Reducing Sodium Intake in Children: A Public Health Investment

Lawrence J. Appel, Alice H. Lichtenstein, Emily A. Callahan, Alan Sinaiko, Linda Van Horn, Laurie Whitsel

Research output: Contribution to journalArticlepeer-review

40 Scopus citations


The antecedents of elevated blood pressure (BP) and its major consequences (cardiovascular disease and stroke) begin in childhood. Higher levels of BP early in life track into adulthood and are associated with subclinical target organ damage in children and adults. Diet behaviors, including the choice of high sodium containing foods, are established during childhood. On average, children, ages 2-19, consume more than 3,100 mg of sodium per day, with substantially greater sodium intakes in boys than girls. Importantly, studies show that lowering sodium intake in children lowers blood pressure. In view of this evidence, US Dietary Guidelines recommend a reduced sodium intake in children. Current federal nutrition standards include a step-wise reduction in the sodium levels of school meals. The ultimate goal is to help children achieve daily sodium intakes that do not exceed upper levels recommended by the Institute of Medicine and the Dietary Guidelines for Americans. In summary, available data are sufficiently strong to recommend a lower sodium intake beginning in early in life as an effective and well-tolerated approach to reducing BP in children. Current efforts to weaken nutrition standards for school meals undermine an effective strategy aimed at improving the health of our children and our nation.

Original languageEnglish (US)
Pages (from-to)657-662
Number of pages6
JournalJournal of Clinical Hypertension
Issue number9
StatePublished - Sep 1 2015

Bibliographical note

Publisher Copyright:
© 2015 Wiley Periodicals, Inc.


Dive into the research topics of 'Reducing Sodium Intake in Children: A Public Health Investment'. Together they form a unique fingerprint.

Cite this