Tag: sodium

USDA Guidelines Questioned

  • Professor Paul Marantz says even a small error in the federal food guidelines can have a big public health impact. (Photo courtesy of the USDA)

Some people say the government is partly to blame for America’s obesity problem – because of the federal dietary guidelines. Julie Grant reports on efforts to improve how the government offers nutritional advise to Americans.

Transcript

Some people say the government is partly to blame for America’s obesity problem – because of the federal dietary guidelines. Julie Grant reports on efforts to improve how the government offers nutritional advise to Americans.

You’ve probably seen those colorful food pyramids they put out, the ones that tell you how many servings to have of each kind of food each day. Those recommendations are used by schools, nursing homes, and the federal food stamp program to design menus.

Robert Post works with the U.S. Department of Agriculture, which puts out the food pyramid.

“IT’S THE CORNERSTONE FOR BUILDING HEALTHY EATING PATTERNS. CHOOSING THE RIGHT AMOUNTS OF FRUITS, VEGETABLES, GRAINS, MILK PRODUCTS, AS WELL AS PROTEIN SOURCES SUCH AS MEAT AND BEANS.”

Post says people need to know how to get all the nutrients they need, without over-indulging in foods they don’t need.
That’s why the guidelines also set specific limits on things like salt and fat.

But some researchers think the guidelines actually have the potential to cause harm.

Paul Marantz is professor of epidemiology and population health at the Albert Einstein College of Medicine.
He doesn’t think the guidelines should give specific recommendations about how much fat and salt people should eat.

“THOSE SEEM TO CARRY PRECISION THAT IMPLIES THAT WE HAVE A GREATER DEPTH OF KNOWLEDGE THAN WE ACTUALLY DO, SO PICKING THESE NUMBERS AND REQUIRING THAT PEOPLE HUE TO THESE GUIDELINES IS A PROBLEM.”

Marantz says even a little bit of error in the food guidelines can have a big public health effects.

He and his colleagues wanted to find out the potential impact of past dietary guidelines.

They looked at 1995, when the nutritionists were telling people to avoid fat.

“MOST OF US REMEMBER IN THE OLD FOOD PYRAMID THAT MADE IT QUITE CLEAR THAT THE MOST IMPORTANT THING TO AVOID WAS FAT AND ONE COULD EAT GRAINS AND PASTA AND BREAT AND THE LIKE WITHOUT CONCERN.”

Marantz says Americans did eat more pasta and bread – that added lots of calories, and lots of weight.

His research, which was published in the American Journal of Preventive Medicine, found what Marantz calls a ‘strong correlation’ between the dietary guidelines against fat and obesity in Americans:

“CORRELATION IS BY NO MEANS CAUSATION. WE CANNOT INFER FROM THIS THAT IT WAS BECAUSE OF DIETARY GUIDELINES THAT WE ARE EXPERIENCING THE EPIDEMIC OF OVERWEIGHT AND OBESITY. BUT THE CONNECTION IS STRONG.”

Marantz wants the government to give general advice for healthy eating, but not specific guidelines. He gives the example of sodium. Marantz says no one really knows how much salt is appropriate for each person. But there’s a push to put specific limits on sodium in the new guidelines.

Robert Post of the USDA says anything that gets into the 2010 recommendations will be based on what he calls the Gold Standard of scientific evidence. He says a committee of nutritional experts has been meeting for two years to create the new guidelines…

“WE CAN BE ASSURED THROUGH THIS VERY INTENSIVE REVIEW OF SCIENCE AND THE WEIGHT OF THE EVIDENCE IT PROVIDES THAT THE CURRENT ADVISE ON CARBOHYDRATES FOR EXAMPLE IS BASED ON THE LATEST RESEARCH.”

Post says any recommendations for fat and sodium will also be based on the preponderance of current science. The committee is expected to make its recommendations this summer, and new dietary guidelines should be published by the end of the year.

For The Environment Report, I’m Julie Grant.

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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.

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