According to the Indian Council of Medical Research (ICMR) and its National Institute of Epidemiology (NIE), Excessive salt intake is emerging as a major health risk in India, contributing to rising rates of hypertension, heart disease, stroke, and kidney disorders.
Salt Consumption in India
- WHO recommended intake: Less than 5 grams per person per day.
- Urban India: Average intake is 9.2 g/day.
- Rural India: Average intake is 5.6 g/day.
- Both exceed the WHO guidelines.
Global Sodium Burden
- Each year, 1.9 million deaths are attributable to high sodium intake.
- WHO recommends sodium intake be below 2 g/day to reduce risk of hypertension and cardiovascular diseases (CVDs).
- Global average sodium intake (2019): 4.3 g/day, over double the recommended level.
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Government Initiatives
- FSSAI’s ‘Eat Right India’ movement promotes safe and healthy food.
- Social media campaign: ‘Aaj Se Thoda Kam’ encourages less salt intake.
- Despite efforts, daily sodium intake remains high at ~11 grams.
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About the Study
- The initiative focuses on lowering sodium intake using low-sodium salt substitutes.
- It is being conducted by NIE with support from the Indian Council of Medical Research (ICMR).
- The project is currently being implemented in Punjab and Telangana.
- Duration: 3 years
- Aims to assess the impact of structured salt reduction counselling delivered through Health and Wellness Centres (HWCs).
Need for Limiting Salt Intake
- Cardiovascular disease (CVD) is a leading cause of death in India, accounting for 28.1% of total deaths.
- High salt intake increases hypertension, contributing to over 1.6 million deaths in 2016 (up from 0.78 million in 1990).
- 32.1% of certified deaths in 2020 were due to circulatory system diseases, with hypertension as a key contributor.
- The economic burden is significant—over $2 trillion in projected losses (2012–2030) due to CVDs (World Economic Forum).
About Lower-Sodium Salt Substitutes (LSSS)
- LSSS are alternatives to regular salt, containing less sodium.
- They typically use potassium chloride (KCl), with or without other agents, to replicate the taste of regular salt.
- Health advantage: Combines reduced sodium intake with potential benefits of potassium.
- National and public health bodies are increasingly considering LSSS as a strategy to reduce sodium intake and lower blood pressure/CVD risk.
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Role of Low-Sodium Salt Substitutes
- These blends replace part of sodium chloride with potassium or magnesium salts.
- Shown to reduce blood pressure by 7/4 mmHg on average.
- Considered a practical alternative, especially for individuals with hypertension.
Why is Salt Consumption Important?
Salt, primarily composed of sodium chloride, is an essential nutrient for the body.
- Function: Helps regulate fluid balance, supports nerve impulse transmission, and enables muscle contraction.
- Health Balance: Adequate intake is necessary for normal body function, but excessive consumption can lead to health issues like hypertension and cardiovascular diseases.
- Ensuring moderate and regulated intake is important for overall health and prevention of lifestyle-related disorders.
Indian Council of Medical Research (ICMR)
- ICMR is the apex body for biomedical research in India, under the Ministry of Health and Family Welfare.
- It is responsible for the formulation, coordination, and promotion of medical and public health research.
- ICMR-National Institute of Epidemiology (ICMR-NIE), established in 1999, is a key institute focused on epidemiological studies and public health research.
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