Diet Doc Announces a New Fast Weight Loss Diet Plan As An Alternative For People Thinking of Alternatives Instead of …

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The Optimal Diet

ALMOST half of Americans are on a diet — not surprising, since two-thirds are overweight or obese, a frightening statistic that inspired Mayor Michael R. Bloomberg to push through a ban on large soft drinks in New York City. The country is preoccupied with calories. McDonald’s, for instance, is now posting them. But our widespread hope for weight loss makes us vulnerable to all kinds of promises, even ones that aren’t true, when it comes to food.

Perhaps the biggest misconception is that as long as you lose weight, it doesn’t matter what you eat. But it does. Yet being thin and being healthy are not at all the same thing. Being overweight is not necessarily linked with disease or premature death. What you eat affects which diseases you may develop, regardless of whether you’re thin or fat. Some diets that may help you lose weight may be harmful to your health over time.

A widely publicized study earlier this year showed that a low-carb Atkins-type diet might be a faster way to lose weight. That may have given many people the idea that eating meat and butter is the route to thinness and thus health.

In 35 years of medical research, conducted at the nonprofit Preventive Medicine Research Institute, which I founded, we have seen that patients who ate mostly plant-based meals, with dishes like black bean vegetarian chili and whole wheat penne pasta with roasted vegetables, achieved reversal of even severe coronary artery disease. They also engaged in moderate exercise and stress-management techniques, and participated in a support group. The program also led to improved blood flow and significantly less inflammation which matters because chronic inflammation is an underlying cause of heart disease and many forms of cancer. We found that this program may also slow, stop or reverse the progression of early stage prostate cancer, as well as reverse the progression of Type 2 diabetes.

Also, we found that it changed gene expression in over 500 genes in just three months, “turning on” genes that protect against disease and “turning off” genes that promote breast cancer, prostate cancer, inflammation and oxidative stress.

The program, too, has been associated with increased telomerase, which increases telomere length, the ends of our chromosomes that are thought to control how long we live (studies done in collaboration with Dr. Elizabeth Blackburn, who shared the Nobel Prize in 2009 with Carol Greider and Jack Szostak for discovering telomerase). As our telomeres get longer, our lives may get longer.

In a randomized controlled trial, patients on this lifestyle program lost an average of 24 pounds after one year and maintained a 12-pound weight loss after five years. The more closely the patients followed this program, the more improvement we measured in each category — at any age.

It’s not low carb or low fat. An optimal diet is low in unhealthful carbs (both sugar and other refined carbohydrates) and low in fat (especially saturated fats and trans fats) as well as in red meat and processed foods.

WHAT you eat is as important as what you exclude — your diet needs to be high in healthful carbs like fruits, vegetables, whole grains, legumes, soy products in natural, unrefined forms and some fish, like salmon. There are hundreds of thousands of health-enhancing substances in these foods. And what’s good for you is good for the planet.

Calories do count — fat is much denser in calories, so when you eat less fat, you consume fewer calories, without consuming less food. Also, it’s easy to eat too many calories from sugar and other refined carbs because they are so low in fiber that you can consume large amounts without getting full. Sugar is absorbed so quickly that you get repeated insulin surges, which promote Type 2 diabetes and accelerate the conversion of calories into body fat.

But never underestimate the power of telling people what they want to hear — like cheeseburgers and bacon are good for you. People are drawn to Atkins-type diets in part because, as the study showed, they produce a higher metabolic rate. But a low-carb diet increases metabolic rate because it’s stressful to your body. Just because something increases your metabolic rate doesn’t mean it’s good for you. Amphetamines will also increase your metabolism and burn calories faster, which is why they are used to help people lose weight, at least temporarily. But they stress your body and may mortgage your health in the progress.

