Salt reduction in England from 2003 to 2011: its relationship to blood pressure, stroke and ischaemic heart disease mortality
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  • Published on:
    A thought of the implication of a salt reduction program in The Bahamas

    As a nursing student in the country of the Bahamas, I have seen firsthand the effects of high blood pressure, stroke and ischaemic heart disease in my country. In an editorial by The Nassau Guardian (2018) it states
    Minister of Health Dr. Duane Sands laid out the sobering statistics previously in the House of Assembly – data he has presented to the public before. We are the sixth most overweight or obese people in the world; The Bahamas has the worst non-communicable diseases profile in the Americas; we have an incidence of diabetes and hypertension so severe that our age-adjusted death rate in 2014 ranked The Bahamas seventh in the world in deaths from hypertension. (par. 1)
    The English government in 2003 began a program to get companies gradually to reduce the salt levels in processed foods. According to the World Health Organization “For adults: WHO recommends that adults consume less than 5 g (just under a teaspoon) of salt per day (1). For children: WHO recommends that the recommended maximum intake of salt for adults be adjusted downward for children aged two to 15 years based on their energy requirements relative to those of adults” (World Health Organization, 2016). This study looks to quantify the effects of England’s Salt reduction program in 2003 -2011 and its association with reports of hypertension, stroke and Ischaemic heart disease in the population of England. This study could be used as evidence for the success of a national plan to reduce th...

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    Conflict of Interest:
    None declared.
  • Published on:
    Re:Salt Intake, Mortality in England and Confounders

    The abstract indicates that age, sex, ethnic group, education, household income, alcohol consumption, fruit and vegetable intake and BMI were controlled for in the regression analysis of blood pressure.

    Smoking is not listed as a control variable, despite the significant drop in self-reported smoking behaviour. Is this a typographical error or is there a reason for excluding smoking?

    Conflict of Interes...

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    Conflict of Interest:
    None declared.
  • Published on:
    Salt Intake, Mortality in England and Confounders


    We have read the article by He FJ etal (1) with interest. The study further adds to the existing knowledge of the association between salt intake and hypertension, stroke and Ischaemic heart disease (IHD) in the population. The authors have highlighted the public health implications of salt reduction and the resultant reduction in mortality due to stroke and IHD. Before accepting the results we need to cons...

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    Conflict of Interest:
    None declared.