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Research Article

Projected Impact of a Sodium Consumption Reduction Initiative in Argentina: An Analysis from the CVD Policy Model – Argentina

  • Jonatan Konfino mail,

    jkonfino@gmail.com

    Affiliations: Department of Health, Centro de Estudios de Estado y Sociedad, Buenos Aires, Argentina, Directorate of Health Promotion and Control of Non Communicable Diseases, Ministry of Health, Buenos Aires, Argentina

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  • Tekeshe A. Mekonnen,

    Affiliations: Department of Medicine, University of California San Francisco, San Francisco, California, United States of America, University of California San Francisco Center for Vulnerable Populations at San Francisco General Hospital, University of California San Francisco, San Francisco, California, United States of America

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  • Pamela G. Coxson,

    Affiliations: Department of Medicine, University of California San Francisco, San Francisco, California, United States of America, University of California San Francisco Center for Vulnerable Populations at San Francisco General Hospital, University of California San Francisco, San Francisco, California, United States of America

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  • Daniel Ferrante,

    Affiliation: Directorate of Health Promotion and Control of Non Communicable Diseases, Ministry of Health, Buenos Aires, Argentina

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  • Kirsten Bibbins-Domingo

    Affiliations: Department of Medicine, University of California San Francisco, San Francisco, California, United States of America, University of California San Francisco Center for Vulnerable Populations at San Francisco General Hospital, University of California San Francisco, San Francisco, California, United States of America, Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, United States of America

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  • Published: September 09, 2013
  • DOI: 10.1371/journal.pone.0073824

Reader Comments (1)

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Model projections insufficient

Posted by msatin on 11 Sep 2013 at 13:29 GMT

There appear to be two issues that interfere with these estimates:

1) The models employed in this work do not account for the mass of recent data on health outcomes as well as the IOM Report (1) on the Consequences of Sodium Reduction (KBD was on the IOM Committee) which demonstrate that salt reduction below the level of 3,000 mg sodium per day does not decrease, but rather increases the overall risk of morbidity and mortality across the population. Overall health outcomes data should supercede data on the single surrogate measure of blood pressure.

2) Using the actual Intersalt data (based upon 24 hr UrNa) and the life expectancy figures from the UN Population database, it appears that life expectancy correlates directly with salt consumption across various countries. This appears to contradict both the estmates in this paper as well as the Argentinian Goverment slogan, “Less salt More Life”.

(1) National Research Council. Sodium Intake in Populations: Assessment of Evidence. Section 1.2, Page 20. Washington, DC: The National Academies Press, 2013.

Competing interests declared: I am employed by the Salt Institute

RE: Model projections insufficient

JonatanKonfino replied to msatin on 12 Sep 2013 at 00:22 GMT

Many thanks for your comments. As stated in the Discussion we acknowledge some controversy about the ideal daily consumption. But in Argentina is moré than double the suggested (11gr). Under these scenario a reduction of 1gr Will be beneficial

No competing interests declared.

RE: Model projections insufficient

Padre replied to msatin on 19 Dec 2013 at 15:02 GMT

To write about optimal sodium intakes - without entropy, and without (aerobic and anaerobic) energy expenditure of sodium-potassium pump, and without the metal content of human milk, and without an evolutionary viewpoint - is not science.

The IOM and WHO (and many others) are used pseudo-sciences. This IOM Report (1) is a perfect example of pseudo-science. Unfortunately, in the field of health sciences hundreds of articles are contained pseudo-science. The optimal sodium intake and optimal Na/K ratio and others are calculable from human milk, which is an evolutionary perfect food, from every viewpoint.

The salt is the greatest blunder of the Homo Sapiens. Only the man nourishes the entropy in his own body. In the last five decades, the elite of the health science made experimental animals from the humanity, while - killed millions annually the sodium-induced disorder - the entropy, which accelerates our devolution. The science of salt is the number one perfect example onto the blunders, mistakes and irresponsibilities of
the modern health sciences.

You Mr. Satin, know these: Sodium-Induced Cellular Anaerobic Glycolysis and Sodium-Induced Disorder Syndrome? Or, you were never thinking about these? These are ignored and censored knowledges - this is the wicked problem of health sciences.

References:
http://www.science20.com/...
(and in comments below)

No competing interests declared.