Patients on an Atkins diet in this study showed more than double the level of CRP (C-reactive protein), which is a measure of chronic inflammation and also significantly higher levels of cortisol, a key stress hormone. Both of these increase the risk of heart disease and other chronic diseases. A major research article published recently in the British Medical Journal studied 43,396 Swedish women over 16 years. It concluded that “low carbohydrate-high protein diets … are associated with increased risk of cardiovascular diseases.” An important article in The New England Journal of Medicine examined data from a study showing that high-protein, low-carb diets promote coronary artery disease even if they don’t increase traditional cardiac risk factors like blood pressure or cholesterol levels. A diet low in fat and high in unrefined carbohydrates caused the least amount of coronary artery blockages, whereas an Atkins-type diet caused the most.

Outcomes from more than 37,000 men from the Harvard-sponsored Health Professionals Follow-Up Study and more than 83,000 women from the Nurses’ Health Study who were followed for many years showed that consumption of both processed and unprocessed red meat, a mainstay of an Atkins diet, is associated with an increased risk of premature death as well as greater incidence of cardiovascular disease, cancer and Type 2 diabetes.

About 75 percent of the $2.8 trillion in annual health care costs in the United States is from chronic diseases that can often be reversed or prevented altogether by a healthy lifestyle. If we put money and effort into helping people make better food and exercise choices, we could improve our health and reduce the cost of health care. For example, Medicare is now covering this program for reversing heart disease. In an increasingly polarized political landscape, this approach provides an alternative to some Republicans who want to privatize or dismantle Medicare and some Democrats who want to simply raise taxes or increase the deficit without addressing the diet and lifestyle choices that account for so much health spending.

This way of living helps you lose weight and keep it off while enhancing rather than harming your health.

Dean Ornish is a clinical professor of medicine at the University of California, San Francisco, and the founder of the Preventive Medicine Research Institute.

Eating for Health, Not Weight

ALMOST half of Americans are on a diet — not surprising, since two-thirds are overweight or obese, a frightening statistic that inspired Mayor Michael R. Bloomberg to push through a ban on large soft drinks in New York City. The country is preoccupied with calories. McDonald’s, for instance, is now posting them. But our widespread hope for weight loss makes us vulnerable to all kinds of promises, even ones that aren’t true, when it comes to food.

Perhaps the biggest misconception is that as long as you lose weight, it doesn’t matter what you eat. But it does. Yet being thin and being healthy are not at all the same thing. Being overweight is not necessarily linked with disease or premature death. What you eat affects which diseases you may develop, regardless of whether you’re thin or fat. Some diets that may help you lose weight may be harmful to your health over time.

A widely publicized study earlier this year showed that a low-carb Atkins-type diet might be a faster way to lose weight. That may have given many people the idea that eating meat and butter is the route to thinness and thus health.

In 35 years of medical research, conducted at the nonprofit Preventive Medicine Research Institute, which I founded, we have seen that patients who ate mostly plant-based meals, with dishes like black bean vegetarian chili and whole wheat penne pasta with roasted vegetables, achieved reversal of even severe coronary artery disease. They also engaged in moderate exercise and stress-management techniques, and participated in a support group. The program also led to improved blood flow and significantly less inflammation which matters because chronic inflammation is an underlying cause of heart disease and many forms of cancer. We found that this program may also slow, stop or reverse the progression of early stage prostate cancer, as well as reverse the progression of Type 2 diabetes.

Also, we found that it changed gene expression in over 500 genes in just three months, “turning on” genes that protect against disease and “turning off” genes that promote breast cancer, prostate cancer, inflammation and oxidative stress.

The program, too, has been associated with increased telomerase, which increases telomere length, the ends of our chromosomes that are thought to control how long we live (studies done in collaboration with Dr. Elizabeth Blackburn, who shared the Nobel Prize in 2009 with Carol Greider and Jack Szostak for discovering telomerase). As our telomeres get longer, our lives may get longer.

In a randomized controlled trial, patients on this lifestyle program lost an average of 24 pounds after one year and maintained a 12-pound weight loss after five years. The more closely the patients followed this program, the more improvement we measured in each category — at any age.

