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Hypertension/High Blood Pressure Health Center

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AMA Balks at a Low-Salt Diet for All

WebMD Health News

June 19, 2001 (Chicago) -- The nation's largest doctor association decided not to recommend that all people with normal blood pressure adopt a low-sodium diet to prevent the development of hypertension, or high blood pressure.

The controversial proposal raised at the annual meeting of the American Medical Association's House of Delegates had claimed that evidence is now convincing that Americans' "huge salt load is a major cause of hypertension." The resolution also backed a low-sodium diet for those with high blood pressure as a major part of treatment against the condition.

But without debate today, the House -- the AMA's policymaking body -- did not support the plan. According to the AMA's public health reference committee, "While there was uniform agreement regarding the need to reduce sodium intake for hypertensive persons, concern was expressed regarding the lack of data for extrapolating the results to all normotensive individuals."

The proposed recommendations would have involved more than just telling Americans to stop up those salt shakers at the dinner table.

According to the proposed resolution from the American College of Preventive Medicine, "The pervasive addition of salt to American food by the processed food and restaurant [industry] now makes it very difficult for even motivated individuals and patients to comply with optimal levels of dietary sodium intake."

The preventive medicine doctors wanted the AMA to work with the nation's restaurants, the FDA, and others to cut back on how much salt is added to food. It claimed that there are many alternatives to salt for the preservation of food.

AMA trustee Herman Abromowitz, MD, tells WebMD that existing association policy features support for the food industry to reduce the sodium content of processed food, as long as it doesn't compromise safety or nutrition.

Meanwhile, Americans' salt intakes have risen significantly. Upwards of 70% of the salt in the average American's diet is due to what the industry adds to processed foods.

Studies suggest that U.S. adults eat an average of 3,300 mg of sodium each day, even though government standards recommend 2,400 mg per day.

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