Is Salt a Culprit or an Innocent Bystander in Hypertension? A Hypothesis Challenging the Ancient Paradigm

Am J Med. 2017 Aug;130(8):893-899. doi: 10.1016/j.amjmed.2017.03.011. Epub 2017 Apr 1.

Abstract

For decades the notion that an excessive consumption of salt (NaCl) leads to hypertension has persisted. However, this idea is based on opinion, not scientific proof. Despite this, every health organization, agency, and clinicians around the world have been advising salt restriction, especially to hypertensive patients. The present review article suggests that the consumption of a high-salt diet is not the cause of hypertension and that there are other factors, such as added sugars, which are causative for inducing hypertension and cardiovascular disease.

Keywords: Diet; Hypertension; Salt; Sugar.

Publication types

  • Review

MeSH terms

  • Diet, Sodium-Restricted / adverse effects
  • Diet, Sodium-Restricted / standards*
  • Dietary Sucrose / adverse effects*
  • Humans
  • Hypertension / etiology*
  • Hypertension / prevention & control
  • Sodium Chloride, Dietary / adverse effects*
  • Sodium Chloride, Dietary / pharmacology

Substances

  • Dietary Sucrose
  • Sodium Chloride, Dietary