Reducing sodium intake to control blood pressure in children
Cardiovascular diseases (CVDs) are the leading cause of death globally. An estimated 17.5 million people died from CVDs in 2012, representing 31% of all deaths worldwide. High blood pressure (hypertension) is a major risk for CVDs. Children with elevated blood pressure are at high risk of CVD pathology during childhood, and are also at high risk for hypertension and CVDs as adults.
Evidence shows that reducing sodium intake significantly reduces blood pressure in adults and children. Sodium is found not only in table salt, but also naturally in a variety of foods, including milk, cream, eggs, meat and shellfish. It is also found in much high amounts in processed foods, such as breads, crackers, processed meats like bacon and snack foods such as pretzels, cheese puffs and popcorn, as well as in condiments such as soy sauce, fish sauce, and bouillon or stock cubes.
WHO recommendations
WHO recommends a reduction in sodium intake to control blood pressure in children aged 2–15 years.
The recommended maximum level of intake of 2 g/day sodium in adults should be adjusted downward based on the energy requirements of children relative to those of adults.
These recommendations complement the WHO guideline on potassium consumption and should not be interpreted to replace or supersede that guideline. Public health interventions should aim to reduce sodium intake and simultaneously increase potassium intake through foods. Additional information can be found in the guidance summary, and in the guideline under 'WHO documents' below.
WHO documents
GRC-approved guidelines
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Sodium intake for adults and children
Publication date: 2012
Other guidance documents
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Prevention of cardiovascular disease: Guideline for assessment and management of cardiovascular risk
Publication date: 2007 -
Diet, nutrition and the prevention of chronic diseases: Report of the joint WHO/FAO expert consultation, WHO Technical Report Series, No. 916 (TRS 916)
Publication date: 2003
Evidence
Systematic reviews used to develop the guidelines
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Effect of reduced sodium intake on blood pressures and potential adverse effects in children
Aburto NJ, Ziolkovska A.
Geneva: World Health Organization; 2012. -
Effect of reduced sodium intake on blood pressure, renal function, blood lipids and other potential adverse effects
Aburto NJ, Das S.
Geneva: World Health Organization; 2012. -
Effect of lower sodium intake on health: systematic review and meta-analyses
Aburto NJ, Ziolkovska A, Hooper L, Elliott P, Cappuccio FP, Meerpohl JJ.
BMJ. 2013;346:f1326.
Related Cochrane reviews
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Effects of low sodium diet versus high sodium diet on blood pressure, renin, aldosterone, catecholamines, cholesterol, and triglyceride
Graudal NA, Hubeck-Graudal T, Jurgens G.
Cochrane Database of Systematic Reviews. 2017; Issue 4. Art. No.: CD004022.