Population-Wide Sodium Reduction: The Bumpy Road from Evidence to Policy

Elevated blood pressure is a highly prevalent condition that is etiologically related to coronary heart disease and stroke, two of the leading causes of morbidity and mortality throughout the world. Excess salt (sodium chloride) intake is a major determinant of elevated blood pressure. In this artic...

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Bibliographic Details
Published in:Annals of epidemiology 2012-06, Vol.22 (6), p.417-425
Main Authors: Appel, Lawrence J., MD, MPH, Angell, Sonia Y., MD, MPH, Cobb, Laura K., MS, Limper, Heather M., MPH, Nelson, David E., MD, MPH, Samet, Jonathan M., MD, MS, Brownson, Ross C., PhD
Format: Article
Language:English
Subjects:
Blood Pressure
Cardiovascular Disease
Evidence-Based Medicine
Global Health
Health Policy - history
Health Policy - legislation & jurisprudence
History, 20th Century
History, 21st Century
Humans
Hypertension
Hypertension - prevention & control
Internal Medicine
Nutrition
Policy
Policy Making
Public Health
Salt
Sodium
Sodium, Dietary - adverse effects
United States
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Summary:Elevated blood pressure is a highly prevalent condition that is etiologically related to coronary heart disease and stroke, two of the leading causes of morbidity and mortality throughout the world. Excess salt (sodium chloride) intake is a major determinant of elevated blood pressure. In this article, we discuss the scientific rationale for population-wide salt reduction, the types and strength of available evidence, policy-making on dietary salt intake in the United States and other countries, and the role and impact of key stakeholders. We highlight a number of lessons learned, many of which are germane to policy development in other domains.
ISSN:1047-2797
1873-2585
DOI:10.1016/j.annepidem.2012.04.003