The guidelines for hypertension treatment recommend a reduction of dietary
sodium intake. There is still a controversy, few studies showing an inverse
correlation between cardiovascular morbidity and salt intake, about the be
nefit expected from a reduction of sodium intake on the blood pressure leve
l.
This controversy is explained by the great variability of the pressure resp
onse when individuals are exposed to different sodium intakes, diet and env
ironmental factors playing an additional role of variability. Salt sensitiv
ity is more frequent in hypertensive, obese and in elderly patients. There
is no harm to reduce salt overtake moreover normalisation of the dietary so
dium intake has clearly demonstrated its ability to reduce hypertension com
plications in patients at high cardiovascular risks.