ALL THE THINGS THAT THEY DON’T REALIZE ARE HIGH IN SALT ARE ACTUALLY STILL THERE IN THEIR DIET.”

Bibbins Domingo is associate professor of medicine and epidemiology at the University of California in San Francisco. She’s also lead author of a recent study published in the New England Journal of Medicine.

Researchers at Stanford and Columbia University Medical Centers co-authored the study.

They did a computer simulation – to see what would happen if every American reduced their salt intake by a half teaspoon a day. That’s 3 grams.

“WHAT WE FOUND THAT IS IF WE WERE ABLE TO REDUCE SALT IN THE U-S DIET BY 3 GRAMS PER DAY, WE WOULD ANTICIPATE 100-THOUSAND FEWER DEATHS EACH YEAR, 100-THOUSAND FEWER HEART ATTACKS, AND MORE THAN 100-THOUSAND FEWER CASES OF NEW HEART DISEASE.”

Bibbins-Domingo says the health savings of reducing salt are comparable to cutting the number of smokers in half.

But not everybody puts that much stock in the new study.

Michael Alderman is a professor of medicine and epidemiology at the Albert Einstein College of Medicine. He says the government shouldn’t act so quickly based on this new study:

“WELL, IT’S INTERESTING THAT IT’S CALLED A STUDY, WHICH I THINK SORT OF SUGGESTS THAT THERE ARE REAL OUTCOMES AND REAL PEOPLE THAT WERE STUDIED. IN FACT, OF COURSE, WHAT IT IS A SIMULATION, A MATHEMATICAL MODELING.”

Alderman says there are lots of different findings when it comes to sodium consumption. And some show reducing salt intake could have actually have negative health effects:

“WE KNOW THAT REDUCING SODIUM INTAKE, BY AN AMOUNT SUFFICIENT TO REDUCE BLOOD PRESSURE, ALSO INCREASES SYMPATHETIC NERVE ACTIVITY, IT INCREASES RESISTANCE TO INSULIN…”

If we already ate low salt diets, the researchers in this latest salt study say those concerns might be valid. But Dr. Bibbins-Domingo says salt consumption in the U.S. is higher than is recommended, and it’s on the rise.

But she says there are high levels of salt in so many foods, it’s hard to avoid. Cereal. Bread. Lunch meat. Pasta Sauce.

And she says consumers can’t really reduce salt consumption without some changes by food manufacturers.

“RIGHT NOW THERE ARE NO CHOICES THAT ARE REALLY AVAILABLE THAT MIGHT BE LOWER IN SALT. I THINK THAT’S WHERE THE EFFORTS WITH THE FOOD MANUFACTURERS ARE ABOUT REALLY MAKING A RANGE OF CHOICES SO WE CAN EAT LOWER SALT, WHICH IS VIRTUALLY IMPOSSIBLE RIGHT NOW.”

Some governments are responding. New York City has already started urging food manufacturers and restaurant chains to lower the salt in their foods by 25-percent over the next five years. Bibbins-Domingo says California is considering salt limits in foods the state buys for schools, prisons and other public institutions.

She also wants the Food and Drug Administration to require food makers to alert consumers when foods are high in salt.

In the meantime, Bibbins-Domingo advises her patients to look at food labels – and really look at the sodium content – so they know what they’re getting.

For The Environment Report, I’m Julie Grant.

Related Links

DC Gets Tough on Disposable Bags

  • The Anacostia River in Washington DC is ridden with garbage, and plastic bags make up 20% of the trash tossed in (Photo by Kavitha Cardoza)

For years, the Anacostia River that flows through

Washington DC was widely known as the forgotten

river, lost in the shadow of the better known

Potomac. At one point, some say the trash in the

river was so thick you could walk from one side to

the other without getting wet. Today things are

better. But, most people say not enough has been

done. DC’s city council is considering a five cent

tax on every disposable plastic and paper bag with

most of the money going to cleanup efforts. As Kavitha

Cardoza reports if it passes,

the fee would be the toughest law on plastic and paper

bags in the country:

Transcript

For years, the Anacostia River that flows through

Washington DC was widely known as the forgotten

river, lost in the shadow of the better known

Potomac. At one point, some say the trash in the

river was so thick you could walk from one side to

the other without getting wet. Today things are

better. But, most people say not enough has been

done. DC’s city council is considering a five cent

tax on every disposable plastic and paper bag with

most of the money going to cleanup efforts. As Kavitha

Cardoza reports if it passes,

the fee would be the toughest law on plastic and paper

bags in the country:

Kindergartners from the Evergreen School in Wheaton, Maryland are leaning over a rail and looking at bags, cups, wrappers and other trash floating in the Anacostia River.

They’ve travelled to D.C. to learn more about, as they put it, “what kills fish.”

The five-year-olds are NOT impressed with what they see.

“Bottles, balls, yucky. It’s really, really disgusting garbage!”

The children roll up their sleeves and start pulling trash from the bank. But, it’s going to take a lot more than their small hands to clean up the mess.

Jim Connerly is with the Anacostia Watershed Society. He says Washington D.C.’s own environmental studies estimate each year 20,000 tons of trash is thrown into the Anacostia.

“It’s like a landfill on a conveyor belt.”

Studies also show plastic bags make up about 20% of the trash in the Anacostia.

When grocery bags are thrown away, many of them are swept up by rain water and carried into storm drains that flow into streams. They end up in the Anacostia.

The bags often ensnare birds and turtles. Fish eat the small torn pieces. That results in toxins making their way into the food chain.

Tommy Wells is the D.C. council member who came up with the idea of charging a nickel for plastic and paper bags.

“By charging a nickel, it really gets more into your head than your pocket. Also, it reminds you maybe I should have bought a reusable bag.”

And part of the money raised will help low-income residents buy reusable bags.

But Laurie Walker hasn’t heard about that proposal. She says, as a senior citizen on a fixed income, those nickels can add up quickly.

“Five cents is a whole lot of money, if I put it in a jar, every month when I get paid. I can buy a chicken, hot dogs, eggs for my grandchildren or for myself. I can buy a whole lot with that.”

The fee would raise nearly 2.5 million dollars a year. Besides the reusable bags, the money will fund educational efforts and return a portion to local businesses as an incentive.

The chemical industry which makes the plastic bags hopes anybody opposed to these kinds of fees or taxes will come out against this proposal. But environmentalists like the idea.

(sound of a beaver)

Back at the Anacostia River system, Jim Connerly says, with a little effort, the Anacostia could be trash-free in just a few years.


“In a perfect world, the water quality would be addressed. The thing that’s encouraging to me is that nature is always trying to seek balance. If we let the river alone, if we stop the input of pollutants, it would clean itself. It’s just that we’re not allowing the river to do that.”

Connerly and many others are hoping the Washington DC bag fee helps make that happen.

For The Environment Report, I’m Kavitha Cardoza.

Related Links

New Fungus Could Kill Drugs

Government researchers are hard at work testing a new weapon in the war on drugs; a fungus designed to kill off narcotic plants. It could make easy work of destroying crops that provide cocaine and heroin, as well as marijuana. But some scientists have concerns about the killer fungus. The Great Lakes Radio Consortium’s Wendy Nelson has more: