2018, Número 1
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Revista Mexicana de Trastornos Alimentarios 2018; 9 (1)
Consumo excesivo de sal e hipertensión arterial: Implicaciones para la salud pública
Argüelles J, Núñez P, Perillán C
Idioma: Español
Referencias bibliográficas: 63
Paginas: 119-128
Archivo PDF: 142.53 Kb.
RESUMEN
La sal es necesaria para el buen funcionamiento del organismo, pero el aumento excesivo de su ingesta está produciendo
incremento en la incidencia de hipertensión arterial (HTA), la que constituye el principal factor de riesgo
de muerte en el mundo, y el segundo de discapacidad por enfermedad cardiaca y accidente cerebrovascular. El
objetivo de este trabajo fue revisar, desde una perspectiva actual, las relaciones existentes entre el consumo de sal
(CNS) y la salud pública, haciendo énfasis en la HTA, así como en las políticas existentes encaminadas a reducir su
sobreuso. Múltiples estudios señalan que la reducción del CNS en la población es una de las medidas más eficaces.
Sin embargo, la adición de sal durante el cocinado no es el único problema, ya que la mayor cantidad proviene de los alimentos preparados o precocinados. Por tanto, la lucha contra el consumo excesivo de sal debe concebirse
como una actividad permanente de los servicios médicos, con el apoyo constante de las autoridades públicas y
la colaboración de las industrias alimentarias, a través de reducir o eliminar la adición de sal de los preparados,
siguiendo las recomendaciones científicas emitidas en los últimos años.
REFERENCIAS (EN ESTE ARTÍCULO)
Argüelles, J., Perillan, C., Costales, M., Málaga, S., Díaz, J. J. y Vijande, M. (2010). Impacto de la programación fetal y perinatal sobre la homeostasia hidromineral cardiovascular. Fisiología, 12(1), 5-11.
Beckmann, S. L., Os, I., Kjeldsen, S. E., Eide, I. K., Westheim, A. S. y Hjermann, I. (1995). Effect of dietary counselling on blood pressure and arterial plasma catecholamines in primary hypertension. American Journal of Hypertension, 8(7), 704- 711. https://doi.org/10.1016/0895-7061(95)00122-6
Blackburn, H. y Prineas, R. (1983). Diet and hypertension: Anthropology, epidemiology, and public health implications. Progress in Biochemical Pharmacology, 19, 31-79.
Booth, J. N., Li, J., Zhang, L., Chen, L., Muntner, P. y Egan, B. (2017). Trends in prehypertension and hypertension risk factors in US adults: 1999-2012. Hypertension, 70(2), 275-284. https:// doi.org/10.1161/HYPERTENSIONAHA.116.09004.
Bruce, E. B. y de Kloet, A. D. (2016). The intricacies of the renin- angiotensin-system in metabolic regulation. Physiology and Behavior, e-pub. https://doi.org/10.1016/j.physbeh. 2016.11.020
Cobb, L. K., Anderson, C. A., Elliott, P., Hu, F. B., Liu, K., Neaton, J. D. et al. (2014). Methodological issues in cohort studies that relate sodium intake to cardiovascular disease outcomes: A science advisory from the American Heart Association. Circulation, 129(10), 1173-1186. https://doi.org/10.1161/ CIR.0000000000000015
Cobiac, L. J., Vos, T. y Veerman, J. L. (2010). Cost-effectiveness of interventions to reduce dietary salt intake. Heart, 96(23), 1920-1925. http://dx.doi.org/10.1136/hrt.2010.199240
Collins, M., Mason, H., O’Flaherty, M., Guzman-Castillo, M., Critchley, J., y Capewell, S. (2014). An economic evaluation of salt reduction policies to reduce coronary heart disease in England: A policy modeling study. Value in Health, 17(5), 517-524. http://dx.doi.org/10.1016/j.jval.2014.03.1722
Cook, N. R., Cutler, J. A., Obarzanek, E., Buring, J. E., Rexrode, K. M., Kumanyika, S. K. et al. (2007). Long term effects of dietary sodium reduction on cardiovascular disease outcomes: Observational follow-up of the trials of hypertension prevention (TOHP). British Medical Journal, 334(7599), 885-888. http://dx.doi.org/10.1136/bmj.39147.604896.55
ESH/ESC Task Force for the Management of Arterial Hypertension. (2013). Practice guidelines for the management of arterial hypertension of the European Society of Hypertension (ESH) and the European Society of Cardiology (ESC). Journal of Hypertension, 31, 1925-1938. http://doi.org/10.1097/HJH. 0b013e328364ca4c
Falkner, B., Oresti, G., Angelakos, E. T., Fernández, M. y Langman, C. (1979). Cardiovascular response to mental stress in normal adolescents with hypertensive parents: Hemodynamics and mental stress in adolescents. Hypertension, 1(1), 23-30. https://doi.org/10.1161/01.HYP.1.1.23
Felder, R. A., White, M. J, Williams, S. M. y Jose, P. A. (2013). Diagnostic tools for hypertension and salt sensitivity testing. Current Opinion in Nephrology and Hypertension, 22(1), 65-76. https://doi.org/10.1097/MNH.0b013e32835b3693
Feng, W., Dell’Italia, L. J. y Sanders, P. (2017). Novel paradigms of salt and hypertension. Journal of American Society of Nephrology, 28(5), 1362-1369. https://doi.org/10.1681/ ASN.2016080927.