It’s not low carb or low fat. An optimal diet is low in unhealthful carbs (both sugar and other refined carbohydrates) and low in fat (especially saturated fats and trans fats) as well as in red meat and processed foods.

WHAT you eat is as important as what you exclude — your diet needs to be high in healthful carbs like fruits, vegetables, whole grains, legumes, soy products in natural, unrefined forms and some fish, like salmon. There are hundreds of thousands of health-enhancing substances in these foods. And what’s good for you is good for the planet.

Calories do count — fat is much denser in calories, so when you eat less fat, you consume fewer calories, without consuming less food. Also, it’s easy to eat too many calories from sugar and other refined carbs because they are so low in fiber that you can consume large amounts without getting full. Sugar is absorbed so quickly that you get repeated insulin surges, which promote Type 2 diabetes and accelerate the conversion of calories into body fat.

But never underestimate the power of telling people what they want to hear — like cheeseburgers and bacon are good for you. People are drawn to Atkins-type diets in part because, as the study showed, they produce a higher metabolic rate. But a low-carb diet increases metabolic rate because it’s stressful to your body. Just because something increases your metabolic rate doesn’t mean it’s good for you. Amphetamines will also increase your metabolism and burn calories faster, which is why they are used to help people lose weight, at least temporarily. But they stress your body and may mortgage your health in the progress.

Patients on an Atkins diet in this study showed more than double the level of CRP (C-reactive protein), which is a measure of chronic inflammation and also significantly higher levels of cortisol, a key stress hormone. Both of these increase the risk of heart disease and other chronic diseases. A major research article published recently in the British Medical Journal studied 43,396 Swedish women over 16 years. It concluded that “low carbohydrate-high protein diets … are associated with increased risk of cardiovascular diseases.” An important article in The New England Journal of Medicine examined data from a study showing that high-protein, low-carb diets promote coronary artery disease even if they don’t increase traditional cardiac risk factors like blood pressure or cholesterol levels. A diet low in fat and high in unrefined carbohydrates caused the least amount of coronary artery blockages, whereas an Atkins-type diet caused the most.

Outcomes from more than 37,000 men from the Harvard-sponsored Health Professionals Follow-Up Study and more than 83,000 women from the Nurses’ Health Study who were followed for many years showed that consumption of both processed and unprocessed red meat, a mainstay of an Atkins diet, is associated with an increased risk of premature death as well as greater incidence of cardiovascular disease, cancer and Type 2 diabetes.

About 75 percent of the $2.8 trillion in annual health care costs in the United States is from chronic diseases that can often be reversed or prevented altogether by a healthy lifestyle. If we put money and effort into helping people make better food and exercise choices, we could improve our health and reduce the cost of health care. For example, Medicare is now covering this program for reversing heart disease. In an increasingly polarized political landscape, this approach provides an alternative to some Republicans who want to privatize or dismantle Medicare and some Democrats who want to simply raise taxes or increase the deficit without addressing the diet and lifestyle choices that account for so much health spending.

This way of living helps you lose weight and keep it off while enhancing rather than harming your health.

Dean Ornish is a clinical professor of medicine at the University of California, San Francisco, and the founder of the Preventive Medicine Research Institute.

Quick Study: DASH Diet Works–But Maybe Not for African-Americans

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Vivus sees EU regulators rejecting diet drug


By Joseph Walker

–Vivus sees European delay in getting diet drug approved

–Company cites tough regulatory environment

–Shares slide 10%

(Updates throughout with details and comments from Vivus’s president.)

Vivus Inc.


/quotes/zigman/56708/quotes/nls/vvus VVUS
-11.47%



said a European drug regulator is unlikely to recommend marketing approval for the obesity drug Qsiva next month, a setback as the company races to sell its diet treatment on the continent.

Peter Tam, president of Vivus, cited a tough regulatory environment in Europe for the decision and declined to speculate on how long Qsiva would be delayed there. After the ruling, which is expected in mid-October, Vivus can appeal the decision or refile the drug’s application.

