The population risks of dietary salt excess are exaggerated

Can J Cardiol. 2014 May;30(5):507-12. doi: 10.1016/j.cjca.2014.02.003. Epub 2014 Feb 13.


Policy positions on salt consumption (based largely on the association of sodium and blood pressure [BP]) has remained unchanged since the 1970s, until recently. However, this is beginning to change as new evidence emerges. The evidence supports a strong association of sodium with BP and cardiovascular disease events in hypertensive individuals, the elderly, and those who consume > 6 g/d of sodium. However, there is no association of sodium with clinical events at 3 to 6 g/day and a paradoxical higher rate of events at < 3 g/day. Therefore, until new evidence emerges, the optimal range of sodium consumption should be considered to be between 3 and 6 g/d. Population-wide sodium reduction is not justified in countries such as Canada.

Publication types

  • Research Support, Non-U.S. Gov't
  • Comment

MeSH terms

  • Blood Pressure / drug effects*
  • Feeding Behavior*
  • Humans
  • Hypertension*
  • Patient Education as Topic / methods*
  • Primary Prevention / methods*
  • Public Health*
  • Sodium Chloride, Dietary / adverse effects*


  • Sodium Chloride, Dietary