This isn’t about guns this time, although it’s nice to see Bloomberg’s nanny statism thoroughly spanked in every arena possible.
No, this time I got a note from my old friend Alex – a doctor, by the way, and an avid gun rights supporter, as well as a fellow Johns Hopkins graduate (one of maybe three I know who aren’t worshiping at the twisted, leftardian, statist altar of fellow alum Bloomberg) – who shows me that salt – the boogie man Bloomberg banned while acting as nanny for the state of New York, leaving thousands of homeless shelters without food donations, because *gasp!* Bloomberg and his statist food police couldn’t control the salt content of donated goods - just ain’t that bad after all.
(And yes, that particular link was intentional)
The results published yesterday in the New England Journal of Medicine showed the expected link between heart complications and high levels of sodium, which is known to boost blood pressure and cardiovascular risks. Those at the lowest end, as measured by the amount of sodium in their urine, were also at greater risk — a 27 percent increased chance of heart attack, stroke and death from cardiovascular causes, the study found.
The study, to my non-medical eye, confirms a very simple meme: everything in moderation. And those of us who are smart enough to obey that simple rule without being ordered to do so by the tyrannical, dictatorial shit weasel former mayor of NYC, are happy to be vindicated.
The American Heart Association, apparently, isn’t backing down. According to the note Alex sent me:
Recall that the American Heart Association (AHA) has been pushing a 1.5 gram per day (g/d) limit on sodium intake for some time.
But in 2013, when the Institute of Medicine (IOM) reviewed the evidence for what should be the suggested guideline for sodium intake, the agency reported that there was no evidence to support the 1.5 g/d limit.
The most recent controversy over sodium guidelines comes in the August 14 issue of the New England Journal of Medicine, which published 3 major papers[3-5] on the health effects of sodium consumption. The papers detail the results from 2 study groups: the Prospective Urban Rural Epidemiology (PURE) group and the Global Burden of Diseases Nutrition and Chronic Diseases Expert Group (NutriCoDE) group.
The PURE study demonstrated the expected relationship between blood pressure (BP) and magnitude of sodium intake, whereas the NutriCoDE study was established by the proxy of urinary excretion and looked at sodium’s effect on global cardiovascular mortality. The PURE study found that the relationship between sodium and BP was nonlinear, with BP really only increasing when sodium was consumed at a rate of 3.5-4 g/d and higher.
Although there was a trend of higher adverse cardiovascular events with sodium excretion of > 5 g/day, this was much more pronounced at levels < 2 g/d. In other words, consumption of too little sodium is as harmful as consumption of too much sodium. In fact, the AHA guideline would lead — at least according to this latest research — to about a twofold risk for major adverse events.
To put these findings in context, these data are from 101,945 individuals in 17 countries. NutriCoDE was a modeling study that suggested that this relationship may not hold, but there were no direct measurements made; the data were extrapolated from published surveys from 66 countries. Both studies had warts, as Suzanne Oparil, MD, nicely explains in an accompanying editorial. The usual call for a large, long-term randomized trial was made, but I think it is quite clear that that will go nowhere.
In other words – eat your salt, boys and girls! Bloombergian diktats may actually kill you!