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in Lifestyle

We’re eating too much salt and it’s killing us

by Andrea Du Plessis
11th January 2021
Too much salt increases the risk of high blood pressure, heart disease, and stroke. Photo: Supplied

Too much salt increases the risk of high blood pressure, heart disease, and stroke. Photo: Supplied

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Have you noticed how some people instinctively add salt to their food without even tasting it? While salt was labelled a can’t-get-enough-of flavour and food preservation ingredient back in the day, we thankfully now know to tread lightly with this popular food ingredient, says dietician and Food For Mzansi columnist Andrea Du Plessis.

Salt has been in use long before the beginning of recorded history. In fact, salt is rumoured to have been valuable enough to be used as currency in ancient Greece and Rome when paying soldier wages – hence the saying, “worth your salt.”

Why is salt important in our diet?

Salt forms an important component of our blood and the salts that we require from our diets to supply our needs include potassium and sodium. A lack of salt from our diets would leave us feeling very tired, prone to muscle cramps and may also increase the risk of irregular heart rate.

Fruits and vegetables contain natural salts, especially potassium and sodium, which supply our bodies with the healthy amounts of salt our bodies need.

What happens when you consume too much salt?

Our diets are rich in salt, especially from processed foods that contain added salt.

“Table salt” is also known as sodium chloride, which is found in high concentrations not only where we add it to our food, but also in processed foods, as it is the most popular flavour enhancer.

Limiting salt intake does result in a slight reduction in blood pressure. Yes, be careful with the salt – even on slap chips. Photo: Supplied

Even foods such as bread and tinned peas contain added salt, which often goes unnoticed. Up to 80% of our salt intake is from processed foods, where salt is added during the manufacturing – yet, we still sometimes feel the need to add additional salt.

Due to the high content of salt in our diets, we ingest a lot more salt than what we need, and an excess of salt can be detrimental to our health.

  • High blood pressure: A high salt intake is known to increase blood pressure, which can be dangerous in cases of existing hypertension. It increases the risk of heart attacks and strokes. According to the Heart and Stroke Foundation of South Africa 45% of adults in Mzansi have high blood pressure, 225 South Africans are killed by heart disease every day, and 10 South Africans suffer a stroke every hour.
  • Salt and osteoporosis: Excess salt intake is also known to increase the risk of osteoporosis, the bone disease that women are prone to get after menopause. That happens because excessive salt intake makes you lose more calcium via your urine. Calcium is the main structural mineral found in our bones and teeth.

How much is too much salt?

Even though dietary guidelines allow for a salt intake of about 5 grams per day, the daily salt intake of South Africans seems to average almost 8 to 9 grams per day. Most people are unaware of their high intake of salt, let alone the damaging effects it has on their health. No wonder salt has been referred to as “the slow, silent killer”.

Watch out for these high salt foods

Top 10 high-salt foods
Low-salt alternative
1. Salted snacks: crisps, biscuits, popcorn, salted crackers
Salt free crackers
2. Smoked, processed and cured meats
Fresh meat products flavoured with fresh herbs and spices
3. Pickled fish, anchovies, tuna and sardines
Fresh fish, flavoured with fresh herbs and spices
4. Meat extracts and stock cubes / powders
Home-made stocks and sauces
5. Pickled gherkins, onions, olives, capers, etc
Fresh salad ingredients
6. Salad dressings
Olive oil & lemon juice as base, flavoured with any of these ingredients: lemon zest, fresh herbs, mustard powder, spices, black pepper, etc.
7. Sauces: Tomato sauce, chutney, mustard and most soy sauces
Reduced sodium sauces (read product labels to identify those with low sodium levels)
8. Pre-packaged and frozen meals
Fresh foods and freshly prepared meals
9. Tinned / powdered soup
Homemade soup, flavoured with herbs and spices, which can also be frozen with ease.
10. Cheese, especially feta and cheddar
Low salt cheeses such as ricotta and cottage cheese.

Trust your taste buds!

Basically, any food that tastes salty contains salt, in some or other form. Unfortunately, we cannot always rely on food labels to tell us how much salt a food item contains. The obvious culprits are crisps, savoury snacks, biltong, sauces, mayonnaise, salad dressings, instant soups, soup powders, etc.

Fish contain healthy omega-3 fatty acids, which, boost energy by reducing cellular inflammation. Photo: Supplied

Even so-called “healthy foods” such as olives, feta cheese, pickled foods (like gherkins) and sushi contains lots of salt. Therefore, trust your taste buds and try to restrict regular intake of very salty foods.

Did you know that your taste perception for salt can be manipulated? By reducing your salt intake gradually (eating fewer salty foods and adding less salt onto your food), you can condition your taste buds, so that you “need” less salt for the same taste experience.

That may explain why people that hardly add salt to their food find many processed foods too salty, or those that eat lots of salty foods cannot seem to add enough salt to their food and find most cooked foods bland and tasteless.

Alternative ways to add flavour to food

We add salt to food to bring out the flavour. Instead of adding salt, why not add actual flavour instead? It is quite easy by simply incorporating these flavourful ingredients:

  • fresh or dried herbs (parsley, garlic, ginger, coriander, basil, etc.);
  • spices (black pepper, cumin, coriander and mustard); and
  • lemon juice.
Andrea du Plessis is a well-known registered dietician with a passion for healthcare through nutrition, natural remedies and a healthy lifestyle. She regularly presents talks and educational workshops on nutrition throughout the country. Du Plessis is also known as the former resident health and nutrition expert on SABC3’s Expresso breakfast TV show. 
The content in this article is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

Andrea Du Plessis

Andrea du Plessis is a well-known registered dietician with a passion for healthcare through nutrition, natural remedies and a healthy lifestyle. She regularly presents talks and educational workshops on nutrition throughout the country. Du Plessis is also known as the resident health and nutrition expert on SABC3’s Expresso breakfast TV show.

Tags: HypertensionSaltSodiumThe Heart and Stroke Foundation of South Africa
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