Volume 16, No 16, February 2002

Don’t Pass The Salt
By M. R. Chan
Cutting back on sodium is a good idea if you have hypertension.
And even if you don’t

Doctors have long known that cutting back on salt or sodium can help lower blood pressure in folks with hypertension,
silent condition that increases the risk of heart attack
and stroke. What hasn’t been so clear is whether reducing
the amount of sodium in the diet will benefit those,
whose blood pressure is normal. Now comes word that
restricting salt can indeed lower normal blood pressure.
Though the effect isn’t as great, it’s still important, according to a study published in the New England Journal of Medicine.

The decrease in blood pressure occurred regardless of race or gender and whether or not study participants ate a “typical American diet,” which is high in saturated fats and skimps on fruits and vegetables, or the so-called DASH (for Dietary Approach to Stop Hypertension) diet, which emphasizes lots of fresh produce, low-fat dairy, fish and fewer sweets and which was proved in 1997 to reduce hypertension. The biggest decreases in blood pressure in this study were recorded in subjects who ate the DASH diet and reduced their sodium intake to 1,200mg day.
Why is the significant? Public-health experts estimate that Americans consume, on average, about 3,500mg of sodium-equal to about 9 grams of salt, each day. Current guidelines recommend consuming no more than 2,300mg of sodium about 6gms of salt-daily. It’s not that we are that heavy-handed with the saltshaker. Most of our dietary sodium is added during food processing. To get down to 1,200mg, you would have to forgo most prepared foods, take-out deliveries and restaurant meals.
As someone who periodically comes home late from work too pooped to do anything but dial up some sodium-packed Thai food, I know that eating home-cooked meals all the time is not terribly practical. But with a little planning and some self-awareness, you can work around those occasional slips. Salt is, after all, essential to life. The trick is to adopt an overall pattern of healthy living and not depend on any one thing to make up for bad habits.
So pay attention to how much salt you are eating, but don’t forget to make fruits, vegetables and whole grains a larger part of your diet. They will help lower your cholesterol levels as well as your blood pressure. Be sure to drink alcohol moderately, if at all. Losing weight even just 4.5 kg, and exercising at least 30 minutes most days of the week can also have a marked effect blood pressure.
Folks with kidney problems should check with their doctor before cutting back on salt. If you do decide to cut down on salt, do it gradually to give your taste buds time to adjust. Try substituting lemon, parsley, pepper or oregano for salt.
Check food labels. Pasta sauces, sandwich breads and frozen dinners often contains lots of sodium.
And remember, even if you don’t have to worry about this now, you probably will eventually. Half of U.S. adults have a blood pressure of at least 120/80-mm Hg, which is at the high end of what’s considered ideal, and blood pressure usually increases with age. “We can’t put everyone on drug therapy,” says Dr. Frank Sacks of Brigham and Women’s Hospital in Boston and the chairman of the DASH-sodium study. But everyone can try to do with a dash less salt.
Good News

Abortion Option
Last year when U.S. government approved RU-486, it said the abortion pill should be taken with a second drug, misoprostol, to help expel the fetus. That didn’t stop misoprostol’s controversy-shy manufacturer, Searle, from warning doctors that the drug could harm pregnant women. Well, it doesn’t seem to, according to a review of 200 studies that found misoprostol safe for a number of obstetrical uses, including labour induction and medical abortion.

Bad News
Diet Backlash
With holiday gorging finally over, you’d think Americans would focus on improving their eating habits. Don’t bet on it. A study finds that Americans are fed up with worrying about what to eat. More than 40% report they are tired of hearing about which foods are good for them and which aren’t, and 70% say the government has no business doing out nutrition advice. The folks most likely to eat as they please? Those over 60 and men age 18 to 35.
Hari Today
Each year a quarter of a million Americans shell out up to $70 a pop for a hair analysis, but a report shows that the test, which is supposed to diagnose nutritional problems, is, at best, unreliable. Six popular labs were asked to test hair samples all from the same head, for 30 minerals and metals, including selenium, aluminum and lead. Result? Reported concentrations for the same hair differed wildly from lab to lab, often varying 10-fold. If that’s not enough to make your hair curl, most of the labs also sell supplements to remedy the ills they purportedly find.
Transmission Trouble
The sexually transmitted infection called chlamydia has been linked to infertility. Now Finnish scientists say it may also increase a woman’s risk of cervical cancer. What’s more, chlamydia may make women more vulnerable to the human papilloma virus, the other STD linked to cervical cancer. Chlamydia is easily treated with antibiotics. If you suspect you have it, get to your doctor.


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