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Sodium
HeartWorks
O’Bleness Hospital
+
Why Sodium?
 The body
 Sources of sodium
 Nutrition labels
 DASH diet
+
Sodium
and the
Body
 Muscle contraction
 Blood pressure
 Blood volume
 Nerve transmission
 Hydration
H2O
K
N
aMg
Ca
+
http://www.myfooddiary.com/Resources/nutrient_facts/nutrient_sodium.asp#howused
+
Sources
of
Sodium
 Table salt
 Sodium Chloride
 MSG
 Monosodium Glutamate
 Processed foods
 Sodium Nitrite
 Meat Preservative
 Baking Soda
 Sodium bicarbonate
 Artificial Sweetener
 Sodium Saccharin
 Sodium Benzoate
 Acidic foods: salad dressings (vinegar),
fruit juices (citric acid), carbonated drinks
(carbonic acid)
http://www.nlm.nih.gov/medlineplus/ency/article/002415.htm
+
Hypertension
 Normal blood pressure
 ≤ 120/80 mmHg
 Stage 1 hypertension
 ≥ 140/90 mmHg
What is
hypertension?
 High Blood Pressure
 Blood pressure is determined
by the amount of blood your
heart pumps and the amount
of resistance to blood flow in
your arteries.
 The more blood your heart
pumps the narrower your
arteries, the higher your blood
pressure
 May lead to clogging of the arteries
(atherosclerosis), heart disease,
kidney disease, and stroke
http://www.mayoclinic.org/diseases-conditions/high-blood-pressure/basics/definition/con-20019580
+
Risk Factors
for
High Blood Pressure
 Aging
 Overweight/ obesity
 Type 1 + Type 2 diabetes
 Family history
 Unhealthy lifestyle habits
 Smoking, drinking, lack of exercise, too little potassium in diet
http://www.nhlbi.nih.gov/health/health-topics/topics/hbp/atrisk.html
+
Experience
fluid retention?
A low sodium diet is beneficial for not only cardiac patients,
but pulmonary patients as well!
Remember:
Fluid (water) will follow salt! This can lead to swelling and physical
discomfort
+ DASH Diet
Dietary Approaches to Stop Hypertension
Rich in…
Fruits + vegetables
Fat-free + low fat milk
Whole grains
Fish + poultry
Beans, seeds, nuts
http://www.nhlbi.nih.gov/files/docs/public/heart/dash_brief.pdf
+
Less Salt…
More…
Calcium
PotassiumMagnesium
Sodium and potassium
work together in the
body- increasing
potassium and
decreasing sodium
intake can help lower
blood pressure!
+
Salt Substitutes
 Herbs
 Basil + Pesto
 Oregano
 Parsley
 Pepper
 Mrs. Dash + Mr. Spice
 Lemon Juice
 Lime Juice
 Wine
 Vinegar- red, white, apple cider
 Salsas- low sodium options, hot
sauces, read the label
 Herb infused oils
 Toasted sesame oil
 Spices
 Savory: black pepper, dill
seeds, curry powder
 Spicy: cayenne pepper
 Sweet: cinnamon, ginger,
nutmeg
http://www.livestrong.com/article/271087-spices-for-low-sodium-diet/
+
Common Food Flavorings
 Beef
 Green pepper, basil, curry,
garlic, mushrooms, pepper,
sage, rosemary, onion, onion
powder, dill
 Chicken
 Basil, cranberries, pineapple,
thyme, sage, paprika,
oregano, parsley
 Eggs
 Garlic, garlic powder, paprika,
tomato, rosemary, green
pepper, mushrooms
 Fish
 Basil, green pepper, lemon
juice, mushrooms, pepper,
tarragon, dill, curry
http://www.livestrong.com/article/271087-spices-for-low-sodium-diet/
+
Nutrition
Labels
 Recommended Dietary Allowance
 2,300 mg/ day
 DASH recommendation
 1,500 mg/ day
Most Americans have a
daily intake of 3,400 mg
of sodium!
Example:
Daily intake: 1,500 mg
Serving intake: 75 mg
75/1,500 mg = 5% daily intake
+
DASH Diet
Calorie Estimations
http://www.nhlbi.nih.gov/files/docs/public/heart/dash_brief.pdf
+
A “DASH” of Tips
 Snack on fruits
 Increase intake of fat-free + low-fat milk to 3 servings per day
 Add a serving of veggies at lunch one day, dinner the next
 Lean meats
 3 oz a meal/ 2 meals a day
 Be active!
http://www.nhlbi.nih.gov/files/docs/public/heart/dash_brief.pdf
+
Sodium
Jeopardy
+
What is the recommended dietary
allowance for sodium?
2,300 mg
+
What is considered to be normal
blood pressure?
≤ 120/80 mmHg
+
How many mg of sodium is
equivalent to one teaspoon of salt?
2,400 mg
+
What has more sodium: prepared or
processed foods?
Processed foods
+
Blood pressure is a measurement of
what?
The force of blood against the
walls of the heart
+
Those with hypertension (or other
cardiovascular problems) should
consume no more than how many
mg of sodium per day?
1,500 mg
+
What has more sodium: Whopper
with cheese from Burger King or a
Quarter Pounder with cheese from
Mcdonald’s
Whopper with cheese contains
1,590 mg compared to McDonald’s
Quarter Pounder with cheese
containing 1,110 mg
1,590/1,500
mg = 1.06 or
106% of daily
sodium intake
1,110/1,500
mg = .74 or
74% of daily
sodium intake
+
Which has more potassium: an
avocado or a banana?
An avocado has 708 mg of
potassium compared to the
banana’s 422 mg of potassium
(both are great sources!)
+Potassium
Rich
Foods
FRUITS
VEGGIES
https://www.kidney.org/atoz/content/potassium

