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An Unsavory Truth: Sugar, More than Salt, Predisposes to Hypertension and Chronic Disease

      In a recent editorial in the journal,
      • He F.J.
      • MacGregor G.A.
      Salt intake, sugar-sweetened soft drink consumption, and blood pressure.
      He et al state that the association between sugar-sweetened beverage consumption and blood pressure may be mediated, at least in part, by salt intake. We take the issue with several points made by the authors and make a case for quite different conclusions.
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      Linked Article

      • Salt Intake, Sugar-Sweetened Soft Drink Consumption, and Blood Pressure
        American Journal of CardiologyVol. 114Issue 3
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          In their interesting review article, Malik et al1 do not seem to consider the underlying mechanism by which sugar-sweetened soft drink consumption is associated with increased blood pressure. For instance, there is clear evidence for a causal relation between salt intake and total fluid consumption,2 as well as sugar-sweetened soft drink consumption,3 an important and very relevant point that Malik et al failed to acknowledge. A carefully controlled metabolic study in adult humans in which salt intake was changed has quantified the relation between the change in salt intake and the subsequent change in fluid consumption.
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