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Our understanding of the way the body handles salt may be wrong

nytimes.com

41–50 of 88 posts

Re: Our understanding of the way the body handles salt may be wrong

#41
post #25

Earlier quoted context omitted.

Wow, so the blanket "high blood pressure = eat less salt" advice given by most doctors sounds not just unhelpful but flat-out wrong and dangerous.

not if you're the people who sell blood pressure medication...

True to your username... ;)

Re: Our understanding of the way the body handles salt may be wrong

#42
post #22
post #18

Earlier quoted context omitted.

You'll notice the same behavior from long distance runners, cyclists, hikers, etc. At some point you start feeling dehydration because you're missing electrolytes. If your water intake isn't salted or packed with minerals in some other way, it just makes you thirstier and thirstier. Especially when it's hot out.

This simple lesson was taught to us day one in boot camp when I was in the army, and reiterated constantly over the years. We were required to take our salt packet out of our MRE's and eat the entire contents. The amount of water consumed (and flushed out through perspiration) throughout the day would have severely dehydrated anyone who didn't consume adequate (high) levels of salt.

Same: As a backpacker I worked in Kununurra, north of Australia, pruning 500 sandalwood trees a day. With 42•C, we drank 9 liters of water in 7hrs. Legend says a guy of the previous year didn't take electrolytes and died of dehydration. We literally soaked the portable waterproof batteries with out sweat.

Re: Our understanding of the way the body handles salt may be wrong

#43
post #30

I have a hypothesis that all the negative effects associated with increased salt intake are really negative effects of overeating. If we measure the salt intake of people who primarily eat fast food -- which has a constant salt content -- the amount of salt ingested will be proportional to the amount of food ingested. So the person who eats five Big Mac meals a day will ingest, roughly, five times as much salt as a p…

all the negative effects associated with increased salt intake are really negative effects of overeating

I'd also say that plays a role to some degree in real life, but only some. Net effects of higher salt intake (given oter things remain equal) can exist as well: the article clearly mentions higher salt intake leading to higher glucocorticoid levels which in turn are linked to osteoporosis, muscle loss, type 2 diabetes and other metabolic problems

Re: Our understanding of the way the body handles salt may be wrong

#44

I think Thor Heyerdahl or someone on one of his crews noted that when they added seawater to the freshwater to make it last longer it also made them less thirsty. IIRC they thought it was an interesting observation since it was against all common understanding, but I don't think they ever came close to a solution to why.

Did he (or they) happen to mention the ratios of salt water to fresh? I don't know a whole lot about this topic, but I do recall reading somewhere that thirsty seafarers who succumbed to the urge to drink seawater ended up dying more quickly. I wonder if they figured out how much was okay to drink before it started negatively impacting health.

I cannot remember the ratios or even if they mentioned it.

I'd guess they started with a little saltwater in the rations and increased as they sailed.

Re: Our understanding of the way the body handles salt may be wrong

#45
post #39

Earlier quoted context omitted.

The negative impact is due to water loss via vomiting or diarrhea, and thus having a negative water balance. It's not like saltwater in itself kills you. In fact, you could drink the water of some less salty seas, e.g. the Baltic Sea.

The real bad impact is from disrupting the way your kidneys work. Basically, seawater has a higher concentration of salt than it is possible for your kidneys to remove via urine (due to the physics of that process). For one thing, your body will try to use its existing water supply to flush the extra salt, which means that you'll be urinating (= dehydrating) more than usual. Once that's all gone, and seawater is the…

But the entire article is about the body using metabolic water, not dietary water, to excrete salt. So it wouldn't matter the concentration of the salt in the water you intake - your body would burn enough carbohydrates and protein to generate enough water to dilute it.

I suppose in a starvation situation you'd be in extreme catabolism and just make everything worse.

Re: Our understanding of the way the body handles salt may be wrong

#46

my n=1: I am on an extremely low sodium diet (around 500mg/day) and I didn't find any difference in thirst or hunger levels compared to when I was on a more typical 4000-5000mg/day one. The only change for me (besides of course a period of adjustment where food didn't taste like much) has been a significantly lower blood pressure (from typically 145/85 to 105/65), everything else has remained pretty much the same.

I'm on something similar. For about half a year, food tasted bland, but now most of the time I eat at a restaurant, food tastes gaggingly salty.

Re: Our understanding of the way the body handles salt may be wrong

#47
post #22

Earlier quoted context omitted.

This simple lesson was taught to us day one in boot camp when I was in the army, and reiterated constantly over the years. We were required to take our salt packet out of our MRE's and eat the entire contents. The amount of water consumed (and flushed out through perspiration) throughout the day would have severely dehydrated anyone who didn't consume adequate (high) levels of salt.

I drink tons of water and I get lots of cramps, presumably from electrolyte shortage. Is there any way of knowing what the right amount of salt is to be consuming?

Drink isotonic fluids (one of the best: alcohol-free beer).

Re: Our understanding of the way the body handles salt may be wrong

#48
post #8

Earlier quoted context omitted.

CFTR, being a chloride channel, most likely leads to diabetes as a consequence of its effects on the voltage-regulated insulin release in beta cells from glucose sensing. [1] It strikes me as unlikely to be related to the salt-wasting that occurs from failure to reabsorb chloride in the epithelium. 1 = https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4104438/

I think it is probably a lot more complicated than that. CF does a great many things to the body. It is an inflammatory condition and I have seen multiple articles linking diabetes and inflammation. People with CF tend to be seriously underweight and I have recently seen articles that link inadequate muscle protein to insulin resistance. There is no doubt more than that going on, those are just a couple of things tha…

I have CF. About 2009 (age 32) I developed diabetes (commonly known as CFRD, CF related diabetes). CF patients early on have the ducts in their pancreas blocked from producing digestive enzymes, causing low weight. We take digestive enzyme supplements to (inefficiently) counter this. (I realize you have CF too - laying out background for the non-CF reader) My understanding is that the eventual diabetes is caused by gradually decreasing pancreas function.

Re: Our understanding of the way the body handles salt may be wrong

#49

Earlier quoted context omitted.

I drink tons of water and I get lots of cramps, presumably from electrolyte shortage. Is there any way of knowing what the right amount of salt is to be consuming?

Drink isotonic fluids (one of the best: alcohol-free beer).

But the very best is beer. Garage Project Garagista more specifically.

Re: Our understanding of the way the body handles salt may be wrong

#50
Salt as far as I know is the only mineral (non plant) spice we use, it's purpose is to enhance taste.

There is a common confusion between salt (sodium chloride) and sodium, many falsely believing salt is not used only for taste but it's essential for health.

Sodium is a vital element that is found in almost all plants and animals and there is no need for an extra sodium intake because our food has plenty.

Sodium and potassium balance in the body is essential for cell physiology and our health https://en.wikipedia.org/wiki/Na%2B/K%2B-ATPase

I don't add salt in my food and avoid products with salt for more than a year, "heavy food" doesn't feel as heavy, my skin is not as dry as before and looks better and injuries seem to heal faster.

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