DASH diet; High blood pressure - DASH; Hypertension - DASH; Low-salt diet - DASH
Sodium is one of the main elements in table salt (NaCl or sodium chloride). It is added to many foods to enhance the flavor. Too much sodium is linked to high blood pressure.
Eating a low-salt diet is an important way to take care of your heart. Most people eat about 3,400 mg of sodium a day. This is about twice as much as the American Heart Association recommends. Most healthy people should have no more than 2,300 mg of salt a day. People over 51 years old, and those who have high blood pressure, may need to limit sodium to 1,500 mg a day or less.
To get down to a healthy level, learn how to trim the excess salt from your diet.
Processed foods make dinner prep easy. But they account for 75% of the sodium in the American diet. This includes:
A healthy level of sodium is 140 mg or less per serving. If you use prepared foods, limit sodium by:
Also, use small amounts of condiments like ketchup, mustard, and soy sauce. Even the low-salt versions are often high in sodium.
Fruits and vegetables are a great source of flavor and nutrition.
Explore cooking with salt substitutes.
Read the labels on spice mixes. Some have added salt.
To add a little heat and spice, try:
Herbs and spices provide a mix of flavors. If you are not sure what spices to use, do a taste test. Mix a small pinch of a spice or spice mix into a lump of low-fat cream cheese. Let it sit for an hour or more, then try it and see if you like it.
Try these flavors to liven up your meals without salt.
Herbs and spices on vegetables:
Herbs and spices on meat:
Source: Flavor That Food, National Heart, Lung, and Blood Institute
You will notice a difference when you first start cooking without salt. Fortunately, your sense of taste will change. After a period of adjustment, most people stop missing salt and start enjoying the other flavors of food.
There are many great tasting low sodium recipes. Here's one you can try.
Chicken and Spanish Rice
*To reduce sodium, use one 4-oz (120 g) can of low-sodium tomato sauce and one 4-oz (120 g) can of regular tomato sauce.
Source: Your Guide to Lowering Your Blood Pressure with DASH, U.S. Health and Human Services.
Appel LJ. Diet and blood pressure. In: Bakris GL, Sorrentino MJ, eds. Hypertension: A Companion to Braunwald's Heart Disease. 3rd ed. Philadelphia, PA: Elsevier; 2018:chap 21.
Eckel RH, Jakicic JM, Ard JD, et al. 2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014;63(25 Pt B):2960-2984. PMID: 24239922 pubmed.ncbi.nlm.nih.gov/24239922/.
Mozaffarian D. Nutrition and cardiovascular and metabolic diseases. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 49.
US Department of Agriculture and US Department of Health and Human Services. Dietary Guidelines for Americans, 2020-2025. 9th ed. www.dietaryguidelines.gov/sites/default/files/2020-12/Dietary_Guidelines_for_Americans_2020-2025.pdf. Updated December 2020. Accessed January 25, 2021.
US Department of Health and Human Services website. Your guide to lowering your blood pressure with DASH. www.nhlbi.nih.gov/files/docs/public/heart/new_dash.pdf. Accessed July 2, 2020.BACK TO TOP
Review Date: 5/26/2020
Reviewed By: Meagan Bridges, RD, University of Virginia Health System, Charlottesville, VA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. Editorial update 01/25/2021.
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