3 ms·
I decided to go through the IOMs Sodium Intake in Populations report[1] when the FDAs new DRIs were released. The FDA guidelines pushing for 1500mg a day stand
by nazgulnarsil 12y ago
I decided to go through the IOMs Sodium Intake in Populations report[1] when the FDAs new DRIs were released. The FDA guidelines pushing for 1500mg a day stand in contrast to the findings of the Cochrane review meta-analysis(summary[2]). After looking over all the studies reviewed by both the IOM and the Cochrane review I can't figure out how the FDA are justifying their recommendations of very low intake. The only truly consistent finding seems to be that below around 2g and above about 4g is clearly harmful in that it definitely results in more hospital visits. In between is a lot more shaky. The FDA basically asked the IOM to write the bottom line first and still the IOM wasn't able to come up with any evidence that lowering sodium intake below that range was helpful. It is important to note that the vast majority of sodium studies additionally do not control for a very important confounder which is potassium intake, and that those that do seem to agree strongly with the conclusions of the Cochrane Review. IOM makes note of this shortcoming but does not draw any conclusions from it.
MealSquares (http://mealsquares.com http://mealsquares.com) will be sticking with the Cochrane Review conclusions for now, but of course we will update and inform our customers based on the recommendations with the strongest evidence behind them. It's interesting to note that Soylent 1.0 went with around 1g of salt/day and was forced to change this when people started getting dizzy. it will be interesting to see what they change it to.
1. http://books.nap.edu/openbook.php?record_id=18311&page=R1 http://books.nap.edu/openbook.php?record_id=18311&page=R1
2. http://www.nhs.uk/news/2011/11November/Pages/cochrane-review-salt-blood-pressure.aspx http://www.nhs.uk/news/2011/11November/Pages/cochrane-review...