High dietary salt intake is a known risk factor for hypertension. However, Australians continue to consume excessive amounts of salt. The purpose of this study was to identify barriers, enablers and strategies to reduce salt in a sample of Australian adults with hypertension. This was a qualitative study. Participants were asked a set of open-ended questions during focus groups conducted between October 2020 and April 2021. Sessions were recorded and transcribed. Using an inductive approach, the transcript data from the focus groups were thematically analysed. This involved checking accuracy, becoming familiar with the data, coding responses based on questions, identifying themes through common patterns and validating themes by grouping similar questions that represented the data and study aim effectively. Thirty-one adults (55 % females) with high blood pressure participated in the focus group discussions. Participants demonstrated good knowledge of high blood pressure risk factors but lacked an understanding of recommended salt intake levels and sources of hidden salt. Challenges in reducing salt intake included the limited availability of low-salt commercial foods. Participants suggested improved food labelling and the use of technology-based interventions to promote healthier choices. Findings highlight the need for behavioural interventions, policy reforms and collaborations between the government, food industries and health organisations to address high salt intake in the population.

Sodium intake attributed to fast food is increasing globally. This research aims to develop maximum sodium reduction targets for New Zealand (NZ) fast foods and compare them with the current sodium content of products. Sodium content and serving size data were sourced from an existing database of major NZ fast-food chains. Target development followed a step-by-step process, informed by international targets and serving sizes, and previous methods for packaged supermarket foods. Sodium reduction targets were set per 100 g and serving, using a 40% reduction in the mean sodium content or the value met by 35–45% of products. Thirty-four per cent (1797/5246) of products in the database had sodium data available for target development. Sodium reduction targets were developed for 17 fast-food categories. Per 100 g targets ranged from 158 mg for ‘Other salads’ to 665 mg for ‘Mayonnaise and dressings’. Per serving targets ranged from 118 mg for ‘Sauce’ to 1270 mg for ‘Burgers with cured meat’. The largest difference between the current mean sodium content and corresponding target was for ‘Other salads’ and ‘Grilled Chicken’ (both –40% per 100g) and ‘Fries and potato products’ (–45% per serving), and the smallest, ‘Pizza with cured meat toppings’ (–3% per 100 g) and ‘Pies, tarts, sausage rolls and quiches’ (–4% per serving). The results indicate the display of nutrition information should be mandated and there is considerable room for sodium reduction in NZ fast foods. The methods described provide a model for other countries to develop country-specific, fast-food sodium reduction targets.

The effect of pH, time and temperature on the interaction of zinc with acid and base saturated dickites has been investigated. Increase in pH resulted in an increase in adsorption of zinc in the higher concentration range. The adsorption increased rapidly and then slowly with increase in the time of interaction. The variation of rate constants and the half times of reaction suggested an exchange process controlled by film and possibly particle diffusion and thereafter fixation processes. The inferences found support from the nature of adsorption isotherms. Temperature affected adsorption with exothermic interactions. The activation energy of adsorption of zinc on Na-dickite was 14.0 kcal mole−1.

Adsorption isotherms for water vapor, c-spacing and heat of immersion in water of mixed Na/Ca-montmorillonite were measured at 25°C at various RH. There was good agreement between the calorimetric data, the heat calculated from the isotherms by use of BET equation, and the calculations from the ion-dipole model. It was concluded that the electrostatic forces between the adsorbed cations and the water molecules are the dominant forces in the hydration of the clay. Thus, at low moisture content, only the adsorbed Ca-ions are hydrated. The heat released when Na-platelets condense to form Ca-packets was measured, and it was suggested that this energy term is the driving force for the demixing phenomena.

Blood pressure (BP) is influenced by both genetics and diet. Dietary management of hypertension includes increasing potassium-rich foods while reducing sodium intakes. Dietary sodium and potassium intakes can be measured objectively using urinary sodium and urinary potassium, with lower urinary sodium to potassium ratios associated with lower BP(1). Understanding the interplay between diet and genetics may be useful in treating hypertension and determining which individuals may receive an outsized benefit from lowering their sodium potassium ratio. This study aims to investigate whether identifying genetic risk for hypertension could be utilised to identify individuals who may benefit most from lowering sodium intake and increasing potassium intake. UK Biobank cohort participants (n = 296,475) with data on genotype, BP and spot urinary sodium and potassium data were used. Diet quality was assessed using Oxford WebQ. Biologically directed genetic scores for BP were constructed for pathways related to sodium/potassium biology (pharmagenic enrichment scores [PES]), as well as traditional polygenic risk scores (PRS). A gene-by-environment effect between urinary electrolytes, diet quality and PRS on BP were tested. Genetic risk, diet quality and urinary electrolytes independently correlated with BP. Urinary sodium had larger BP increasing effects amongst individuals who had high genetic risk in sodium/potassium pathways than those with comparatively lower genetic risk. Higher diet quality had a small effect on reducing BP in baseline PRS models, but this did not remain significant in the full model. Polygenic scores for BP personalised to individual sodium/potassium biology (PES) could be used to identify individuals who may receive an outsized benefit from a personalised sodium/potassium dietary intervention. These findings may inform future precision and personalised dietary advice for the management of hypertension.

