Higher Salt Sensitivity Linked to Increased High Blood Pressure Risk: Here’s What to Do

Higher Salt Sensitivity Linked to Increased High Blood Pressure Risk: Here’s What to Do
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George Citroner
4/26/2023
Updated:
4/26/2023
0:00

Growing evidence finds that women, regardless of ethnicity or age, are more salt-sensitive than men. This can increase their risk for high blood pressure (hypertension) and the health issues that come with it.

Nearly 1.3 billion adults from 30 to 79 years old worldwide have hypertension, according to World Health Organization (WHO) data. Since 1990, the number of people with hypertension has doubled.

Higher Salt Sensitivity Linked to Greater Blood Pressure Increase

According to the U.S. Food and Drug Administration (FDA), the recommended amount of salt per day is less than 2,300 milligrams, or about 1 teaspoon. However, the average American consumes about 3,400 milligrams of sodium each day.

Excessive amounts of sodium in the diet can increase hypertension risk.

“When we consume a diet high in salt, our blood pressure rises due to sodium attracting water, which increases the volume of blood,” Amargo Couture, a registered dietitian at Staten Island University Hospital in New York, told The Epoch Times. Uncontrolled hypertension can increase the risk for more severe health complications such as heart attack, kidney disease, heart failure, strokes, and blindness.

However, another factor many people are unaware of is salt sensitivity.

Salt sensitivity is the body’s reaction to salt intake, which varies among individuals. This means some people are more sensitive to the effects of salt, and it takes much less of it to increase blood pressure in salt-sensitive people.

Those with the condition naturally tend to retain salt rather than excrete the excess in urine. A person is considered to be salt-sensitive if blood pressure increases more than 10 percent in response to high salt intake.

1 Particular Hormone Plays a Key Role

A review of studies finds that salt carries a greater hypertension risk for women because they’re more likely than men to be salt-sensitive.

The study authors stressed that women are generally more protected against cardiovascular diseases than men, but that changes with age.

While women tend to be more salt-sensitive in their youth, once they enter menopause, the prevalence and severity of the condition increase, the authors explained.

The authors also think that women’s sensitivity to a hormone called aldosterone, which the female body uses for reproduction, plays a significant role.

Study author Eric Belin de Chantemele, who has a doctorate in cardiovascular science and is a physiologist in the Vascular Biology Center at the Medical College of Georgia at Augusta University, said in a statement that “salt-sensitive females cannot reduce their aldosterone production enough and we think that predisposes them to salt sensitivity.”
Salt sensitivity is a potential contributor to treatment-resistant hypertension. One study concluded that salt-sensitive people have an increased mortality risk even when their blood pressure is in a healthy range.

The researchers found that participants who had died were an average of about 48 years old, nearly twice as likely to have been hypertensive (63.4 percent versus 33.8 percent), and salt-sensitive (73.4 percent versus 44.9 percent) at the time of the initial study compared to those who survived.

Unfortunately, only about 25 percent of adults have their hypertension under control, according to the U.S. Centers for Disease Control and Prevention (CDC), and it’s estimated that between 50 and 60 percent of people with hypertension are salt-sensitive.

How to Reduce Your Risk If You’re Salt-Sensitive

To reduce their risk of hypertension, salt-sensitive women can take several steps. First, they can reduce their salt intake by avoiding processed and packaged foods, which often contain high amounts of salt, also labeled as sodium.

Instead, they can choose fresh fruits and vegetables, lean protein sources, and whole grains. Additionally, they can experiment with herbs and spices to add flavor to their meals instead of relying on salt.

Regular exercise and maintaining a healthy weight could also help reduce the risk of hypertension in salt-sensitive women.
It’s important to remember that not getting enough salt can also lead to severe health issues. Salt is an essential nutrient and functions as an electrolyte that the body needs to maintain fluid balance and allow muscles and nerves to function properly.
When the amount of this essential mineral becomes abnormally low, you can develop a condition called hyponatremia. Symptoms of hyponatremia include:
  • Nausea or vomiting.
  • Headache, confusion, or fatigue.
  • Muscle weakness, twitching, or cramps.
  • Seizures or coma.
It’s also essential to balance salt intake with potassium.

Potassium and sodium are electrolytes that help the body function normally by maintaining fluid and blood volume. Consuming too little potassium and too much sodium can also cause high blood pressure.

Foods that provide potassium include potatoes, avocados, beans, and bananas.
Increasing potassium intake can help decrease your blood pressure if you have high blood pressure, and the American Heart Association (AHA) recommends the average adult get 4,700 milligrams per day.
George Citroner reports on health and medicine, covering topics that include cancer, infectious diseases, and neurodegenerative conditions. He was awarded the Media Orthopaedic Reporting Excellence (MORE) award in 2020 for a story on osteoporosis risk in men.
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