NUTR100 Lecture Notes - Lecture 16: Dash Diet, Essential Hypertension, Dietary Reference Intake
Chpater 10 Part 2
Sodium
- Modern diet is high in salt, low in potassium, because of processed foods
o 70% is from processed foods
- Functions:
o Fluid and electrolyte balance
▪ Na-K ATPase pumps Na out of cell and K into cell
▪ Associated with blood pressure and pH balance in the body
• Na in blood increases blood volume and pressure
o Nerve impulse transmission and muscle contraction
o Assists in the transport of certain nutrients (glucose) into body cell
- Kidneys are main regulator of sodium and potassium in the body
- Recommended levels: Adequate intake (19-50 years) is 1500 mg per day
o Upper level is 2300 mg per day. Equivalent to 1.5 tsp
- Hyponatremia: abnormally low blood sodium level
o Can occur from sickness/exercise
o Can result from prolonged vomiting, diarrhea and sweating
o Has been seen in endurance athletes who consume too much water with little or
no electrolytes, usually accompanied with increased sodium loss
- Avg Canadian intake: found 3100mg of sodium per day
o At least ¾ of Canadians have sodium intakes that exceed the UL
o 90% of male and 66% of females consume above the upper limit
- If sodium intake is too high can cause hypertension
o High blood pressure > 140/90mm
▪ Increased risk of stroke
▪ Increased heart attack risk
▪ Major concern for people with medical conditions
o Essential hypertension (HTN):no obvious cause, most likely resulting from the
disturbance of one or more mechanisms that control fluid balance
o Secondary Hypertension: occurs as a result of other disorders
o Risk of HTN affected by genetics, existing disease conditions, lifestyle factors
o 1/3 of the population is salt sensitive
▪ believed to be because of a defect in the kidneys
- Hypertension: associated with excess body weight, inadequate K intake, suboptimal
dietary patterns/intakes, high alcohol intake
o 80% of people over 75 y have hypertension
o 17% of Canadians don’t kno they hae it
o 20% have pre-hypertension (120/80 – 139/89mm)
- High blood pressure damages artery walls
- Majority of sodium in diet comes from restaurant and processed food (77%), 12% added
at the table or in cooking, occurs naturally in foods is 11%
- DASH diet(Dietary approaches to stop hypertension)
o Low in saturated fat, cholesterol, low fat dairy
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Document Summary
Modern diet is high in salt, low in potassium, because of processed foods: 70% is from processed foods. Kidneys are main regulator of sodium and potassium in the body. Recommended levels: adequate intake (19-50 years) is 1500 mg per day: upper level is 2300 mg per day. Avg canadian intake: found 3100mg of sodium per day: at least of canadians have sodium intakes that exceed the ul, 90% of male and 66% of females consume above the upper limit. If sodium intake is too high can cause hypertension: high blood pressure > 140/90mm. Hypertension: associated with excess body weight, inadequate k intake, suboptimal dietary patterns/intakes, high alcohol intake: 80% of people over 75 y have hypertension, 17% of canadians don"t kno(cid:449) they ha(cid:448)e it, 20% have pre-hypertension (120/80 139/89mm) Majority of sodium in diet comes from restaurant and processed food (77%), 12% added at the table or in cooking, occurs naturally in foods is 11%