An assemblage of clay minerals, Na-zeolites, Fe- and Sb-sulfides, and borates occurs in cavities in the basalt flow that underlies the main borax ore body exposed by the U.S. Borax open pit at Boron, Kern County, California. Analcime and saponite are widespread in cavities and fractures near the top of the basalt. Part of the basalt recently exposed, although restricted in distribution, contains a much more diverse assemblage of diagenetic minerals. Although only a few different minerals occur in each cavity, the composite order of deposition is: ferroan saponite, pyrrhotite, saponite, phillipsite, gmelinite, clinop-tilolite, herschelite, analcime, greigite, rhodochrosite, searlesite, borax, calcite, and colemanite. In some cavities early-formed zeolites appear to have dissolved as later ones crystallized.

Microprobe analyses of the zeolites yielded the following compositions: phillipsite, Na4.28K0.08(Al4.36-Si11.64O32)·xH2O (Si/Al = 2.67); gmelinite, Na6.64K0.10(Al6.80Si17.22O48· xH2O (Si/Al = 2.53); herschelite, Na2.96K0.24(Al3.21Si8.79O24)· xH2O (Si/Al = 2.75); clinoptilolite, Na6.48K0.56(Al7.15Si28.77O72) · xH2O (Si/Al = 4.02); analcime, Na14.02K0.09(Al13.33Si34.44O96)· xH2O (Si/Al = 2.58).

These zeolites formed by reactions between the basalt and evolving fluids, which were controlled by the development of an overlying, Na-borate lake. The wide distribution of saponite, analcime, and searlesite suggests that these minerals formed by the diagenetic reaction between basaltic glass and Na- borate water. The localized occurrence of the complex mineral assemblage, including some of the saponitic clay and the zeolites, phillipsite, gmelinite, and clinoptilolite, formed through a different process, perhaps deuteric or hydrothermal alteration of the basalt, before the lake developed. Because these zeolites are extraordinarily rich in Na, cation exchange may have taken place as the pore fluids became increasingly Na rich. In the latest stages of mineral growth, each of these zeolites was apparently partially dissolved and epitaxially overgrown by a second generation crystal, phillipsite on phillipsite, herschelite on gmelinite, and sodian heulandite on clinoptilolite.

Clinoptilolite from the Fort LaClede deposit in Sweetwater County, Wyoming, shows a moderate selectivity for NH4− over Na+ in aqueous solution. At 30°C, the standard free energy of this replacement reaction is −0.7 kcal/mole at an ionic strength of 0.05 M and −0.8 kcal/mole at 0.5 M. The Na+-NH4+ exchange is complete within 3 days in agitated solution and proceeds to the same extent from the clinoptilolite saturated with either cation.

The Ca2+-Na+ exchange also is complete within 3 days in agitated aqueous solution and proceeds to the same extent from either the calcium or the sodium form of the zeolite. Using test methods which take into account the slower equilibration of Ca2+-loaded clinoptilolite, the cation-exchange capacity is substantially the same over the full range of loading by Ca2+ and Na+. Ca2+ replaces Na+ with decreasing selectivity as Ca2+ loading increases to about 80% at 30°C (95% at 63°C), above which the selectivity reverses. The standard free energy of replacement of two Na+ ions by one Ca2+ ion in 0.05 M solution is −1.2 ± 0.2 kcal/mole at 63°C and −0.3 to −0.8 kcal/mole at 30°C.

The main cause of mortality in great apes in zoological settings is cardiovascular disease (CVD), affecting all four taxa: chimpanzee (Pan troglodytes), bonobo (Pan paniscus), gorilla (Gorilla spp.) and orangutan (Pongo spp.). Myocardial fibrosis, the most typical histological characterisation of CVD in great apes, is non-specific, making it challenging to understand the aetiopathogenesis. A multifactorial origin of disease is assumed whereby many potential causative factors are directly or indirectly related to the diet, which in wild-living great apes mainly consists of high-fibre, low-carbohydrate and very low-sodium components. Diets of great apes housed in zoological settings are often different compared with the situation in the wild. Moreover, low circulating vitamin D levels have recently been recognised in great apes housed in more northern regions. Evaluation of current supplementation guidelines shows that, despite implementation of different dietary strategies, animals stay vitamin D insufficient. Therefore, recent hypotheses designate vitamin D deficiency as a potential underlying factor in the pathogenesis of myocardial fibrosis. The aim of this literature review is to: (i) examine important differences in nutritional factors between zoological and wild great ape populations; (ii) explain the potential detrimental effects of the highlighted dietary discrepancies on cardiovascular function in great apes; and (iii) elucidate specific nutrition-related pathophysiological mechanisms that may underlie the development of myocardial fibrosis. This information may contribute to understanding the aetiopathogenesis of myocardial fibrosis in great apes and pave the way for future clinical studies and a more preventive approach to great ape CVD management.

