June 02, 2023

Salt or sugar: The ‘primary culprit’ behind hypertension is…

Engaging in regular physical activity can help maintain a healthy weight, improve insulin

sensitivity, and contribute to overall cardiovascular health

When you consume sugar, it raises your blood glucose levels, prompting the release of insulin.

Over time, this can lead to insulin resistance, which is associated with hypertension.X

When you consume sugar, it raises your blood glucose levels, prompting the release of insulin.

Over time, this can lead to insulin resistance, which is associated with hypertension.

One of the leading causes of heart disease in men and women, high blood pressure or hypertension

is also the most common cause of mortality. High blood pressure is when a person’s blood pressure

is 140/90 mmHg or higher, and they exhibit symptoms like headaches, heart palpitations, or

nosebleeds. While the reasons for the same are many, including a sedentary lifestyle, stress,

obesity, and certain ailments, the consumption of processed food that is high in salt is often counted

among the main culprits. But, according to emerging research, sugar is turning out to be worse for

hypertension than salt.

Highlighting the same, Bhakti Arora Kapoor, a nutritionist, took to Instagram and shared,

“Contrary to popular belief, emerging research suggests that excessive sugar consumption is the

primary culprit behind rising rates of high blood pressure. It’s time to reassess our understanding

of the causes of hypertension and take action to combat the pervasive presence of hidden sugars

in our diets.”

Speaking with indianexpress.com, Dr V Vinoth, Sr Consultant Interventional Cardiologist CARE

Hospitals Hitech City, Hyderabad said, “Excessive consumption of sugar, especially in the form

of added sugars found in processed foods and sugary beverages, has been linked to an increased

risk of developing hypertension. When you consume sugar, it raises your blood glucose levels,

prompting the release of insulin. Over time, this can lead to insulin resistance, which is associated

with hypertension. Additionally, a high sugar diet can contribute to weight gain and obesity, which

are risk factors for hypertension”.

Salt and hypertension

Salt, or more specifically sodium, can also contribute to hypertension. “When you consume too

much sodium, it can cause an increase in blood pressure, as sodium draws water into the

bloodstream and increases the volume of blood. This can put strain on the blood vessels and lead

to hypertension, particularly in individuals who are salt-sensitive,” Dr Vinoth explained.

Sugar and hypertension

Ushakiran Sisodia, Registered Dietician and Clinical Nutritionist Diet and Nutrition, Nanavati

Max Super Speciality Hospital shared ways in which sugar is bad for hypertension. They are:

1. Consuming too much sugar, especially added sugars in processed foods, can lead to weight gain

and obesity. Obesity is a risk factor for hypertension because it requires your heart to work harder

to pump blood, which can increase pressure in your arteries.

2. High sugar intake can lead to insulin resistance, a condition where your body’s cells can’t

properly respond to insulin. This can cause your body to retain more sodium, which can increase

blood pressure.

3. High sugar intake may cause inflammation, which can damage your blood vessels and raise

blood pressure.

High sugar intake can lead to insulin resistance, a condition where your body's cells can't properly

respond to insulin. This can cause your body to retain more sodium, which can increase blood

pressure High sugar intake can lead to insulin resistance, a condition where your body’s cells can’t

properly respond to insulin. 

Sugar vs salt

It’s challenging to definitively say which is more dangerous for hypertension, as individual

responses may vary. “However, excessive sugar consumption, especially in the context of a poor

overall diet, is generally considered detrimental to cardiovascular health. Reducing added sugars

in your diet is advised, as it offers multiple benefits beyond just blood pressure control,” said Dr

Vinoth.

Things to keep in mind

Below are a few things that you should keep in mind, as shared by Dr Vinoth:

a. Moderation: Both sugar and salt should be consumed in moderation. Reducing overall intake of

added sugars and choosing natural, unprocessed foods can help control sugar consumption.

Similarly, limiting sodium intake by avoiding high-sodium processed foods and using herbs and

spices for flavor can be beneficial.

b. Balanced diet: Opt for a well-balanced diet that includes a variety of nutrient-rich foods such as

fruits, vegetables, whole grains, lean proteins, and healthy fats.

c. Regular exercise: Engaging in regular physical activity can help maintain a healthy weight,

improve insulin sensitivity, and contribute to overall cardiovascular health.

d. Individual variations: It’s important to remember that individual responses to sugar and salt can

vary. Some people may be more salt-sensitive, while others may be more prone to insulin

resistance. It’s advisable to work with a healthcare professional to assess your specific needs.

https://indianexpress.com/article/lifestyle/health/salt-or-sugar-which-is-worse-for-hypertension-

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