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Getting too much sodium in your diet? Too little potassium? You’re not alone.

While we all probably realize that cutting down on excess salt is a good idea, it may be a little further down on our health “to do” list than it should be.

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One health expert recently described the common attitude toward reducing sodium in The Wall Street Journal article “Where Salt is Lurking on Restaurant Menus”:

“The consequence of too many calories is more conspicuous. The sodium issue is quite invisible until they have a stroke,” says Dr. Walter Willett, chairman of the department of nutrition at the Harvard School of Public Health.

Excess sodium’s severe effects on bone health may also seem invisible…even though we know it contributes to osteoporosis and excessive bone loss.

Why not take the first step to reduce sodium? When looking for a place to start, keep in mind that, according to the Centers for Disease Control (CDC), more than 40% of sodium comes from the following 10 types of foods: breads and rolls, cold cuts and cured meats such as deli or packaged ham or turkey, pizza, fresh and processed poultry, soups, sandwiches such as cheeseburgers, cheese, pasta dishes, mixed meat dishes such as meat loaf with tomato sauce, and snacks such as chips, pretzels, and popcorn.

Potassium: the hidden bone guardian

Along with sodium levels, it’s also important to consider your intake of potassium, which I called the hidden bone guardian! Sodium and potassium work together to maintain the critical fluid balance within the body. Potassium also works to neutralize bone-depleting metabolic acids.

To get the recommended level of 4,700 mg a day of potassium, try to include 13 half-cup servings of fruits and vegetables a day. Some good sources include asparagus, raw bamboo shoots, avocados, baked potatoes with the skin, and cantaloupe. See my list of potassium rich foods for other wholesome options.

Remember, diet is one of the key factors you can control when it comes to your bone health. In fact, what you eat — and choose not to — is so important that I’ve included an entire section on nutrition on my website. My Personal Program for Better Bones also includes a 30-day meal plan complete with easy-to-prepare recipes.

 

References:

Dizik, A. 2013. Where salt is lurking on restaurant menus. The Wall Street Journal. URL: http://online.wsj.com/article/SB10001424127887323277504578193442345026364.html (accessed 02.18.13)

Cogswell, M.E., Am J Clin Nutr. 2012 Sep;96(3):647-57. doi: 10.3945/ajcn.112.034413. Epub 2012 Aug 1. URL: http://www.ncbi.nlm.nih.gov/pubmed/22854410 (accessed 01.10.2013)

CDC (Centers for Disease Control and Prevention). 2012. Vital Signs. URL: http://www.cdc.gov/vitalsigns/sodium/ (accessed 01.10.2013). Atlanta, Georgia.

You can try Dr. Brown’s comprehensive supplements in her at-home bone health program, developed with Women to Women. Get her exclusive formulations along with her detailed lifestyle and diet guidance, plus telephone support whenever you need it. Learn more about the Personal Program for Better Bones.

We created the Better Bones blog as our forum to express opinions and educate the public about natural means of supporting and improving bone health and overall wellness. As part of this forum, we sometimes discuss medical issues and medications, and their effects on bone health in general. However, we cannot advise readers about specific medical issues in this forum. If you wish to obtain advice from Susan E. Brown, PhD, about your specific bone health and nutritional concerns, please visit our Consultations page. Other specific medical questions should be referred to your healthcare provider.

Comments

February 21. 2013 05:28

Patty Rhodes

March 4. 2013 10:31

How much sodium is considered to be too much for bone health?

Tonya

March 4. 2013 13:12

I'd like to thank you for the list of potassium-rich foods. I had been feeling cravings, and couldn't really identify what my body was asking for. I added a lot of the foods from the list to my grocery list, and have since been eating a lot more pinto beans, black-eyed peas, avocado, canteloupe and winter squash. I don't have the cravings now. I also found a great bean soup recipe that is potassium rich: it contains butternut squash, pinto beans and an orange! Very flavourful too, with cinnamon, cardamom, allspice and mace. Puree in the blender and add a cup of milk. Yummy!

I would also like to comment on the list of high-sodium foods. I am wondering what is being done to put pressure on food manufacturers to lower the sodium in their products without penalizing the buyer, costwise. It seems counterintuitive to have to pay more for something that contains less of an ingredient that costs money. Campbell's Soups, for instance, made a big deal about lowering the amount of salt in their soups, but not in the most commonly purchased, and cheapest, varieties. Why is it that healthier foods are perceived by the food industry as "gourmet"? Maybe a portion of their profits from these products should go directly to healthcare programs. That's my two-cents worth.

Ilehlia

March 4. 2013 13:31

Hi Tonya,

In general, it's a good idea to keep salt intake below 2,000 mg/day (roughly one teaspoon).
From this article: http://www.betterbones.com/bonenutrition/factcharts/default.aspx

Hope that helps!

- BB Blog Admin

Blog Admin

March 6. 2013 17:07

It's not the amount of sodium, it's the ratio between potassium and sodium. Some high-sodium foods, such as McDonald's chips, have nearly twice as much potassium as sodium, so are a _healthy_ addition to the diet (excluding their fat content).  Pringle's chips, on the other hand, have the potassium washed out during processing.  
Very few manufactured foods reveal both sodium and potassium.  A concerted effort to call toll-free numbers is needed: (1) what is the potassium content of your product?  (2) Why don't you know?  (3) Is it ignorance or is your company ashamed of how little potassium your product has?

Jay Donald Mann

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