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September 14, 2011

Urinary Sodium Excretion and Cardiovascular Disease Mortality

Author Affiliations

Author Affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia (

JAMA. 2011;306(10):1083-1087. doi:10.1001/jama.2011.1294

To the Editor: The authors of a recent study1 concluded that their findings “ . . . refute the estimates of . . . lives saved and health care costs reduced with lower salt intake.” We believe that this study does not shift the weight of evidence that strongly supports recommendations to reduce population sodium intake as an effective means to reduce heart disease, stroke, and all-cause mortality.2

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