Fitzsimons, J. T. (1998). Angiotensin, thirst, and sodium appetite. Physiological Reviews, 7(8), 583-686. https://doi. org/10.1152/physrev.1998.78.3.583
Food Standards Agency. (2009). Agency publishes 2012 salt reduction targets. Disponible en www.food.gov.uk/news/newsarchive/ 2009/may/salttargets
Graudal, N. (2015). The data show a U-shaped association of sodium intake with cardiovascular disease and mortality. American Journal of Hypertension, 28(3), 424-425. https:// doi.org/10.1093/ajh/hpu236.
Graudal, N. (2016). A radical sodium reduction policy is not supported by randomized controlled trials or observational studies: Grading the evidence. American Journal of Hypertension, 29(5), 543-548. https://doi.org/10.1093/ajh/hpw006
Graudal, N., Hubeck-Graudal, T. y Jurgens, G. (2012). Effects of low-sodium diet vs. high sodium diet on blood pressure, renin, aldosterone, catecholamines, cholesterol and triglyceride. Cochrane Database of Systematic Reviews 2011, 3, e-pub. https://doi.org/10.1002/14651858.CD004022.pub3.
Graudal, N., Hubeck-Graudal, T. y Jurgens, G. (2017). Effects of low sodium diet versus high sodium diet on blood pressure, renin, aldosterone, catecholamines, cholesterol, and triglyceride. Cochrane Database of Systematic Reviews 2017, 4, e-pub. https://doi.org/10.1002/14651858.CD004022.pub4.
Graudal, N., Jurgens, G., Baslund, B. y Alderman, M. H. (2014). Compared with usual sodium intake, low- and excessive-sodium diets are associated with increased mortality: A meta- analysis. American Journal of Hypertension, 27(9), 1129- 1137. https://doi.org/10.1093/ajh/hpu028
Gutiérrez, J. P., Rivera-Dommarco, J., Shamah-Levy, T., Villalpando- Hernández, S., Franco, A., Cuevas-Nasu, L. et al. (2012). Encuesta Nacional de Salud y Nutrición 2012: Resultados nacionales. Cuernavaca, México: Instituto Nacional de Salud Pública. Disponible en http://ensanut.insp.mx/informes/ ENSANUT2012ResultadosNacionales.pdf
Guyton, A. y Hall, J. E. (2016). Tratado de fisiología médica. Barcelona: Elsevier.
He, F. J., Brinsden, H. C. y MacGregor, G. A. (2014). Salt reduction in the United Kingdom: A successful experiment in public health. Journal of Human Hypertension, 28(6), 345-352. https://doi.org/10.1038/jhh.2013.105.
He, F. J., Campbell, N. R. y MacGregor, G. A. (2012). Reducing salt intake to prevent hypertension and cardiovascular disease. Revista Panamericana de Salud Pública, 32(4), 293-300. https:// doi.org/10.1590/S1020-49892012001000008
He, F. J., Li, J. y MacGregor, G. A. (2013). Effect of longer term modest salt reduction on blood pressure: Cochrane systematic review and meta-analysis of randomized trials. British Medical Journal, 346, e-pub. https://doi.org/10.1136/bmj.f1325.
He, F. J. y MacGregor, G. A. (2002). Effect of modest salt reduction on blood pressure: A meta-analysis of randomized trials. Implications for public health. Journal of Human Hypertension, 16(11), 761-770. https://doi.org/10.1038/sj.jhh.1001459
He, F. J. y MacGregor G. A. (2003). How far should salt intake be reduced? Hypertension, 42(6), 1093-1099. https://doi. org/10.1161/01.HYP.0000102864.05174.E8
He, F. J. y MacGregor, G. A. (2010). Reducing population salt intake worldwide: From evidences to implementation. Progress in Cardiovascular Diseases, 52(5), 363-382. https://doi. org/10.1016/j.pcad.2009.12.006
He, F. J. y MacGregor, G. A. (2015). Reducing population salt intake- time for global action. Journal of Clinical Hypertension, 17(1), 10-13. https://doi.org/10.1111/jch.12404.
