Population dietary salt reduction and the risk of cardiovascular disease. A scientific statement from the European Salt Action Network

Abstract The publication in the last few years of a number of prospective observational studies suggesting a J-shaped association between levels of salt (sodium) consumption and cardiovascular outcomes has opened a debate on the pertinence of population-wide salt reduction policies to reduce cardiovascular disease burden, and some have even questioned the global World Health Organization guidelines, that recommend a 30% reduction in salt consumption by 2025, aiming at an ideal target of no more than 5 g of salt consumption per day. In September 2018 the European Salt Action Network (E.S.A.N.), after appraising the quality of publications questioning the appropriateness of population salt reduction, discussed the scientific evidence and identified the pitfalls of recent data. The new evidence was deemed inadequate and, in places, biased by flawed methodology. These were identified in the biased assessment of sodium intake from spot urine and the use of the Kawasaki formula, the biased assessment of the sodium–outcome relationships in prospective observational studies using spot urine samples, the impact of reverse causality in such studies, the inadequate analytical approaches to data analysis, the lack of biological plausibility and the lack of precision in assessing long-term salt consumption, as recently demonstrated in studies using more stringent quality features in their study designs. On the basis of such appraisal, the E.S.A.N. agreed a statement confirming the support to the implementation of national and regional programmes of moderate reduction in salt intake, as recommended by the World Health Organization

Not smoking is associated with lower risk of hypertension: results of the Olivetti Heart Study.

Few epidemiological investigations evaluated the role of smoking cessation on blood pressure (BP), and the results are not univocal. Therefore, the aim of this study was to assess the effect of smoking cessation on the risk to develop hypertension (HPT) and on BP values. METHODS: This longitudinal study, with a follow-up period of 8 years, included the participants of the Olivetti Heart Study. Participants were 430 untreated normotensive non-diabetic men with normal renal function, examined twice in 1994-95 and in 2002-04. The sample included current smokers (S, n = 212), former smokers (ES, n = 145) and never smokers (NS, n = 73) at baseline. RESULTS: Basal body mass index (BMI), systolic blood pressure (SBP) and diastolic blood pressure (DBP) were significantly higher in ES than in S (ES vs. S; BMI: 27.0 ± 2.5 vs. 26.1 ± 2.9 kg/m(2); P < 0.01; SBP/DBP: 121.2 ± 9.3/80.0 ± 5.8 vs. 19.1 ± 9.9/77.4 ± 6.7 mm Hg; P < 0.05; M ± SD). After 8 years of follow-up, BP changes (Δ) were significantly lower in ES than in S (ΔSBP/DBP: 12.6 ± 13.4/7.9 ± 8.1 vs. 16.0 ± 14.9/10.3 ± 10.1 mm Hg; P < 0.05; M ± SD), also after adjustment for potential confounders. Moreover, at the last examination, the overall HPT prevalence was 33%, with lower values in ES than in S (25 vs. 38%, P = 0.01). After accounting for age, BP and BMI at baseline, and changes in smoking habit over the 8-year period, ES still had significant lower risk of HPT than S (odds ratio 0.30, 95% confidence interval 0.15-0.58; P < 0.01). CONCLUSIONS: In this sample of healthy men, smoking cessation was associated with lower BP increment and minor HPT risk, independently of potential confounders

Formation epochs, star formation histories and sizes of massive early-type galaxies in cluster and field environments at z=1.2: insights from the rest-frame UV

We derive stellar masses, ages and star formation histories of massive early-type galaxies in the z=1.237 RDCS1252.9-2927 cluster and compare them with those measured in a similarly mass-selected sample of field contemporaries drawn from the GOODS South Field. Robust estimates of these parameters are obtained by comparing a large grid of composite stellar population models with 8-9 band photometry in the rest-frame NUV, optical and IR, thus sampling the entire relevant domain of emission of the different stellar populations. Additionally, we present new, deep $U$-band photometry of both fields, giving access to the critical FUV rest-frame, in order to constrain empirically the dependence on the environment of the most recent star formation processes. We find that early-type galaxies, both in the cluster and in the field, show analogous optical morphologies, follow comparable mass vs. size relation, have congruent average surface stellar mass densities and lie on the same Kormendy relation. We also that a fraction of early-type galaxies in the field employ longer timescales, $\tau$, to assemble their mass than their cluster contemporaries. Hence we conclude that, while the formation epoch of early-type only depends on their mass, the environment does regulate the timescales of their star formation histories. Our deep $U$-band imaging strongly supports this conclusions. It shows that cluster galaxies are at least 0.5 mag fainter than their field contemporaries of similar mass and optical-to-infrared colors, implying that the last episode of star formation must have happened more recently in the field than in the cluster.Comment: 20pages, 10 figures. to appear on Ap

