Addictive salt may not be solely responsible for causing hypertension: A sweet and fatty hypothesis

Hipertens Riesgo Vasc. 2017 Sep 16;S1889-1837(17)30060-0. doi: 10.1016/j.hipert.2017.08.002. Online ahead of print.


In literature, since many decades, it is often believed and condoned that excessive common salt (Nacl) ingestion can lead to hypertension. Hence, every health organisation, agencies and physicians have been advising salt restriction to hypertensive patients. However, there is no concrete evidence suggesting that salt restriction can reduce the risk of hypertension (HTN). The present article is based on the current literature search which was performed using MEDLINE, EMBASE, Google Scholar and PubMed. The meta-analysis, randomised control trials, clinical trials and review articles were chosen. The present review article suggests that consumption of high salt diet does not lead to hypertension and there are other factors which can lead to hypertension, sugar and fats being the main reasons. Salt can however lead to addiction and generally, these salty food items have a larger proportion of sugar and fats, which if over-consumed has a potential to cause obesity, hyperlipidaemia and subsequently, hypertension and other cardiovascular disorders. Hence, through the present review, I would like to suggest all the physicians to ask the hypertensive patients to cut down the intake of sugar and fat containing food items and keep a check on addiction of salty food items.

Keywords: Addiction; Adicción; Azúcares; Carbohydrates; Fats; Grasas; Hidratos de carbono; Hipertensión; Hypertension; Sal; Salt; Sugars.