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March 16, 1984

Dietary Salt Intake and Blood Pressure-Reply

Author Affiliations

University of Connecticut School of Medicine Farmington
Yale University School of Medicine New Haven, Conn

JAMA. 1984;251(11):1430. doi:10.1001/jama.1984.03340350023014

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In Reply.—  Use of salt has become an emotional issue, if not a moral one. Should all persons be expected to restrict salt intake to benefit the blood pressure of a still unclearly defined minority whose blood pressure is sensitive to salt? We do not believe so. We believe that wide-scale salt restriction is neither feasible nor desirable, and that instead of trying to move in that direction, we should endeavor to improve our ability to identify those persons whose blood pressure would benefit from salt restriction and prescribe for them accordingly. Although it is not now possible to identify salt-sensitive persons accurately, such a goal would seem far more reasonable than that of arbitrarily subjecting all persons to a maximum of 100 mEq or less of sodium daily.In reply to Dr Serafin, we make no pretense that our report sheds any light on the relationship between dietary salt