More Spice on the Salt Debate

JUST AS the names "Star Wars" and Strategic Defense Initiative piqued interest and emotions in the 1980s, the termssalt war¹andsalt saga²and a recent editorial entitled "A Salty Issue"³discussing a series of articles published in theBritish Medical Journalhave elicited debate in the 1990s. The medical community and the lay public rarely have been as confused and polarized about a health issue as they are concerning the role of sodium chloride in human health and disease. Thus, it seems appropriate to examine the evidence, devoid of emotionalism and innuendo. Epidemiological evidence has established a direct relationship between the level of sodium intake and the prevalence of hypertension and its cardiovascular consequences in various societies throughout the world.⁴Despite the limitations of many of these observational studies, they have demonstrated that in societies in which habitual sodium chloride intake exceeds 50 to