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

“Biosafety Engineers” for Gmo Industry?

  • According to the USDA, 40% of the corn grown this year in the U.S. has been genetically modified. Some researchers fear there's not enough oversight on the rapidly growing biotech industry. A program at the University of Minnesota wants to create a new profession - the 'Biosafety Engineer.' (photo courtesy of the USDA)

Genetic engineering – especially when it comes to food – is a battleground. On one side: people who fear a world of contaminated food, harming humans and the environment. The other side fears we’ll miss an opportunity to prevent hunger and disease. Now there’s a ground breaking initiative that might produce compromise. The Great Lakes Radio Consortium’s Mary Stucky reports that some researchers think safety can be built into the bio tech industry:

Transcript

Genetic engineering – especially when it comes to food – is a
battleground. On one side: people who fear a world of contaminated
food, harming humans and the environment. The other side fears
we’ll miss an opportunity to prevent hunger and disease. Now, there’s
a ground breaking initiative that might produce compromise. The Great
Lakes Radio Consortium’s Mary Stucky reports that some researchers
think safety can be built into the bio tech industry:


To remove a gene from one organism and transfer it to another…
that’s genetic engineering. Genetically modified or GM crops are
easier to grow, according to bio tech supporters and in the future
might be more nutritious. But they also might contain hidden
allergens, because they use genes from a plant or animal that
people might be allergic to. And there are concerns that GM crops
might harm the environment by crossbreeding with natural plants in
the wild. And so the University of Minnesota is proposing a
solution – an entirely new profession – call them biotech safety
engineers – along with a new science of bio safety. Anne
Kapuscinski is a researcher at the University of Minnesota and a
force behind the initiative called Safety First. Kapuscinski says
rather than regulating the industry after a new product is developed,
companies should prove safety first.


“It will mean that some ideas that will be on the lab bench won’t go
any further in development because the developers
will realize there are safety concerns that we don’t know how to
mitigate, or how to prevent from happening or how to address.”


And that could save companies money… by avoiding costly mistakes
such as the Starlink corn debacle. That’s when genetically modified
corn accidentally mixed with conventional corn and got into dozens of
foods. Kapuscinski says it was common knowledge in the industry that
the corn could get mixed up because of the way it’s transported and
stored… which might have been avoided with uniform safety standards
and government oversight. But until now, industry has resisted that.
They’ve been touting the benefits rather than the risks such as this
ad campaign put out by a group called the Biotechnology Industry
Organization.


(music under)


“Biotechnology, a big word that means hope.”


But one expert says if the industry wants to inspire public
confidence, it should support the Safety First initiative. John
Howard is the founder of a Texas based biotech firm called
ProdiGene. Not all biotech companies support the University of
Minnesota effort, but Howard thinks it has a good chance of
alleviating public concerns.


“The problem is, however, if you do it yourselves, what
credibility do you have as a company promoting your own safety
assessment? So an independent agency or source that comes out
and says, ‘Look, this is now credible, we’ve looked at all the safety
issues,’ that’s great, and if they find something that we’ve missed
then fine, we want to do it that way.”


John Howard says his company is working to bio-engineer corn to
deliver drugs. For instance, if you need insulin you could have it
in your breakfast cereal.


Opponents of bio tech say we don’t know all of the ramifications of
engineering drugs into food or altering the genetics of any organism,
but John Howard thinks we know enough to be safe.


“You can always argue that we just don’t know
enough yet and that’s an argument that can go on and on. And this
applies to everything that we think about in terms of risk. But
what you can do is look at a risk benefit equation. There’s
no question this is a for-profit company, let’s not make any mistake,
but not at the expense of harming people.”


And supporters say the Safety First initiative will see to that.
Lawrence Jacobs is a political scientist at the University of
Minnesota and a leader in Safety First. Jacobs says, like it or not,
GM food is here to stay.


“If we do not find some credible way to address the biosafety issues in
biotechnology, we are heading for a major maelstrom. The challenge
that’s out there now for the biotechnology industry right now is get
your act together. And the potential for consumers to panic in this
country is significant.”


Of course safety standards are already engineered into the
manufacturing of airplanes and cars. But will that work in an
industry which is manufacturing a living thing?


Supporters of the Safety First initiative say there’s too little
oversight on an industry that could have much greater impact on health
and the environment.


For the Great Lakes Radio Consortium, I’m Mary Stucky.

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