Salt substitute
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A salt substitute, also known as low-sodium salt, is a low-sodium alternative to
edible salt Salt is a mineral composed primarily of sodium chloride (NaCl), a chemical compound belonging to the larger class of salts; salt in the form of a natural crystalline mineral is known as rock salt or halite. Salt is present in vast quantit ...
(table salt) marketed to circumvent the risk of
high blood pressure Hypertension (HTN or HT), also known as high blood pressure (HBP), is a long-term medical condition in which the blood pressure in the arteries is persistently elevated. High blood pressure usually does not cause symptoms. Long-term high bl ...
and
cardiovascular disease Cardiovascular disease (CVD) is a class of diseases that involve the heart or blood vessels. CVD includes coronary artery diseases (CAD) such as angina and myocardial infarction (commonly known as a heart attack). Other CVDs include stroke, hea ...
associated with a high intake of
sodium chloride Sodium chloride , commonly known as salt (although sea salt also contains other chemical salts), is an ionic compound with the chemical formula NaCl, representing a 1:1 ratio of sodium and chloride ions. With molar masses of 22.99 and 35. ...
while maintaining a similar taste. The leading salt substitutes are non-sodium table salts, which have their tastes as a result of compounds other than sodium chloride. Non-sodium salts reduce daily sodium intake and reduce the health effects of this element.


Low sodium diet

According to current
WHO Who or WHO may refer to: * Who (pronoun), an interrogative or relative pronoun * Who?, one of the Five Ws in journalism * World Health Organization Arts and entertainment Fictional characters * Who, a creature in the Dr. Seuss book '' Horton He ...
guidelines, adults should consume less than 2,000 mg of sodium per day (i.e. about 5 grams of traditional table salt), and at least 3,510 mg of potassium per day. In Europe, adults and children consume about twice as much traditional salt as recommended by experts.


Examples


Potassium

Potassium closely resembles the saltiness of sodium. In practice,
potassium chloride Potassium chloride (KCl, or potassium salt) is a metal halide salt composed of potassium and chlorine. It is odorless and has a white or colorless vitreous crystal appearance. The solid dissolves readily in water, and its solutions have a salt ...
(also known as potassium salt) is the most commonly used salt substitute. Its
toxicity Toxicity is the degree to which a chemical substance or a particular mixture of substances can damage an organism. Toxicity can refer to the effect on a whole organism, such as an animal, bacterium, or plant, as well as the effect on a subs ...
for a healthy person is approximately equal to that of table salt (the is about 2.5 g/kg, or approximately 190 g for a person weighing 75 kg).
Potassium lactate Potassium lactate is a compound with formula KC3H5O3, or H3C-CHOH-COOK. It is the potassium salt of lactic acid. It is produced by neutralizing lactic acid which is fermented from a sugar source. It has E number "E326". Potassium lactate is a l ...
may also be used to reduce sodium levels in food products and is commonly used in meat and poultry products. The
recommended daily allowance The Dietary Reference Intake (DRI) is a system of nutrition recommendations from the National Academy of Medicine (NAM) of the National Academies (United States). It was introduced in 1997 in order to broaden the existing guidelines known as Rec ...
of potassium is higher than that for sodium, yet a typical person consumes less potassium than sodium in a given day. Potassium chloride has a bitter
aftertaste Aftertaste is the taste intensity of a food or beverage that is perceived immediately after that food or beverage is removed from the mouth. The aftertastes of different foods and beverages can vary by intensity and over time, but the unifying ...
when used in higher proportions, which consumers may find unpalatable. As a result, some formulations only replace half the sodium chloride with potassium. Various diseases and medications may decrease the body's excretion of potassium, thereby increasing the risk of potentially fatal
hyperkalemia Hyperkalemia is an elevated level of potassium (K+) in the blood. Normal potassium levels are between 3.5 and 5.0mmol/L (3.5 and 5.0mEq/L) with levels above 5.5mmol/L defined as hyperkalemia. Typically hyperkalemia does not cause symptoms. Occa ...
. People with
kidney failure Kidney failure, also known as end-stage kidney disease, is a medical condition in which the kidneys can no longer adequately filter waste products from the blood, functioning at less than 15% of normal levels. Kidney failure is classified as eit ...
,
heart failure Heart failure (HF), also known as congestive heart failure (CHF), is a syndrome, a group of signs and symptoms caused by an impairment of the heart's blood pumping function. Symptoms typically include shortness of breath, excessive fatigue, ...
, or
diabetes Diabetes, also known as diabetes mellitus, is a group of metabolic disorders characterized by a high blood sugar level ( hyperglycemia) over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased ...
are not recommended to use salt substitutes without medical advice. LoSalt, a salt substitute manufacturer, has issued an advisory statement that people taking the following prescription drugs should not use a salt substitute:
amiloride Amiloride, sold under the trade name Midamor among others, is a medication typically used with other medications to treat high blood pressure or swelling due to heart failure or cirrhosis of the liver. Amiloride is classified as a potassium-spa ...
,
triamterene Triamterene (trade name Dyrenium among others) is a potassium-sparing diuretic often used in combination with thiazide diuretics for the treatment of high blood pressure or swelling. The combination with hydrochlorothiazide, is known as hydro ...
, Dytac,
captopril Captopril, sold under the brand name Capoten among others, is an angiotensin-converting enzyme (ACE) inhibitor used for the treatment of hypertension and some types of congestive heart failure. Captopril was the first oral ACE inhibitor found ...
and other
angiotensin-converting enzyme inhibitors Angiotensin-converting-enzyme inhibitors (ACE inhibitors) are a class of medication used primarily for the treatment of high blood pressure and heart failure. They work by causing relaxation of blood vessels as well as a decrease in blood volume ...
,
spironolactone Spironolactone, sold under the brand name Aldactone among others, is a medication that is primarily used to treat fluid build-up due to heart failure, liver scarring, or kidney disease. It is also used in the treatment of high blood press ...
, and eplerenone.


