Why India needs to urgently reduce its salt intake
Feb 11, 2025
auto_awesome
Dr. Vivekanand Jha, executive director at the George Institute for Global Health and former president of the International Society of Nephrology, dives into India's pressing need to reduce salt intake. He highlights alarming health risks linked to excessive sodium consumption, which contributes to 1.89 million deaths annually. Jha discusses innovative lower-sodium salt substitutes and their potential benefits, urging a nationwide public health campaign. The conversation also touches on rising ultra-processed foods, nutritional labeling, and the need for consumer empowerment in healthier dietary choices.
Excessive sodium intake in India, surpassing WHO recommendations, significantly contributes to non-communicable diseases and rising health risks among the population.
Lower sodium salt substitutes can effectively decrease sodium intake while maintaining taste, promoting improved cardiovascular health and better dietary choices.
Deep dives
The Health Risks of High Sodium Intake
Excessive sodium intake is a major contributor to non-communicable diseases, leading to significant health issues such as hypertension, cardiovascular disease, and even premature death. In India, high salt consumption results in a startling number of annual cardiovascular deaths, with forecasts suggesting this could steeply rise in the coming years. Individuals with existing health conditions face increased risks, while even healthy individuals are prone to rising blood pressure and related complications over time. The high average salt intake in India, which is two grams more than the WHO's recommended limit, indicates an urgent need for dietary adjustments to improve public health.
Understanding Lower Sodium Salt Substitutes
Lower sodium salt substitutes are designed to replace a portion of sodium chloride with potassium chloride, potentially reducing health risks associated with high sodium diets. These substitutes aim to maintain the familiar taste of salt while decreasing sodium content, thus promoting better cardiovascular health. Research has indicated that substituting one-third of the sodium chloride with potassium chloride can yield substantial health benefits, including increasing potassium intake, which is often deficient in the Indian diet. While generally safe for the majority of the population, those with advanced kidney disease should consult healthcare providers before making the switch.
The Need for Public Awareness and Regulation
The rising consumption of ultra-processed foods in India necessitates stricter regulations regarding sodium content and clearer labeling on food products. Effective public health campaigns are essential to educate the population about the dangers of excessive sodium intake and the benefits of using lower sodium salt substitutes. In particular, improved front-of-package labeling can help consumers make informed choices about their dietary habits. Implementing these measures could significantly reduce the health burden associated with high sodium diets in India, fostering greater awareness and encouraging healthier food options.
Two weeks ago, the World Health Organization released a set of guidelines recommending the use of the lower-sodium salt substitutes. These products reduce the amount of sodium chloride in the salt, replacing it with potassium chloride. Reducing salt intake – or sodium intake, has long been held by experts as one of the easiest and cheapest ways to reduce our burden of non-communicable diseases. The WHO’s recommendation is 5 grams of salt a day but Indians eat far more than this at around 8 grams per day. Think about this – an estimated 1.89 million deaths every year globally are associated with consuming too much sodium. And India bears a huge burden of these deaths.
So what are lower sodium salt substitutes, and how can they help? Do we need to reduce the salt used while cooking food? What about food outside the home, and ultra processed food available in supermarkets? What are the costs of lower sodium salt substitutes and does India need a country-wide programme to help people make this modification to their diets?
Guest: Dr Vivekanand Jha, executive director, George Institute for Global Health, India and past president, International Society of Nephrology
Host: Zubeda Hamid
Edited by Sharmada Venkatasubramanian.
Get the Snipd podcast app
Unlock the knowledge in podcasts with the podcast player of the future.
AI-powered podcast player
Listen to all your favourite podcasts with AI-powered features
Discover highlights
Listen to the best highlights from the podcasts you love and dive into the full episode
Save any moment
Hear something you like? Tap your headphones to save it with AI-generated key takeaways
Share & Export
Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more
AI-powered podcast player
Listen to all your favourite podcasts with AI-powered features
Discover highlights
Listen to the best highlights from the podcasts you love and dive into the full episode