Holmberg, A. R. (1950). Nomads of the long bow: The Siriono of Eastern Bolivia. Disponible en http://biblio.wdfiles.com/local--files/ holmberg-1950 siriono/holmberg_1950_siriono.pdf
Hoppu, U., Hopia, A., Pohjanheimo, T., Rotola-Pukkila, M., Mäkinen, S., Pihlanto, A. et al. (2017). Effect of salt reduction on consumer acceptance and sensory quality of food. Foods, 6(12), e-103. https://doi.org/10.3390/foods6120103.
Huh, J. H., Lee, K. J., Lim, J. S., Lee, M. Y., Park, H. J., Kim, M. Y. et al. (2015). High dietary sodium intake assessed by estimated 24-h urinary sodium excretion is associated with NAFLD and hepatic fibrosis. Plos One, 10(11), e-pub. https://doi. org/10.1371/journal.pone.0143222
Hurley, S. W. y Johnson, A. K. (2015). The biopsychology of salt hunger and sodium deficiency. Pflugers Archives, 467(3), 445-456. https://doi.org/10.1007/s00424-014-1676-y
Institute of Medicine. (2013). Sodium intake in populations: Assessment of evidence. Washington, D.C.: National Academies Press
Intersalt Cooperative Research Group. (1988). Intersalt: An international study of electrolyte excretion and blood pressure. Results for 24 hour urinary sodium and potassium excretion. British Medical Journal, 297(6644), 319-328.
Jayedi, A., Rashidy-Pour, A., Khorshidi, M. y Shab-Bidar, S. (2018). Body mass index, abdominal adiposity, weight gain and risk of developing hypertension: A systematic review and dose-response meta-analysis of more than 2.3 million participants. Obesity Reviews, e-pub. https://doi.org/10.1111/ obr.12656.
Johnson, A. K. (2007). The sensory psychobiology of thirst and salt appetite. Medicine and Sciences in Sports Exercise, 39(8), 1388-1400. https://doi.org/10.1249/mss.0b013e- 3180686de8
Karppanen, H. y Mervaala, E. (2006). Sodium intake and hypertension. Progress in Cardiovascular Diseases, 49(2), 59-75. http://doi.org/10.1016/j.pcad.2006.07.001
Land, M. A., Webster, J., Christoforou, A., Praveen, D., Jeffery, P., Chalmers, J. et al. (2014). Salt intake assessed by 24 h urinary sodium excretion in a random and opportunistic sample in Australia. British Medical Journal, 4, e003720. http://dx.doi. org/10.1136/bmjopen-2013-003720
Lawes, C. M., Vander Hoorn, S. y Rodgers, A. (2008). Global burden of blood-pressure-related disease, 2001. Lancet, 371(9623), 1513-1518. http://doi.org/10.1016/S0140-6736(08)60655-8
Lechl, K., Rakova, N., Dalmann, A., Rauh, M., Goller, U., Masner, M. et al. (2015). Agreement between 24-hour salt ingestion and sodium excretion in a controlled environment. Hypertension, 66(4), 850-857. http://doi.org/10.1161/HYPERTENSIONAHA. 115.05851.
Leshem, M. (2009). Biobehavior of the human love of salt. Neuroscience Biobehavioral Reviews, 33(1), 1-17. http://doi.org/ 10.1016/j.neubiorev.2008.07.007
Leshem, M. (2017). Salt appetite is not increased in summer heat. Appetite, 108(1), 28-31. https://doi.org/10.1016/j. appet.2016.09.017
López, L., Cordero, B. y Castillón, J. R. (2011). Sal y salud. Nutrición Clínica y Dietética Hospitalaria, 31(1), 50-57.
McCarron, D. A. (2014). What determines human sodium intake: Policy or physiology? Advances in Nutrition, 5(5), 578-584. https://doi.org/10.3945/an.114.006502
McGregor, G. A. y de Wardener, H. C. (1998). Salt, diet and health. Cambridge, Reino Unido: Cambridge University Press.
