An expert recommendation on salt intake and blood pressure management in Chinese patients with hypertension: A statement of the Chinese Medical Association Hypertension Professional Committee

• Published in: The journal of clinical hypertension (Greenwich, Conn.) Conn.), 2019-04, Vol.21 (4), p.446-450
• Main Authors: Sun, Ningling, Mu, Jianjun, Li, Yuming, Chen, Xiaoping, Chu, Shaoli, Dai, Qiuyan, Ding, Wenhui, Fang, Ningyuan, Feng, Yingqing, Fu, Guosheng, Guo, Lijun, Han, Ling, Jiang, Longfu, Jiang, Yinong, Li, Guangping, Li, Yong, Liu, Huiliang, Liu, Wei, Mou, Jianjun, Bu, Peili, Qian, Weichong, Su, Guohai, Sun, Gang, Sun, Yingxian, Sun, Yuemin, Tao, Jianhong, Wang, Hongyi, Wei, Meng, Wu, Haiying, Xiang, Meixiang, Xie, Liangdi, Xu, Rui, Xu, Xinjuan, Yan, Xiaowei, Yin, Xinhua, Zheng, Liangrong, Zhu, Zhiming
• Format: Article
• Language: English
• Subjects: Aged, 80 and over; Asians - ethnology; assessment of salt intake; Blood Pressure - physiology; Blood Pressure Determination - methods; blood pressure management; Cardiovascular Diseases - epidemiology; Cardiovascular Diseases - mortality; China - epidemiology; Chinese; Diet Therapy - methods; Feeding Behavior - ethnology; Female; Guidelines on Sodium: China; Humans; hypertension; Hypertension - diet therapy; Hypertension - epidemiology; Hypertension - ethnology; Hypertension - physiopathology; Hypertrophy - epidemiology; Hypertrophy - mortality; Male; Opinion; Prevalence; Randomized Controlled Trials as Topic; Risk Factors; Sodium Chloride - urine; Sodium Chloride, Dietary - administration & dosage; Sodium Chloride, Dietary - adverse effects; Stroke - epidemiology; Stroke - mortality; Ventricular Remodeling
• ISSN: 1524-6175; 1751-7176
• DOI: 10.1111/jch.13501

The occurrence of hypertension is influenced by combined actions of genetic and environmental factors. Among environmental factors, high salt intake is considered as one of the most important and critical dietary factors. High salt intake is closely related to the incidence and mortality of cardiac and cerebrovascular events, as well as ventricular hypertrophy, renal damage, and other target organ damages. The existing data show that the daily sodium salt intake of Chinese population is significantly higher than that of European and American populations, and it generally exceeds the standard. Therefore, sodium and potassium intake in patients with hypertension should be actively assessed to carry out targeted treatment, which is an important strategy in blood pressure management. According to the characteristics of high prevalence of hypertension, high sodium salt intake, and low blood pressure control rate in China, Chinese Medical Association Hypertension Professional Committee believes that it is necessary to promote salt restriction and formulate the assessment of salt intake and clinical process of blood pressure management according to the current status of sodium intake.