Experts say blood pressure guidelines are missing half the equation
The next major shift in blood pressure control may be simple: less sodium, more potassium
Date:
July 31, 2026
Source:
University of Vermont
Summary:
A new report suggests that blood pressure may be controlled more effectively by increasing potassium while also cutting sodium. Potassium-rich foods can help balance sodium’s effects, but most people consume far less potassium than recommended.
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A new report suggests that high blood pressure may be managed more effectively by combining two dietary changes: consuming less sodium and getting more potassium
High blood pressure, also known as hypertension, affects more than 1.28 billion adults around the world. It is also a major risk factor for cardiovascular disease. Current public health recommendations generally emphasize reducing sodium as the primary dietary step for lowering blood pressure and protecting heart health
Looking Beyond Sodium Reduction
The physicians and health experts behind the report argue that lowering sodium may have a greater effect when it is paired with increased potassium intake. Potassium can also be used as a substitute for some of the sodium in salt
According to the researchers, growing evidence about potassium’s role in blood pressure regulation supports a major change in public health guidance. Rather than considering sodium and potassium separately, recommendations should address how the two nutrients work together
“It is time to view dietary interventions holistically because food components interact and physiology is integrative across systems” said Naomi Fukagawa, M.D. Ph.D, professor of medicine emerita at the Robert Larner, M.D. College of Medicine at the University of Vermont and first author on the report. “Growing evidence shows that increasing dietary potassium as well as reducing sodium intake work together to better manage hypertension.”
A New Framework for Hypertension Guidance
The peer-reviewed report was published in the American Journal of Clinical Nutrition and was supported by the IAFNS Sodium in Food and Health Implications Committee
It reviews the evidence behind current sodium and potassium intake recommendations, possible methods for reducing sodium and increasing potassium, obstacles to putting those strategies into practice, and future research and policy priorities that could improve public health
Too much sodium and too little potassium are both major dietary factors that can be changed to help reduce elevated blood pressure. Average sodium consumption continues to exceed recommended levels, while potassium intake is frequently “far below optimal levels in both developed and developing nations,” according to the authors
Foods That Supply More Potassium
Fruits, vegetables, legumes and dairy products are among the main dietary
Food manufacturers can also replace some sodium with potassium salts, but there are practical limits. When too much potassium salt is added, foods can develop a metallic taste. Manufacturers therefore have to carefully balance sodium reduction with potassium enhancement when reformulating products
The authors conclude that “dietary sodium reduction is a foundational strategy for hypertension prevention and management. However, new evidence supports a broadening of the current approach that focuses solely on sodium reduction and provides equal emphasis on increasing potassium intake.”
Materials provided by University of Vermont. Note: Content may be edited for style and length
Journal Reference:
- Naomi K Fukagawa, Paul A Welling, Janice Johnson, Kristin Reimers, Soo-Yeun Lee, Patricia Zecca. Rethinking the impact of dietary sodium and potassium on blood pressure to advance public health. The American Journal of Clinical Nutrition, 2026; 124 (2): 101396 DOI: 10.1016/j.ajcnut.2026.101396
Cite This Page:
University of Vermont. “Experts say blood pressure guidelines are missing half the equation.” ScienceDaily. ScienceDaily, 31 July 2026. <www.sciencedaily.com/releases/2026/07/260731034135.htm>.
University of Vermont. (2026, July 31). Experts say blood pressure guidelines are missing half the equation. ScienceDaily. Retrieved August 1, 2026 from www.sciencedaily.com/releases/2026/07/260731034135.htm
University of Vermont. “Experts say blood pressure guidelines are missing half the equation.” ScienceDaily. www.sciencedaily.com/releases/2026/07/260731034135.htm (accessed August 1, 2026).
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