Salt and your health

Salt is essential not only to life, but to good health. It's always been that way. The body's salt/water ratio is critical to metabolism. Human blood contains 0.9% salt (sodium chloride) -- the same concentration as found in United States Pharmacopeia (USP) sodium chloride irrigant commonly used to cleanse wounds. Salt maintains the electrolyte balance inside and outside of cells. Routine physical examinations measure blood sodium for clues to personal health. Most of our salt comes from foods, some from water.

Since ancient times, salt has been used to flavor and preserve food. Early trade routes and many of the first roads were established for transporting salt. Many ancient civilizations levied taxes on salt. Salt was considered so precious that it was traded ounce for ounce for gold. In ancient China, coins were made of salt. In the Mediterranean regions, salt cakes were used as money. Ancient cities such as Genoa, Pisa, and Venice became salt market centers. By the fifteenth century, salt was obtained by boiling brine from salt springs, and many towns and cities in Europe located near such sources. During the eighteenth century, the efficiency of the boiling brine process was improved by using coal instead of wood as fuel. Because of its coal supply, England became the leading salt producer in the world. Early colonies in America were dependent on England for most of their salt.

Blood pressure is a sign. When it goes up (or down) it indicates an underlying health concern. Changes result from many variables, often still poorly-understood. High blood pressure is treated with pharmaceuticals and with lifestyle interventions such as diet and exercise. The anti-hypertensive drugs are all approved by regulatory authorities such as the U.S. Food and Drug Administration. To be approved, these drugs must prove they work to lower blood pressure. Whether they also work to lower the incidence of heart attacks and strokes has not been the test to gain approval (it would take too long to develop new drugs), but the National Heart, Lung and Blood Institute has invested heavily in such “health outcomes” studies.

Salt/sodium can hide in many foods. One teaspoon of salt contains 2,000 mg of sodium. The following suggestions can help lower salt intakes:

* Eat fewer salty snacks such as potato chips, nuts, cheese and pretzels.
* Read the "Nutrition Facts" panel on food labels to see how much sodium you are eating.
* Read the label. Look for the words, low-salt or reduced-sodium on products to replace those with high salt.
* Use fresh or frozen vegetables instead of high sodium canned
* Avoid pickled products like sauerkraut, deli meats, sausages and canned fish.
* Use herbs and spices like garlic powder, thyme, oregano, and basil to flavor food and use less salt. Season meat with lemon juice, bay leaf, crushed red pepper and rosemary. Season chicken with sage, seasoned vinegar and ginger.
* Limit the use of high-salt soy sauce, meat tenderizers, seasoned salt, and Worcestershire. Look for salt-free herb blends for cooking.

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