Women on higher quality diets consume more sodium
A recent study in the American Journal of Clinical Nutrition by Fumiaki Imamura et al examined adherence to the 2005 Dietary Guidelines for Americans to determine how compliance related to coronary artery disease outcomes. Their conclusion: some Guidelines are more important than others.
In fact, they documented that the salt Guideline doesn't work at all. Women who had better overall quality diets actually were LESS compliant on the salt (reduction) Guideline. The lowest third in terms of Dietary Guidelines compliance consumed much less than the recommended 2,300 mg/day sodium while the upper two-thirds in terms of overall dietary compliance actually consumed 12% MORE SODIUM. (table 3).
Considered as a whole, the authors concluded:
No significant association was identified between the DGAI as a measure of diet consistent with the 2005 DGA and narrowing of coronary arteries after a mean 3.3 year follow-up period in post-menopausal women with established cornonary artery arthersclerosis.
The study found that "no womeno[of the 224 in the study] reported complete adherence to all dietary recommendations" consistent with other studies. On the other hand,
not all components have an equal weight in describing diet-disease relations....not all dietary recommendations are equally related to disease progression. Our findings highlight the need for the development of more sophisticated approaches to the assessment of dietary recommendations on disease progression and other chronic disease outcomes.
Amen.
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