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Sodium

  • 2. + Why Sodium?  The body  Sources of sodium  Nutrition labels  DASH diet
  • 3. + Sodium and the Body  Muscle contraction  Blood pressure  Blood volume  Nerve transmission  Hydration H2O K N aMg Ca + http://www.myfooddiary.com/Resources/nutrient_facts/nutrient_sodium.asp#howused
  • 4. + Sources of Sodium  Table salt  Sodium Chloride  MSG  Monosodium Glutamate  Processed foods  Sodium Nitrite  Meat Preservative  Baking Soda  Sodium bicarbonate  Artificial Sweetener  Sodium Saccharin  Sodium Benzoate  Acidic foods: salad dressings (vinegar), fruit juices (citric acid), carbonated drinks (carbonic acid) http://www.nlm.nih.gov/medlineplus/ency/article/002415.htm
  • 5. + Hypertension  Normal blood pressure  ≤ 120/80 mmHg  Stage 1 hypertension  ≥ 140/90 mmHg What is hypertension?  High Blood Pressure  Blood pressure is determined by the amount of blood your heart pumps and the amount of resistance to blood flow in your arteries.  The more blood your heart pumps the narrower your arteries, the higher your blood pressure  May lead to clogging of the arteries (atherosclerosis), heart disease, kidney disease, and stroke http://www.mayoclinic.org/diseases-conditions/high-blood-pressure/basics/definition/con-20019580
  • 6. + Risk Factors for High Blood Pressure  Aging  Overweight/ obesity  Type 1 + Type 2 diabetes  Family history  Unhealthy lifestyle habits  Smoking, drinking, lack of exercise, too little potassium in diet http://www.nhlbi.nih.gov/health/health-topics/topics/hbp/atrisk.html
  • 7. + Experience fluid retention? A low sodium diet is beneficial for not only cardiac patients, but pulmonary patients as well! Remember: Fluid (water) will follow salt! This can lead to swelling and physical discomfort
  • 8. + DASH Diet Dietary Approaches to Stop Hypertension Rich in… Fruits + vegetables Fat-free + low fat milk Whole grains Fish + poultry Beans, seeds, nuts http://www.nhlbi.nih.gov/files/docs/public/heart/dash_brief.pdf
  • 9. + Less Salt… More… Calcium PotassiumMagnesium Sodium and potassium work together in the body- increasing potassium and decreasing sodium intake can help lower blood pressure!
  • 10. + Salt Substitutes  Herbs  Basil + Pesto  Oregano  Parsley  Pepper  Mrs. Dash + Mr. Spice  Lemon Juice  Lime Juice  Wine  Vinegar- red, white, apple cider  Salsas- low sodium options, hot sauces, read the label  Herb infused oils  Toasted sesame oil  Spices  Savory: black pepper, dill seeds, curry powder  Spicy: cayenne pepper  Sweet: cinnamon, ginger, nutmeg http://www.livestrong.com/article/271087-spices-for-low-sodium-diet/
  • 11. + Common Food Flavorings  Beef  Green pepper, basil, curry, garlic, mushrooms, pepper, sage, rosemary, onion, onion powder, dill  Chicken  Basil, cranberries, pineapple, thyme, sage, paprika, oregano, parsley  Eggs  Garlic, garlic powder, paprika, tomato, rosemary, green pepper, mushrooms  Fish  Basil, green pepper, lemon juice, mushrooms, pepper, tarragon, dill, curry http://www.livestrong.com/article/271087-spices-for-low-sodium-diet/
  • 12. + Nutrition Labels  Recommended Dietary Allowance  2,300 mg/ day  DASH recommendation  1,500 mg/ day Most Americans have a daily intake of 3,400 mg of sodium! Example: Daily intake: 1,500 mg Serving intake: 75 mg 75/1,500 mg = 5% daily intake
  • 14. + A “DASH” of Tips  Snack on fruits  Increase intake of fat-free + low-fat milk to 3 servings per day  Add a serving of veggies at lunch one day, dinner the next  Lean meats  3 oz a meal/ 2 meals a day  Be active! http://www.nhlbi.nih.gov/files/docs/public/heart/dash_brief.pdf
  • 16. + What is the recommended dietary allowance for sodium? 2,300 mg
  • 17. + What is considered to be normal blood pressure? ≤ 120/80 mmHg
  • 18. + How many mg of sodium is equivalent to one teaspoon of salt? 2,400 mg
  • 19. + What has more sodium: prepared or processed foods? Processed foods
  • 20. + Blood pressure is a measurement of what? The force of blood against the walls of the heart
  • 21. + Those with hypertension (or other cardiovascular problems) should consume no more than how many mg of sodium per day? 1,500 mg
  • 22. + What has more sodium: Whopper with cheese from Burger King or a Quarter Pounder with cheese from Mcdonald’s Whopper with cheese contains 1,590 mg compared to McDonald’s Quarter Pounder with cheese containing 1,110 mg 1,590/1,500 mg = 1.06 or 106% of daily sodium intake 1,110/1,500 mg = .74 or 74% of daily sodium intake
  • 23. + Which has more potassium: an avocado or a banana? An avocado has 708 mg of potassium compared to the banana’s 422 mg of potassium (both are great sources!)

Editor's Notes

  1. Discuss examples of foods that provide carbohydrates, protein and fat. Many foods contain a mixture of these nutrients.
  2. Berries are generally lower in sugar than other fruits, (per serving). The “good sources” listed all provide >3 g fiber/serving.
  3. http://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/HealthyEating/Too-Much-Sodium-Infographic_UCM_454468_SubHomePage.jsp