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6 ways to eat less salt

DASH diet effective but not the only way to reduce sodium

Your body needs a little bit of salt every day for the sodium it contains. But too much sodium can boost blood pressure and stress the heart and blood vessels. The low-sodium Dietary Approaches to Stop Hypertension (DASH) diet is high in fruits, vegetables, and whole grains; moderately high in nuts and low-fat dairy products; and low in red and processed meats. Following it can lower blood pressure and reduce the risk of heart disease and stroke.

The DASH diet is a good way to eat healthy. But there's no need to follow that specific diet to get measurable results. If you want to tackle cutting back on sodium, try these six tips:

Which foods don't belong in a healthy diet?

Keep unhealthy foods to minimum, balanced with nutritious choices

Image: iStock

What exactly is a healthy diet? The basics are pretty simple. Everyone needs a mix of proteins, carbohydrates, and fats, plus enough vitamins and minerals for optimal health. But science is revealing that some of the food choices within these categories are better than others.

Go slow on unhealthy foods

Are there foods you never should eat? Not really. If you crave an ice cream sundae occasionally, have a small one. But don't make it a daily event. Offset the chips you ate at your neighbor's barbeque with healthier snacks at home. Healthy eating doesn't mean eliminating certain foods altogether. However, there are some things that are best eaten only rarely.

Can I substitute nuts for animal protein?

Nuts are a good source of plant fats and protein, but they are high in calories. It’s a good idea to limit nut consumption to 1 ounce per day.

The lowdown on low sodium

Here's how to keep your daily salt intake in check.


Image: Mark Poprocki/Thinkstock

Most men probably consume too much sodium, and new federal guidelines are aimed at helping them curb their habit.

The FDA advises no more than 2,300 milligrams (mg) of sodium daily—the amount in about 1 teaspoon of salt. (People with prehypertension and hypertension should limit their intake to 1,500 mg, roughly the amount in 3/4 tea-spoon of salt.)

Higher levels of omega-6 fatty acids may lower death rates in older men

A new study found that high levels of omega-6 fatty acids in the subcutaneous adipose tissue—the layer of fat just beneath the skin—correlated with lower death rates among older men. Omega-6s mostly come in the form of linoleic acid, found in plant oils (such as corn, soybean, and sunflower oils) as well as nuts and seeds. Linoleic acid is known to shrink levels of bad LDL cholesterol in the blood, which can contribute to lower incidence of heart disease.

Is eating dried fruit healthy?

Ask the doctor


 Image: lola1960/iStock

Q. I love dried fruit and thought it was healthy. But I hear that you gain a lot of weight eating dried fruit, which is not healthy. What's the truth?

A. The truth is that the actress and comedian Mae West was wrong when she allegedly said "Too much of a good thing ... can be wonderful!" Food contains calories, and eating too many calories-even of healthy foods-leads to weight gain. But there are healthy calories and unhealthy ("empty") calories, and fruit is a healthy source of calories. That's as true of dried fruit as fresh fruit.

Why will the new food labels highlight added sugars?

The new Nutrition Facts labels will list “added sugars” in a serving of food. Until the labels appear, one should look for sugars such as dextrose and sucrose on a label’s list of ingredients.

How to avoid the health risks of too much salt

Stick to fresh foods, and fill your salt allotment from healthy sources like whole-grain breads.


 Image: Michael Carroll Photography

As we reported in August 2016, the FDA is encouraging the food industry to cut back on added sodium in commercially processed and prepared food. It's a good reminder for all of us that too much salt in the diet is risky for health. How much is too much? "It's controversial, although I don't think anyone is in favor of unlimited salt intake," says Dr. Randall Zusman, a cardiologist with Harvard-affiliated Massachusetts General Hospital.

Salt risks

How much is too much?

So what's the controversy about? It centers on how much salt is safe for consumption, and it's still being debated. The American Heart Association recommends a limit of 1,500 milligrams (mg) per day. The FDA recommends a limit of 2,300 mg of sodium per day. The U.S. Dietary guidelines used to recommend a limit of 1,500 mg per day for a wide swath of people (everyone 51 and older, all African Americans, and anyone with high blood pressure, kidney disease, or diabetes), but this year changed it to 1,500 mg per day only for people with high blood pressure, and 2,300 mg for everyone else.

Common sources of sodium

What you should do

It's best to avoid processed food. Choose fresh, frozen (no sauce or seasoning), or no-salt-added canned vegetables, and opt for fresh poultry, seafood, and lean meat, rather than processed meat and poultry.

Krivitsky recommends limiting sodium to 500 or 600 mg per meal, and making sure it comes from healthy sources, like whole-grain breads and cereals.

How can you find out about sodium content? Start reading Nutrition Facts labels. You really can find low-sodium options. For example, one cup of Post Shredded Wheat has no sodium, and half a cup of Prego No Salt Added pasta sauce has just 40 mg of sodium.

Krivitsky also recommends ditching saltshakers and flavoring food instead with spices, such as cumin, rosemary, basil, ginger, or dill; flavored vinegars; and lime or lemon juice. "Low salt doesn't mean less flavor," points out Krivitsky. "It just means less salt."

How about a salt substitute?

When you want to add something salty to food, a salt substitute may do the trick. Substitutes are made from potassium chloride, which is similar to table salt (sodium chloride).

Substitutes fall into two categories: low-sodium or "light" salt, which replaces up to half of the sodium chloride with potassium chloride, and no-sodium or "salt-free" salt, which contains only potassium chloride.

For some people, potassium chloride can leave a bitter aftertaste. People with certain types of heart or kidney disease, or taking certain potassium-retaining medicines, may be told to avoid potassium-based substitutes. For others, potassium chloride is advisable: it not only helps avoid excess sodium, but also helps lower blood pressure.

 

 

 

Magnesium: A mineral you might be missing

A healthy diet is the best way to make sure you're getting enough of this essential element.


 Image: mamadela /Thinkstock

Magnesium probably isn't a mineral that comes to mind when you think about heart health. But a recent report showing that magnesium supplements may modestly lower blood pressure may have left some people wondering if they should head to Whole Foods to buy a bottle of magnesium pills.

"That's what I'm worried about," says cardiologist Dr. Elliott Antman, professor of medicine at Harvard Medical School. The reason? There's far stronger evidence that consuming less sodium will help improve your blood pressure. "I don't want people to think they can stop paying attention to how much salt they're eating if they're taking a magnesium supplement," he says.

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