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			 “Despite knowledge that a high salt diet is related to high blood 
			pressure it was not a high level of concern for this population 
			group,” Kristy Gray, a researcher with the University of South 
			Australia School of Pharmacy and Medical Science in Adelaide, and 
			her coauthors wrote in the journal Appetite. 
			 
			Although there is some controversy about optimum sodium intake, the 
			authors say there is also good evidence showing a reduction in salt 
			intake may help prevent strokes, heart attacks and other 
			cardiovascular events. 
			 
			Moreover, people with diabetes are already at higher risk of 
			cardiovascular disease, so they need to be extra careful, the 
			authors point out. 
			 
			Gray and her colleagues reviewed questionnaires answered by 
			Australian adults with type 1 or type 2 diabetes. They also measured 
			participants’ blood sugar, blood pressure, and the amount of sodium 
			in their urine. 
			 
			Of the 143 people who participated in the study, only about a third 
			knew that salt contains sodium. Only 6 percent knew that the 
			recommended upper limit for salt intake for Australians is 6 grams 
			per day. 
			
			  
			More than 80 percent knew that processed foods such as bacon and 
			pizza are high in salt, and 90 percent knew that foods such as 
			carrots are low in salt. But fewer than 30 percent of participants 
			knew that white bread and cheese are high in salt. 
			 
			About half of the study group believed their health would improve if 
			they lowered their salt intake and three quarters agreed that food 
			manufacturers should do more to reduce salt. 
			 
			But when asked which nutrients were their biggest “concern,” 65 
			people listed sugar, 41 said saturated fat, 35 said fat in general 
			and only 10 said salt was their biggest worry. 
			 
			Almost three-quarters of the participants said they look for the 
			sodium content of foods when shopping and 38 percent said they often 
			buy low- or reduced-salt foods. 
			 
			And people who said they read the food labels tended to report lower 
			sodium intake, although there was no connection between label 
			reading and sodium levels in urine, suggesting that even people 
			trying to be careful about salt were still consuming too much of it. 
			 
			On average, people with type 1 diabetes had lower sodium intake than 
			those with type 2, and men had higher intake - a median of 2,907 
			milligrams a day - compared to women, with a median of 1,962 
			milligrams a day. 
			 
			Healthy people should limit their total sodium intake to 2,300 
			milligrams a day, or about the amount in a tablespoon of salt, 
			according to the U.S. National Institutes of Health. For adults with 
			high blood pressure, the recommendation is no more than 1500 
			milligrams a day. 
			
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			Lauren Graf, a dietitian at Montefiore-Einstein Cardiac Wellness 
			Program in New York, called the new study interesting, and 
			consistent with other research on hidden sodium in processed foods. 
			 
			But hidden sodium is only one of many unhealthy aspects of processed 
			foods that have the potential to affect heart health directly and 
			indirectly, Graf pointed out. 
			 
			“The ‘elephant in the room’ that they're not saying is that there 
			are so many things wrong with a lot of the processed food,” she told 
			Reuters Health. 
  
			“So they're basically trying to attribute the role of nutrition and 
			blood pressure to one micronutrient - sodium - and the reality is 
			there are many factors,” said Graf, who wasn’t involved in the 
			study. 
			 
			As an example, Graf said that refined carbohydrates also tend to 
			raise blood pressure. 
			 
			“If a diabetic were to choose a low-sodium version of a highly 
			processed cereal or bread, they're going to have a false sense of 
			security in terms of doing something good for their health because 
			they should be limiting a lot of those foods for a lot of reasons,” 
			she said. 
			 
			Graf said the focus should be on shifting to eating real food and 
			less processed food, which will automatically reduce the sodium 
			content and increase the intake of beneficial antioxidants and 
			fiber. 
			 
			“There's a lot of antioxidants in green leafy vegetables and dark 
			chocolate and nuts that actually seem to make the blood vessels more 
			flexible and improve blood pressure,” she said. 
			 
			SOURCE: http://bit.ly/1rKIVuw 
			Appetite, online August 13, 2014. 
			[© 2014 Thomson Reuters. All rights 
				reserved.] Copyright 2014 Reuters. All rights reserved. This material may not be published, 
			broadcast, rewritten or redistributed. 
			
			
			  
			
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