Other types

Sodium malate Sodium malate is a compound with formula Na2(C2H4O(COO)2). It is the sodium salt of malic acid. As a food additive, it has the E number E350. Properties Sodium malate is an odorless white crystalline powder. It is freely soluble in water. U ...
is salty in taste and may be blended with other salt substitutes. Although it contains sodium, the mass fraction is lower.
Monosodium glutamate Monosodium glutamate (MSG), also known as sodium glutamate, is the sodium salt of glutamic acid. MSG is found naturally in some foods including tomatoes and cheese in this glutamic acid form. MSG is used in cooking as a flavor enhancer ...
is often used as a substitute to salt in processed and restaurant food, due to its salty taste, and low sodium content compared to table salt, although it can also be used effectively in home cooking.
Seaweed Seaweed, or macroalgae, refers to thousands of species of macroscopic, multicellular, marine algae. The term includes some types of '' Rhodophyta'' (red), ''Phaeophyta'' (brown) and '' Chlorophyta'' (green) macroalgae. Seaweed species such as ...
granules are also marketed as alternatives to salt. Dehydrated, pulverized
salicornia ''Salicornia'' is a genus of succulent, halophytic (salt tolerant) flowering plants in the family Amaranthaceae that grow in salt marshes, on beaches, and among mangroves. ''Salicornia'' species are native to North America, Europe, Central As ...
(glasswort, marsh samphire) is sold under the brand name "Green Salt" as a salt substitute claimed to be as salty in taste as table salt, but with less sodium.


