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These studies suggest that a sodium intake of less than 5 grams per day is generally recommended for optimal cardiovascular health.
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The World Health Organization (WHO) recommends a daily sodium intake of no more than 2 grams (2000 mg) per day, which is equivalent to 5 grams of salt (sodium chloride). This recommendation is based on evidence linking high sodium intake to increased blood pressure and cardiovascular diseases. Similarly, the American Heart Association suggests an ideal limit of 1500 mg per day, especially for individuals at risk of hypertension and cardiovascular diseases.
While reducing sodium intake to 2400 mg per day is widely accepted as beneficial, the efficacy and safety of further reductions to 1500 mg per day remain controversial. This is particularly true for specific subgroups who may be at increased risk of hypertension or stroke . The European Food Safety Authority (EFSA) also supports a sodium intake of 2 grams per day as safe and adequate for the general adult population, including pregnant and lactating women.
Global sodium intake far exceeds recommended levels. In 2010, the global mean sodium intake was approximately 3.95 grams per day, nearly double the WHO's recommended limit. This high intake is consistent across various regions, with the highest levels observed in East Asia, Central Asia, and Eastern Europe, where mean intakes exceed 4.2 grams per day. In contrast, regions like sub-Saharan Africa and Latin America have lower but more uncertain intakes, generally below 3.3 grams per day.
In the United States, sodium intake has remained consistently high. Data from the National Health and Nutrition Examination Surveys (NHANES) from 1999 to 2016 show a median sodium consumption of 3232 mg per day, with higher intakes observed in younger adults and males. Despite guidelines, adherence to recommended sodium intake levels is poor, with less than 10% of high-risk subgroups meeting the USDA recommendations.
High sodium intake is a significant risk factor for hypertension and cardiovascular diseases. A study estimated that in 2010, 1.65 million deaths from cardiovascular causes were attributed to sodium intake above the reference level of 2 grams per day. This highlights the urgent need for public health interventions to reduce sodium consumption globally.
There is ongoing debate about the optimal range of sodium intake. Some studies suggest that a moderate intake range of 3 to 5 grams per day is associated with the lowest risk of cardiovascular disease and mortality . However, reducing sodium intake to less than 3 grams per day may not provide additional benefits and could potentially increase health risks.
Reducing sodium intake is crucial for improving public health outcomes, particularly in reducing the risk of hypertension and cardiovascular diseases. While global and national guidelines recommend limiting sodium intake to 2 grams per day, actual consumption levels remain significantly higher worldwide. Public health initiatives must focus on reducing sodium intake through dietary modifications and increased awareness to achieve these recommended levels. Further research is needed to clarify the optimal sodium intake range and to develop effective strategies for long-term sodium reduction.
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