Research
Hormonal
The risk reduction from salt reduction is independent of baseline blood pressure, suggesting mechanisms beyond just blood pressure lowering.
Even if your blood pressure is normal, high salt intake can damage your heart muscle and arteries directly. Reducing salt protects your heart structure, not just your numbers.
GoodQualifiesHIGH confidence
This finding seems at variance with the hypothesis that the effect of salt on cardiovascular risk is substantially mediated by its unfavourable action on blood pressure... Part of the association observed, however, might be mediated by factors other than blood pressure, and there is evidence in the literature of deleterious effects of high salt intake on left ventricular mass, arterial stiffness, and renal function, which are not totally explained by its effect on blood pressure.
Why this rating
Based on subgroup analysis of studies adjusted for baseline BP.
Source
Salt intake, stroke, and cardiovascular disease: meta-analysis of prospective studies
Pasquale Strazzullo et al. · BMJ · 2009
DOI 10.1136/bmj.b4567
Meta-analysis · 13 studiesCited 1,591×
Read the paper DOI resolved against Crossref · corpus check 2026-06-10
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