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According to WHO, about 9.8 million people die every year due to hypertension-related complications. Hypertension is considered a silent killer producing heart disease, kidney failure and strokes. About 35 percent of world population above the age of 25 suffers from hypertension. One of the important strategies to lower hypertension in the population and its complications is reducing salt intake. Developed countries like Finland, United Kingdom, Australia and Canada have been actively campaigning for the reduction of salt intake in the population. In these countries, there has been a close association between government and NGO’s for this purpose. Finland was the first country to show an enormous health benefit by reducing salt in the diet. Not only the population’s health improves, there is also a great benefit in saving health expenditure related to heart revascularization and dialysis.

How does eating salt lead to or cause hypertension?

Eating salt increases the amount of salt in your blood, which ruins the balance of electrolytes and other vitamins and minerals in your body. This imbalance reduces your kidney's ability to filter out toxins from your body. It also reduces your kidney's ability to get rid of excess fluid from your body. This results in high blood pressure due to excess fluid in your body that exerts pressure on the blood vessels leading to the kidneys. 

How much is too much?

Dr Umesh Khanna, Senior Nephrologist and Secretary of Amar Gandhi Foundation said, “The WHO’s recommendation of salt intake from all sources is less than 5 grams per day. Salt or sodium is present in natural food, it is added while cooking and also used as a preservative for processed food. Considering the rapid economic growth that is happening in our country with urbanization and increased demand for processed food, it is imperative that we act at the earliest to control the salt intake of the Indian population.”

What happens when you reduce your salt intake?
“Salt or Sodium in various forms has been used as a preservative for several thousand years. It enhances the taste, prevents the growth of harmful microorganisms and can improve the texture of food, Taste is often a habit and high salt intake can saturate the taste buds. If you lower salt intake for 2 weeks you can start appreciating low salt intake and other tastes,” says Dr Umesh Khanna

What are the most common hidden sources of salt one should keep an eye out for?

Dr Umesh Khanna said, “Sodium in various forms is used as a flavouring, buffering, anticaking, leavening, thickening and stabilizing agent. The biggest culprit is in baked goods especially bread and instant noodles.”

How can a person start to reduce their salt intake?

Here are a few tips by Dr Umesh Khanna

Get used to low salt to allow the taste buds to recover: Not only does reducing your salt intake affect your blood pressure and other health parameters, it also helps you taste foods better.

Eat fresh food when possible: Since processed foods are packed with high levels of salt, switching to fresh and natural foods is the best way to reduce your daily salt intake.

Add less salt in cooking: With high amounts of salt added to food, your taste buds become immune to the level of salt and you will eventually need more salt in your food to bring out the taste you are looking for. Gradually reducing this amount will help you give up the high salt habit one step at a time. And since your taste buds will eventually become more sensitive to salt content in food, dishes made with low salt will start to taste as delicious as one with high salt content.

Do not add extra salt while at the table: A common practice in India is to provide a little bit of salt on the side of one’s plate while eating and to provide a salt shaker for one to spice up their soups. By stopping this practice, you can reduce your salt intake.

Use herbs and spices as flavouring agents: Ditch the salt and use herbs and other natural flavouring agents to your dishes that will help enhance the flavour while reducing your salt intake.

Dr Umesh Khanna, MD, DNB Nephrology, Lancelot Kidney & GI Center, Karuna Hospital & Asian Heart Institute. He is the Chairman, Mumbai Kidney Foundation, Trustee, Sapiens Health Foundation, Secretary, Mumbai Nephrology Group and the Secretary, Amar Gandhi Foundation

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Regulating salt consumption is key to prevent hypertension, which is associated with an increased risk of heart disease, heart attack, stroke and heart failure, say experts. According to World Health Organization (WHO), adults should reduce consumption of sodium to less than 2 grams a day, or the equivalent of about one teaspoon of table salt to reduce the risk of heart disease. 

Hypertension is a condition in which the blood vessels have persistently raised pressure. Hypertension is also referred to as high or raised blood pressure. Hypertension can also affect fertility in both males and females, says Rajalaxmi Walavalkar of Cocoon Fertility. Hypertension not only affects fertility but also is also known to cause trouble sleeping. Trouble sleeping leads to signs of premature ageing, like fine lines, uneven pigmentation and reduced elasticity.

