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Recommending salt intake reduction to the hypertensive patient: more than just lip service.
MedLine Citation:
PMID:  22867091     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The average individual dietary salt intake largely exceeds the physiological needs almost worldwide. A direct causal association between salt intake and blood pressure levels has been clearly established. Furthermore, there is increasing evidence for additional blood pressure-independent pathways linking excess salt intake to the process of atherosclerosis. Recent meta-analyses of randomized controlled trials showed that moderate reduction of salt intake is associated with reduction of blood pressure and, in perspective, with reduction of cardiovascular and cerebrovascular events in hypertensive individuals. According to the European Society of Hypertension/European Society of Cardiology (ESH/ESC) guidelines for the management of hypertension, instructions to reduce dietary salt intake to the level of 5 g/day based on the WHO recommendation should be provided to all patients, regardless of their requirement for drug treatment. Unfortunately, the patients' response to this measure is heterogeneous, mainly due to variable compliance with the doctor's prescription and to a lesser extent to different individual BP salt sensitivity. This article discusses the factors affecting the probability of a successful intervention focusing in particular on the doctor's commitment to evaluate the patient's dietary habits, to point out the main sources of salt in the patient's diet, to provide the patient with adequate motivation and with proper instructions to implement gradual reduction of his/her salt intake, not disregarding the need for regular follow-up. Received for publication 17 February 2012; accepted for publication 24 March 2012.
Authors:
Pasquale Strazzullo; Lanfranco D'Elia; Giulia Cairella; Luca Scalfi; Michele Schiano di Cola
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension     Volume:  19     ISSN:  1179-1985     ISO Abbreviation:  High Blood Press Cardiovasc Prev     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-08-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9421087     Medline TA:  High Blood Press Cardiovasc Prev     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  59-64     Citation Subset:  IM    
Affiliation:
Department of Clinical and Experimental Medicine, ESH Excellence Centre of Hypertension, Federico II University of Naples, Naples, Italy.
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