#471: Salt & Bone Health – Is There Cause For Concern?

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Introduction

Does sodium lead to calcium losses? Do high-salt diets harm bone health? At what thresholds could there be an impact? Does any of this change our recommendations around salt/sodium intake?

Thanks to Sigma Nutrition Premium subscriber Kate Wall for submitting a question in the member’s area that inspired this episode.

Kate asks: “Salt can impact calcium excretion in the urine and it is said that a high salt diet can increase risk of osteoporosis as it draws calcium from the bone and excretes it. How much of an impact does dietary salt intake actually have on bone health and how high would salt intake have to be for this to be a concern? Obviously high salt intakes are not something to aim for in general, but just wondered if this was a mechanism that could remove meaningful amounts of calcium in a way that I should be advising around this in those that we work with as nutritional professionals. Thanks!”

So in this episode, Danny and Alan look at some of the evidence in this area to see if there are impacts that have pragmatic implications for nutrition and medical professionals, as well as health-conscious people.

Related resources

Overview

The Hosts

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Dr. Alan Flanagan has a PhD in nutrition from the University of Surrey, where his doctoral research focused on circadian rhythms, feeding, and chrononutrition.

This work was based on human intervention trials. He also has a Masters in Nutritional Medicine from the same institution.

Dr. Flanagan is a regular co-host of Sigma Nutrition Radio. He also produces written content for Sigma Nutrition, as part of his role as Research Communication Officer.

Dr. Alan Flanagan
a PhD in nutrition from the University of Surrey

Danny Lennon has a master’s degree (MSc.) in Nutritional Sciences from University College Cork, and he is the founder of Sigma Nutrition.

Danny is currently a member of the Advisory Board of the Sports Nutrition Association, the global regulatory body responsible for the standardisation of best practice in the sports nutrition profession.

Danny Lennon
MSc. in Nutritional Sciences from University College Cork

Introduction to this Episode

Does sodium lead to calcium losses? Do high-salt diets harm bone health? At what thresholds could there be an impact? Does any of this change our recommendations around salt/sodium intake?

Thanks to Sigma Nutrition Premium subscriber Kate Wall for submitting a question in the memberʼs area that inspired this episode.

Kate asks:

“Salt can impact calcium excretion in the urine and it is said that a high salt diet can increase risk of osteoporosis as it draws calcium from the bone and excretes it. How much of an impact does dietary salt intake actually have on bone health and how high would salt intake have to be for this to be a concern? Obviously high salt intakes are not something to aim for in general, but just wondered if this was a mechanism that could remove meaningful amounts of calcium in a way that I should be advising around this in those that we work with as nutritional professionals. Thanks!”

So in this episode, Danny and Alan look at some of the evidence in this area to see if there are impacts that have pragmatic implications for nutrition and medical professionals, as well as health-conscious people.

Connection to Previous Episodes

#375: Salt, Sodium & Health

  • In this episode Danny and Alan discuss the current evidence base related to sodium intake and health, most notably cardiovascular disease.
  • The episode walks through understanding diet-disease relationships, the epidemiology of sodium and health outcomes, the reasons for conflicting conclusions, sodium measurements in research, intervention trials, and more.
  • Importantly, the claim that the sodium-CVD risk relationship exhibits a “J-shaped curve” (i.e. risk is low at moderate intakes and higher at both low and high intakes) is dissected, with recommendations given on how to reconcile all the available evidence.
  • You can find the episode here.

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