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• W1991475825 abstract "In their interesting review article, Malik et al 1 Malik A.H. Akram Y. Shetty S. Malik S.S. Yanchou Njike V. Impact of sugar-sweetened beverages on blood pressure. Am J Cardiol. 2014; 113: 1574-1580 Abstract Full Text Full Text PDF PubMed Scopus (98) Google Scholar do not seem to consider the underlying mechanism by which sugar-sweetened soft drink consumption is associated with increased blood pressure. For instance, there is clear evidence for a causal relation between salt intake and total fluid consumption, 2 He F.J. Markandu N.D. Sagnella G.A. MacGregor G.A. Effect of salt intake on renal excretion of water in humans. Hypertension. 2001; 38: 317-320 Crossref PubMed Scopus (99) Google Scholar as well as sugar-sweetened soft drink consumption, 3 He F.J. Marrero N.M. MacGregor G.A. Salt intake is related to soft drink consumption in children and adolescents: a link to obesity?. Hypertension. 2008; 51: 629-634 Crossref PubMed Scopus (253) Google Scholar an important and very relevant point that Malik et al failed to acknowledge. A carefully controlled metabolic study in adult humans in which salt intake was changed has quantified the relation between the change in salt intake and the subsequent change in fluid consumption. 2 He F.J. Markandu N.D. Sagnella G.A. MacGregor G.A. Effect of salt intake on renal excretion of water in humans. Hypertension. 2001; 38: 317-320 Crossref PubMed Scopus (99) Google Scholar A study in 10,074 free-living subjects across the world showed an identical relation between usual salt and fluid intake. 2 He F.J. Markandu N.D. Sagnella G.A. MacGregor G.A. Effect of salt intake on renal excretion of water in humans. Hypertension. 2001; 38: 317-320 Crossref PubMed Scopus (99) Google Scholar An analysis of the National Diet and Nutrition Survey data set showed that in free-living children in Great Britain, the same relation held true. 3 He F.J. Marrero N.M. MacGregor G.A. Salt intake is related to soft drink consumption in children and adolescents: a link to obesity?. Hypertension. 2008; 51: 629-634 Crossref PubMed Scopus (253) Google Scholar Similar findings have also been reported in the United States and Australia. 4 Grimes C.A. Wright J.D. Liu K. Nowson C.A. Loria C.M. Dietary sodium intake is associated with total fluid and sugar-sweetened beverage consumption in US children and adolescents aged 2-18 y: NHANES 2005-2008. Am J Clin Nutr. 2013; 98: 189-196 Crossref PubMed Scopus (67) Google Scholar , 5 Grimes C.A. Riddell L.J. Campbell K.J. Nowson C.A. Dietary salt intake, sugar-sweetened beverage consumption, and obesity risk. Pediatrics. 2013; 131: 14-21 Crossref PubMed Scopus (172) Google Scholar There is, therefore, no doubt that in humans, like other mammals, salt is a major drive to thirst, and an increase in salt intake will increase the amount of fluid consumed, and if part of this fluid is in the form of soft drinks, they will be increased proportionately. It is therefore likely that the increased salt intake is, at least, partially responsible for the increase in blood pressure and the increase in soft drink consumption. In other words, the observed association between sugar-sweetened soft drink consumption and blood pressure may be, in part, mediated by salt intake. Impact of Sugar-Sweetened Beverages on Blood PressureAmerican Journal of CardiologyVol. 113Issue 9PreviewThe impact of sugar-sweetened beverages (SSBs) on blood pressure (BP) has been debated, with some evidence suggesting that their increased intake is related to higher risk of developing hypertension. We conducted a systematic review exploring the relation between consumption of SSB and BP. A comprehensive search in 5 electronic databases along with a bibliography search was performed. The keywords “sugar sweetened beverages,” “sugary drinks,” “added sugars,” “blood pressure,” and “hypertension” were indexed in all combinations. Full-Text PDF An Unsavory Truth: Sugar, More than Salt, Predisposes to Hypertension and Chronic DiseaseAmerican Journal of CardiologyVol. 114Issue 7PreviewIn a recent editorial in the journal,1 He et al state that the association between sugar-sweetened beverage consumption and blood pressure may be mediated, at least in part, by salt intake. We take the issue with several points made by the authors and make a case for quite different conclusions. Full-Text PDF" @default.
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• W1991475825 title "Salt Intake, Sugar-Sweetened Soft Drink Consumption, and Blood Pressure" @default.
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• W1991475825 doi "https://doi.org/10.1016/j.amjcard.2014.05.004" @default.
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