Mente, A., O’Donnell, M. J., Rangarajan, S., McQueen, M. J., Poirier, P., Wielgosz, A. et al. (2014). Association of urinary sodium and potassium excretion with blood pressure. New England Journal of Medicine, 371(7), 601-611. http://doi.org/10.1056/ NEJMoa1311989
Miller, A. P., Navar, A. M., Roubin, G. S. y Oparil, S. (2016). Cardiovascular care for older adults: Hypertension and stroke in the older adult. Journal of Geriatric Cardiology, 13(5), 373-379. http://dx.doi.org/10.11909/j.issn.1671-5411.2016.05.001
Mozaffarian, D., Fahmi, S., Singh, G. M., Micha, R., Khatibzadeh, S., Engell, R. E. et al. (2014). Global sodium consumption and death from cardiovascular causes. New England Journal of Medicine, 371, 624-634. http://dx.doi.org/10.1056/NEJMoaele1304127
Nomura, K., Asayama, K., Jacobs, L., Thijs, L. y Staessen, J. A. (2017). Renal function in relation to sodium intake: A quantitative review of the literature. Kidney International, 92(1), 67-78. http://doi.org/10.1016/j.kint.2016.11.032.
O’Donnell, M. J., Mente, A., Smyth, A. y Yusuf, S. (2013). Salt intake and cardiovascular disease: why are the data inconsistent? European Heart Journal, 34(14), 1034-1040. http://dx.doi. org/10.1093/eurheartj/ehs409
Organización Mundial de la Salud. (2013). Directrices: Ingesta de sodio en adultos y niños. Disponible en http://www.who.int/ nutrition/publications/guidelines/sodium_intake/es/
Organización Panamericana de la Salud. (2010). Documento de posición: Vigilancia de salud pública de las enfermedades crónicas no tansmisibles en las Américas. Disponible en http:// www.paho.org/hq/index.php?option=com_content&- view=article&id=1512&Itemid=1663&lang=es
Pimenta, E., Gaddam, K. K., Oparil, S., Aban, I., Husain, S. y Dell’Italia, L. J. (2009). Effects of dietary sodium reduction on blood pressure in subjects with resistant hypertension: Results from a randomized trial. Hypertension, 54(3), 475-481. http://dx.doi.org/10.1161/HYPERTENSIONAHA.109.131235
Rees, K., Dyakova, M., Wilson, N., Ward, K., Thorogood, M. y Brunner, E. (2013). Dietary advice for reducing cardiovascular risk. Cochrane Database Systematic Reviews, 6(12), e-pub. http://doi.org/10.1002/14651858.CD002128.
Richter, C. P. (1936). Increase salt appetite in adrenalectomized rats. American Journal of Physiology, 115, 155-161.
Sociedad Española de Hipertensión. (2014). La hipertensión arterial podría afectar a más de 588 millones de personas en 2025. Disponible en http://www.seh-lelha.org/prensa/NPDMundialHTA2014. pdf.
Stanhewicz, A. E. y Kenney, W. L. (2015). Determinants of water and sodium intake and output. Nutrition Reviews, 73(2), 73- 82. http://dx.doi.org/10.1093/nutrit/nuv033
Suckling, R. J., He, F. J., Markandu, N. D. y MacGregor, G. A. (2016). Modest salt reduction lowers blood pressure and albumin excretion in impaired glucose tolerance and type 2 diabetes mellitus: A randomized double-blind trial. Hypertension, 67(6), 1189-1195. http://doi.org/10.1161/HYPERTENSIONAHA. 115.06637
Thornton, S. N. (2010). Thirst and hydration: Physiology and consequences of dysfunction. Physiology and Behavior, 100(1), 15-21. http://dx.doi.org/10.1016/j.physbeh.2010.02.026
Vasan, R. S., Beiser, A., Seshadri, S., Larson, M. G., Kannel, W. B. y D’Agostino, R. B. (2002). Residual lifetime risk for developing hypertension in middle-aged women and men: The Framingham Heart Study. Journal of the American Medical Association, 287(8), 1003-1010. http://dx.doi.org/10.1001/ jama.287.8.1003
Whelton, P. K. (2018). Sodium and potassium intake in US adults. Circulation, 137(3), 247-249. http://doi.org/10.1161/CIRCULATIONAHA. 117.031371
Wolf-Maier, K., Cooper, R. S., Banegas, J. R., Giampaoli, S., Hense, H. W. y Joffres, M. (2003). Hypertension prevalence and blood pressure levels in six European countries, Canada, and the United States. Journal of the American Medical Association, 289(18), 2363-2369. http://doi.org/10.1001/ jama.289.18.2363