Reducing Na intake is an urgent global challenge, especially in East Asia and high-income Asia-Pacific regions. However, the sources of Na and their effects on urinary Na excretion have not been fully studied. We sought to clarify these sources and their association with urinary Na excretion. We examined four 3-d weighed food records and five 24-h urinary collections from each of 253 participants in Japan, aged 35–80 years, between 2012 and 2013. We compared the levels of Na according to four categories: foods contributing to discretionary or non-discretionary Na intake, the situation in which dishes were cooked and consumed, food groups and types of cuisine. We also conducted regression analysis in which 24-h urinary Na excretion was a dependent variable and the amounts of food intake in the four categories were independent variables. Levels of Na were the highest in discretionary intake (60·6 %) and in home-prepared dishes (84·0 %). Of the food groups, miso soup showed the highest percentage contribution to Na intake (13·3 %) after seasonings such as soya sauce. In the regression analysis, the standardised coefficient for foods of non-discretionary Na sources was larger than that for discretionary sources, whereas that for home-prepared dishes was consistent with the levels of Na in those foods. Pickled products, followed by fresh fish and shellfish, miso soup and rice, were associated with high urinary Na excretion. Thus, discretionary foods (such as miso soup) contribute the most to Na consumption, although non-discretionary intake (such as pickled vegetables) may influence urinary Na excretion.

High sodium (Na) diet is one of the leading behavioural risks of disease identified in the Singapore Burden of Disease Study. We aim to estimate the cost attributable to a high Na diet in Singapore in 2019 from a societal perspective by employing a prevalence-based approach in cost-of-illness studies. We extracted national-level healthcare data and population attributable fractions by sex and age. Costs included direct and indirect costs from inpatient treatment and productivity losses. In 2019, the annual societal cost attributable to a high Na diet was conservatively estimated to be USA$262 million (95 % uncertainty interval (UI) 218, 359 million). At least USA$67·8 million (95 % UI 48·4, 120 million) and USA$194 million (95 % UI 153, 274 million) could be saved on healthcare and indirect costs, respectively, if the daily Na intake of Singaporeans was reduced to an average of 3 g. Overall, males had higher costs compared with females at USA$221 million (95 % UI 174, 312 million) and USA$41·1 million (95 % UI 33·5, 61·7 million), respectively. Productivity loss from foregone wages due to premature mortality had the largest cost at USA$191 million (95 % UI 150, 271 million). CVD had the largest healthcare expenditure at USA$61·4 million (95 % UI 41·6, 113 million), driven by ischaemic heart disease at USA$41·0 million (95 % UI 21·4, 88·9 million). Our study found that reducing Na intake could reduce future healthcare expenditures and productivity losses. This result is vital for policy evaluation in a rapidly ageing society like Singapore, where the burden of diseases associated with high Na diet is expected to increase.

Children are consuming less healthy foods, and this eating behaviour exposes the child to greater Na intake. The association between family, maternal and child characteristics with Na intake by children aged 13–35 months was evaluated. A study carried out with retrospective data on 1,185 children from the Brisa cohort. The children’s dietary Na intake was assessed by a 24-h diet recall survey. Values ≥ 1200 mg were considered excessive intake. The association between Na intake and independent variables was assessed by a three-level logistic hierarchical regression model. Variables with P-value < 0·05 were retained in the model. Most children were male (51·2 %), eutrophic (63·2 %) and not exclusively breast-feeding (EBF) for 6 months (58·4 %). The average Na intake was 925 mg (±410·4). The prevalence of excessive Na intake was 18·5 % and was associated with the variables children of younger mothers (< 20 years old OR = 4·04, 95 % CI 1·64, 9·99; ≥ 20 to < 35 years old OR = 2·48, 95 % CI 1·10, 5·63), having four or more children (OR = 2·51, 95 % CI 1·29, 4·89), lower family income (≥ 1 and < 3 minimum wages OR = 0·60, 95 % CI 0·39, 0·93; ≥ 3 minimum wages OR = 0·50, 95 % CI 0·30, 0·82) and not being EBF until 6 months (OR = 1·64, 95 % CI 1·14, 2·34). The average Na intake of children was higher than the recommendation for adequate intake, pointing to a high consumption of this micronutrient in the first years of life. Excessive Na intake seems to be linked to unfavourable socio-economic conditions. Avoiding early weaning is the only possible intervention in this scenario.

Many bromeliads occur in habitats that are potentially affected by salt. Pitcairnia halophila is a particularly interesting case in this context due to its growing sites in the spray zone of coastal cliffs in Central America. We conducted an experimental/observational study that explored the physiological and ecological basis of the occurrence of this species. Germination of P. halophila was as affected by increasing salinity as that of congeneric species from other natural growing sites, but seedling growth was less impaired in comparison and remained positive even at exposure to half-strength seawater. Interestingly, in situ plant nutrient concentrations documented over an entire growing season suggest that this capacity to tolerate salt stress is not tested at the natural growing site – Na+ concentrations were consistently low in leaves and shoots and comparable to those of seedlings watered with distilled water in the laboratory. We conclude that P. halophila shows the physiological ability to deal with medium levels of salinity, but ecological conditions at the humid tropical growing site allow these plants to avoid salt stress entirely in spite of the close proximity to the sea.