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PAGE B1 Jury Remains Out on Salt After two decades of research there is still disagreement about whether high salt consumption increases the risk of heart disease and stroke.
We have not evolved for high salt consumption".
A Western lifestyle with high salt consumption can lead to hypertension and cardiovascular disease.
Scientists told the committee there was general agreement that very high salt consumption could be harmful.
On the other hand, in countries with extremely high salt consumption, hypertension is common and stroke is a leading cause of death.
In recent years, scientists have found evidence that hypertension is caused by an immune overreaction; scientists had previously thought that it developed as a result of the chronic water retention that occurs with high salt consumption.
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The investigators found that the less salt people ate, the more likely they were to die of heart disease — 50 people in the lowest third of salt consumption (2.5 grams of sodium per day) died during the study as compared with 24 in the medium group (3.9 grams of sodium per day) and 10 in the highest salt consumption group (6.0 grams of sodium per day).
The high-salt user subgroup was defined as the quartile of the population with the highest salt consumption.
This may have resulted in selection bias towards the null, as, among the controls, the younger and more educated participants reported a higher salt consumption, and the positive association with salt may be underestimated in our study.
Residents of rural areas may be especially prone to higher salt consumption resulting from eating habits that included more coarse and pickled foods, and this may be one of the causes that induce the difference in iodine levels between rural and urban residents.
Additionally, multiple logistic regressions adjusted for these variables and four important risk factors of hypertension reported in the literature, including cigarette smoking, alcohol consumption, high salt intake and physical inactivity [ 21, 22], were established as the model 3 (main model) in this study.
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