"Hypertension can lead to cardiovascular diseases. The rise in blood pressure caused by eating too much salt may damage the arteries leading to the heart," Vijay D'Silva, Director at the Asian Heart Institute, said in statement.

According to a recent study, published in the journal Hypertension, about half of adults living in Asia are suffering from the high blood pressure.

While lifestyle factors, including diet and stress, are behind the high hypertension rates in Asia, one common problem is high salt intake, the study showed.

Asians not only tend to have diets high in sodium, but they are genetically more sensitive to sodium, the researchers said.

"Raised blood pressure due to high salt consumption is the biggest single contributing risk factor for non-communicable diseases and damage to your kidney," explained Bhupendra Gandhi of the NGO Amar Gandhi Foundation.

Previously, it was believed that eating high amounts of fruit and vegetables might help counteract the effect of high salt on blood pressure.

However, another study led by researchers from the Imperial College London and Northwestern University, showed that people eating higher amounts of salt had higher blood pressure -- no matter how healthy a person's overall diet.

"Anyone with hypertension is at an increased risk of infertility. A high salt diet leading to high blood pressure can result in delayed puberty and even impact reproductive health," Walavalkar noted.

Besides affecting the heart and fertility, hypertension can affect the skin too, the health experts said.

"High blood pressure can harden your arteries, which decreases the flow of blood and oxygen. An impairment of the flow of oxygen, to an organ such as your face, can cause your skin to dry and wrinkles faster which can make one look less youthful," said Amit Karkhanis - Medical Cosmetologist and founder of Dr Tvacha clinic.

Reducing salt consumption in everyday life, cutting down on fried foods and processed foods, can not only curb the problem of hypertension but also save multiple organs from damage and pave way for a healthy life.

Also read: Mumbai Health: These 7 Lifestyle Changes May Help Lower Heart Disease Risk

(Edited by mid-day online desk, with inputs from IANS)

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The recent frenzy over supposed cracks in the Kemps Corner bridge - the country's first-ever flyover - has been proved to be an overreaction, but also brings to light the power that WhatsApp has to spread misinformation and paranoia.

This paper yesterday reported that thousands of app users had received a picture of a fissure in a portion of the bridge, with claims that the flyover was in danger of collapsing. The viral photo sparked widespread panic; so much so, that the civic commissioner was drawn into the Kemps Corner frenzy. There was a post from a young politician seeking to reassure the public. The 86-year-old architect of the bridge also gave a statement to assuage fears and calm outrage bubbling on WhatsApp.

Through the days, more rumours came in, stating that the bridge was falling and traffic had been diverted. One can imagine the mental state of a motorist about to drive onto the bridge, if they were to glance at WhatsApp and spot the alarmist message. The rapid-fire messages sparked fear and anger. Reassurance, on the other hand, was much slower to come.

This shows just how important it is that we filter messages on WhatsApp, and not forward blindly. In this 'quick click' age, it takes just the push of a button to spread fear. Thankfully, the bridge fall phobia had no major repercussions, but it does bring to mind other times when WhatsApp messages have started and stoked the fires of a frenzied crisis.

Each of us has a responsibility to verify, or at least use some discretion, before pressing the forward button. There is no race where one has to be first to pass on information. In fact, there is merit in holding back, cross-checking, and then forwarding only if there is credibility in the message. In this instant age, let's not fall for anymore half-baked stories.

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Eating too much salt can put you at a higher risk of a wide range of health problems, especially high blood pressure (hypertension). However, experts

Imports of Intra EU - Salt, Sulphur, Earths & Sto in the United Kingdom decreased to 39.33 GBP Million in February from 41.42 GBP Million in January of 2020. Imports of Intra EU - Salt, Sulphur, Earths & Sto in the United Kingdom averaged 26.80 GBP Million from 1996 until 2020, reaching an all time high of 55.45 GBP Million in November of 2018 and a record low of 10.87 GBP Million in May of 1996. This page includes a chart with historical data for the United Kingdom Imports of Intra EU - Salt, Sulphur, Earths & Sto.

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