Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 That study has some methodological flaws. You can read the review here: http://www.hsph.harvard.edu/nutritionsource/salt/jama-sodium-study-flawed/index.\ html Catia Borges > > http://www.nlm.nih.gov/medlineplus/news/fullstory_111659.html > > > Sent from my iPhone > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2011 Report Share Posted May 6, 2011 I would like to know why it assumes that the individuals with less salt excretion in their urine were also consuming less salt in their diet. It would be a methodological flaw to claim urinary salt levels directly relate to dietary salt levels. I would assume based on my understanding of physiology that the ones at greatest risk for heart disease, who coincidentally also had the least sodium excretion in their urine, were actually consuming similar amounts of salt but were retaining more and that is what put them at greater cardiovascular risk over the long run- they would be the ones that would benefit from a low salt diet probably - the ones with kidneys that don't process it properly. How can we identify that salt sensitive portion of the population instead of recommending a highly restrictive diet for everyone? I would suggest a repeat study that first assesses renal control of sodium excretion- lab measured diet intakes and urine outputs for exact " pre " measurement estimates of the person's kidney control over sodium excretion and then further tracks over the long run with food frequency forms and other tools the average sodium preferences of the participants as well as their CVD outcomes. The black population tends to excrete more magnesium and retain more calcium - so yes - they may very well retain more sodium also and would benefit from a moderate to low sodium and calcium diet and increased magnesium foods - ie - lower dairy intake and higher vegetable and vegetable protein sources more like the native diet. (only people with Paleo ancestors in their closest genetic past need a Paleo diet) R Vajda, R.D. www.GingerJens.com ________________________________ To: rd-usa Sent: Thu, May 5, 2011 8:35:53 AM Subject: Re: Study Challenges Link Between Salt and Heart Disease: MedlinePlus That study has some methodological flaws. You can read the review here: http://www.hsph.harvard.edu/nutritionsource/salt/jama-sodium-study-flawed/index.\ html Catia Borges > > http://www.nlm.nih.gov/medlineplus/news/fullstory_111659.html > > > Sent from my iPhone > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2011 Report Share Posted May 6, 2011 I would like to know why it assumes that the individuals with less salt excretion in their urine were also consuming less salt in their diet. It would be a methodological flaw to claim urinary salt levels directly relate to dietary salt levels. I would assume based on my understanding of physiology that the ones at greatest risk for heart disease, who coincidentally also had the least sodium excretion in their urine, were actually consuming similar amounts of salt but were retaining more and that is what put them at greater cardiovascular risk over the long run- they would be the ones that would benefit from a low salt diet probably - the ones with kidneys that don't process it properly. How can we identify that salt sensitive portion of the population instead of recommending a highly restrictive diet for everyone? I would suggest a repeat study that first assesses renal control of sodium excretion- lab measured diet intakes and urine outputs for exact " pre " measurement estimates of the person's kidney control over sodium excretion and then further tracks over the long run with food frequency forms and other tools the average sodium preferences of the participants as well as their CVD outcomes. The black population tends to excrete more magnesium and retain more calcium - so yes - they may very well retain more sodium also and would benefit from a moderate to low sodium and calcium diet and increased magnesium foods - ie - lower dairy intake and higher vegetable and vegetable protein sources more like the native diet. (only people with Paleo ancestors in their closest genetic past need a Paleo diet) R Vajda, R.D. www.GingerJens.com ________________________________ To: rd-usa Sent: Thu, May 5, 2011 8:35:53 AM Subject: Re: Study Challenges Link Between Salt and Heart Disease: MedlinePlus That study has some methodological flaws. You can read the review here: http://www.hsph.harvard.edu/nutritionsource/salt/jama-sodium-study-flawed/index.\ html Catia Borges > > http://www.nlm.nih.gov/medlineplus/news/fullstory_111659.html > > > Sent from my iPhone > Quote Link to comment Share on other sites More sharing options...
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