HindIII(+/−) Polymorphism of the Y Chromosome, Blood Pressure, and Serum Lipids: No Evidence of Association in Three White Populations

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The relationship of health/food literacy and salt awareness to daily sodium and potassium intake among a workplace population in Switzerland

Background and aims: High sodium (Na) and low potassium (K) intake are associated with hypertension and CVD risk. This study explored the associations of health literacy (HL), food literacy (FL), and salt awareness with salt intake, K intake, and Na/K ratio in a workplace intervention trial in Switzerland. Methods and results: The study acquired baseline data from 141 individuals, mean age 44.6 years. Na and K intake were estimated from a single 24-h urine collection. We applied validated instruments to assess HL and FL, and salt awareness. Multiple linear regression was used to investigate the association of explanatory variables with salt intake, K intake, and Na/K. Mean daily salt intake was 8.9 g, K 3.1 g, and Na/K 1.18. Salt intake was associated with sex (p <0.001), and K intake with sex (p <0.001), age (p = 0.02), and waist-to-height ratio (p = 0.03), as was Na/K. HL index and FL score were not significantly associated with salt or K intake but the awareness variable "salt content impacts food/menu choice" was associated with salt intake (p = 0.005). Conclusion: To achieve the established targets for population Na and K intake, health-related knowledge, abilities, and skills related to Na/salt and K intake need to be promoted through combined educational and structural interventions. (C) 2017 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V.Peer reviewe

Synthesis and Evaluation of Cytostatic and Antiviral Activities of 3′ and 4′-Avarone Derivatives

A series of 3′ and 4′-substituted avarone derivatives were synthesized and tested in culture systems as antitumour and antiviral agents in comparison to avarol and avarone. 3′-alkylamino derivatives showed potent cytostatic activities against murine L1210 and human B (Raji) and T (C8166, H9) lymphoblast cells (ID50 range 1.7–3.7 μm). Avarol and avarone were six times less active. While none of the derivatives showed anti-human immunodeficiency virus (HIV) activity superior to that of the parent compounds, most of them, avarol and avarone included, were potent and selective inhibitors of poliovirus multiplication

The relationship of waist circumference to blood pressure: the Olivetti heart study1

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The Red Sequence of High-Redshift Clusters: a Comparison with Cosmological Galaxy Formation Models

We compare the results from a semi-analytic model of galaxy formation with spectro-photometric observations of distant galaxy clusters observed in the range 0.8< z< 1.3. We investigate the properties of their red sequence (RS) galaxies and compare them with those of the field at the same redshift. In our model we find that i) a well-defined, narrow RS is obtained already by z= 1.2; this is found to be more populated than the field RS, analogously to what observed and predicted at z=0; ii) the predicted U-V rest-frame colors and scatter of the cluster RS at z=1.2 have average values of 1 and 0.15 respectively, with a cluster-to-cluster variance of 0.2 and 0.06, respectively. The scatter of the RS of cluster galaxies is around 5 times smaller than the corresponding field value; iii) when the RS galaxies are considered, the mass growth histories of field and cluster galaxies at z=1.2 are similar, with 90 % of the stellar mass of RS galaxies at z=1.2 already formed at cosmic times t=2.5 Gyr, and 50 % at t=1 Gyr; v) the predicted distribution of stellar ages of RS galaxies at z=1.2 peaks at 3.7 Gyr for both cluster and field populations; however, for the latter the distribution is significantly skewed toward lower ages. When compared with observations, the above findings show an overall consistency, although the average value 0.07 of the observed cluster RS scatter (U-V colors) at z=1.2 is smaller than the corresponding model central value. We discuss the physical origin and the significance of the above results in the framework of cosmological galaxy formation.Comment: 14 pages, accepted for publication in ApJ. Updated one referenc