To Control Blood Pressure, Cutting Salt Isn’t Enough: You Need More Potassium

Imagine a sitcom scene: you’re in the kitchen, sprinkling a pinch of salt over a plate of fries when suddenly a nutritionist bursts in with the intense look of Walter White from Breaking Bad and says, “What if salt isn’t the only issue?” Cut to a new scene, jazz music à la Cowboy Bebop, and a close-up of a banana.

For years, we’ve been told that reducing sodium is key to lowering blood pressure—and there’s no doubt that too much salt can increase blood volume and put your heart under constant strain. But now a new study from the University of Waterloo (Canada), published in the American Journal of Physiology – Renal Physiology, flips the script: maybe it’s not just about cutting out, but about adding in. Just not more salt.

Potassium, our friend potassium

Potassium—the kind you get from bananas, broccoli, or sweet potatoes—is a crucial electrolyte for the body. It works by countering sodium’s effects: relaxing blood vessel walls, helping your kidneys flush out sodium, and, not least, conducting your metabolic orchestra with an iron baton.

The Canadian research team, led by Professor Anita Layton, came to this insight using a mathematical model that simulated not just individual intake of sodium and potassium, but how the balance between the two impacts blood pressure. And they found it’s not just about absolute amounts—it’s the ratio that really matters.

More effective than cutting sodium

The surprise? Increasing potassium intake could actually be more effective at lowering blood pressure than simply reducing sodium. Not that salt suddenly becomes harmless—but its impact weakens when there’s enough potassium around. In other words: a banana might just “buffer” the effects of your salty snack. More or less.

According to the model, men respond better than others to higher potassium levels in the diet. That gender insight is especially relevant, since men are generally more prone to developing hypertension than premenopausal women.

A (more) balanced diet

Another compelling takeaway from the study is how central the sodium-to-potassium ratio is in our diet. It turns out this ratio is a better predictor of hypertension risk than the individual amounts of each mineral alone. And in a world where salt hides everywhere—in cereal, pasta sauces, even desserts—changing course may start with small but meaningful steps: an extra serving of leafy greens, a couple of dried apricots instead of chips, plain yogurt over vanilla-caramel-industrial-fantasy yogurt.

Why does this specific sodium-potassium balance matter so much? According to Melissa Stadt, co-author of the study, it’s because our bodies evolved to function best on a high-potassium, low-sodium diet—like the ones we had in times when fruit and vegetables were staples and processed foods hadn’t yet been dreamed up by an ad executive.

In the end, maybe that’s the point: regaining the metabolic harmony we’ve lost while chasing artificial flavors, in a world that tells us to subtract instead of balance.

(Based on research from the University of Waterloo published in the American Journal of Physiology – Renal Physiology, reported by New Atlas)

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