Historical

Historically (late 20th century), many substances containing
magnesium Magnesium is a chemical element with the symbol Mg and atomic number 12. It is a shiny gray metal having a low density, low melting point and high chemical reactivity. Like the other alkaline earth metals (group 2 of the periodic ...
and
potassium Potassium is the chemical element with the symbol K (from Neo-Latin '' kalium'') and atomic number19. Potassium is a silvery-white metal that is soft enough to be cut with a knife with little force. Potassium metal reacts rapidly with atmos ...
have been tried as salt substitutes. They include: *
carnallite Carnallite (also carnalite) is an evaporite mineral, a hydrated potassium magnesium chloride with formula KMgCl3·6(H2O). It is variably colored yellow to white, reddish, and sometimes colorless or blue. It is usually massive to fibrous with rar ...
(KMgCl3•6H2O) *
kainite Kainite ( or ) (KMg(SO4)Cl·3H2O) is an evaporite mineral in the class of "Sulfates (selenates, etc.) with additional anions, with H2O" according to the Nickel–Strunz classification. It is a hydrated potassium-magnesium sulfate-chloride, natura ...
(KCl•MgSO4•2H2O) *
langbeinite Langbeinite is a potassium magnesium sulfate mineral with the chemical formula K2Mg2(SO4)3. Langbeinite crystallizes in the isometric-tetartoidal (cubic) system as transparent colorless or white with pale tints of yellow to green and violet cry ...
(K2Mg2(SO4)2) *
sylvite Sylvite, or sylvine, is potassium chloride (KCl) in natural mineral form. It forms crystals in the isometric system very similar to normal rock salt, halite ( NaCl). The two are, in fact, isomorphous. Sylvite is colorless to white with shades o ...
(KCl) – currently used *
polyhalite Polyhalite is an evaporite mineral, a hydrated sulfate of potassium, calcium and magnesium with formula: . Polyhalite crystallizes in the triclinic system, although crystals are very rare. The normal habit is massive to fibrous. It is typically c ...
(K2MgCa2(SO4)4•2H2O) *
Epsomite Epsomite, Epsom salt, or magnesium sulfate heptahydrate, is a hydrous magnesium sulfate mineral with formula MgSO4·7H2O. Epsomite crystallizes in the orthorhombic system as rarely found acicular or fibrous crystals, the normal form is as massiv ...
() *
kieserite Kieserite, or magnesium sulfate monohydrate, is a hydrous magnesium sulfate mineral with formula (MgSO4·H2O). It has a vitreous luster and it is colorless, grayish-white or yellowish. Its hardness is 3.5 and crystallizes in the monoclinic cry ...
() Even further back in the early 20th century,
lithium chloride Lithium chloride is a chemical compound with the formula Li Cl. The salt is a typical ionic compound (with certain covalent characteristics), although the small size of the Li+ ion gives rise to properties not seen for other alkali metal chlorid ...
was used as a salt substitute for those with hypertension. Unfortunately, however,
overdosing A drug overdose (overdose or OD) is the ingestion or application of a drug or other substance in quantities much greater than are recommended.
was common and deaths have occurred, leading to its prohibition in 1949.


Additives

Flavor enhancers A flavoring (or flavouring), also known as flavor (or flavour) or flavorant, is a food additive used to improve the taste or smell of food. It changes the perceptual impression of food as determined primarily by the chemoreceptors of the gust ...
, although not true salt alternatives, help reduce the use of salt by enhancing the savory flavor. Hydrolyzed protein or 5'-
nucleotides Nucleotides are organic molecules consisting of a nucleoside and a phosphate. They serve as monomeric units of the nucleic acid polymers – deoxyribonucleic acid (DNA) and ribonucleic acid (RNA), both of which are essential biomolecules with ...
are sometimes added to potassium chloride to improve the flavour of salt substitutes. Salt substitutes can also be further enriched with the essential nutrients. A salt substitute can, analogously to the problem of
iodine deficiency Iodine deficiency is a lack of the trace element iodine, an essential nutrient in the diet. It may result in metabolic problems such as goiter, sometimes as an endemic goiter as well as congenital iodine deficiency syndrome due to untreated cong ...
, help to eliminate the "hidden hunger" i.e. insufficient supply of necessary micronutrients such as iron. Such substances are promoted by
UNICEF UNICEF (), originally called the United Nations International Children's Emergency Fund in full, now officially United Nations Children's Fund, is an agency of the United Nations responsible for providing humanitarian and developmental aid to c ...
as a "super-salt".


See also

*
Sugar substitute A sugar substitute is a food additive that provides a sweetness like that of sugar while containing significantly less food energy than sugar-based sweeteners, making it a zero-calorie () or low-calorie sweetener. Artificial sweeteners may b ...
*
Milk substitute A milk substitute is any substance that resembles milk and can be used in the same ways as milk. Such substances may be variously known as non-dairy beverage, nut milk, grain milk, legume milk, mock milk and alternative milk. For adults, milk ...

Sea salt


References

{{Portal bar, Food Edible salt Potassium compounds Imitation foods