“We await the official decision and the formal report, which should provide us specifics on any additional requirements leading to the approval of Qsiva in Europe,” Mr. Tam said. He added that the company learned about the expected decision Wednesday in discussions with the regulator, the European Medicines Agency’s Committee for Medicinal Products for Human Use.

Qsiva is the European name for Vivus’s drug marketed in the U.S. as Qsymia.

Mr. Tam said it was unclear what specific issues the committee would cite in its decision, but committee members had expressed concerns about the European withdrawal of Abbott Laboratories’


/quotes/zigman/216393/quotes/nls/abt ABT
-0.34%



weight-loss drug Meridia in 2010 and Sanofi S.A’s (SAN) obesity drug Acomplia in 2008.

Despite the epidemic of obesity, especially in developed markets like the U.S., diet drugs have faced intense scrutiny because regulators are mindful of the damaging side effects caused by older obesity treatments as well as the fact that the drugs are likely to be taken by millions of people for a long period of time.

Mr. Tam also said European regulators are less comfortable with the use of phentermine, one of Qsiva’s two active ingredients, than their American counterparts. Phentermine hasn’t been on the European market in more than a decade, he said.

The E.U. regulator’s rejection of Qsiva could delay the drug’s entry into the European market by at least 12 months, said equity analyst Simon Davison of Edison Investment Research. The delay could mean that Belviq, a competing drug from rival Arena Pharmaceuticals Inc.


/quotes/zigman/83618/quotes/nls/arna ARNA
+3.14%



, will be approved first in the E.U.

Vivus shares slid 10% to $21.27, while Arena’s stock gained 3.3% to $9.05. Vivus shares have more than doubled over the past year but have lost some gains in recent weeks.

Arena’s Belviq was approved first in the U.S. but has yet to reach the market because it had to go through a classification review with the Drug Enforcement Administration. The review, which lasts up to six months, is given to drugs with a likelihood or potential of being abused.

Vivus’s Qsymia was made available to U.S. consumers this week after U.S. Food and Drug Administration approval in July, a month after Arena. Qsymia didn’t have to undergo the DEA process because Qsymia has been classified as a non-narcotic drug by the agency based on a prior scheduling for one of its two generic components.

Qsymia–previously known as Qnexa–is a controlled-release formulation that combines low doses of two older generic drugs: the stimulant phentermine, which cuts appetite, and topiramate, which increases the sense of feeling full. Topiramate is also sold under the brand name Topamax by Johnson Johnson


/quotes/zigman/230812/quotes/nls/jnj JNJ
+0.23%



to treat migraines and seizures.

Phentermine was part of the fen-phen obesity drug that was taken off the market in the 1990s because of links to heart-valve damage. Evidence now indicates the increased risk for heart problems was attributable to fenfluramine and not to phentermine.

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Quick Study: DASH Diet Works–But Maybe Not for African-Americans

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Paleo Diet: Healthy Or A Hoax?

Welcome to Ask Healthy Living — in which you submit your most burning health questions and we do our best to ask the experts and get back to you. Have a question? Get in touch here and you could appear on Healthy Living!

“Ask Healthy Living” is for informational purposes only and is not a substitute for medical advice. Please consult a qualified health care professional for personalized medical advice.

My health practitioner advised me to adopt this Paleo diet to reduce cholesterol and blood sugar. Also said it’s an ideal way to lose weight. It recommends avoiding dairy, sugar, grains and legumes. Is this the answer to most of our health problems?

— Rita

If you’re unfamiliar with this popular diet, the Paleo Diet (also known as the “Caveman Diet”) prescribes a pattern of eating that mirrors the way your ancestors ate back (way back!) in the day. The assertion is simple: diseases like obesity, diabetes and heart disease are illnesses “of civilization” and so, to combat the ill effects of the modern diet, we should return to a pre-civilization, hunter-gatherer diet of meat, fish, fruits and vegetables. That means all gains from the agrarian revolution — grains, dairy, legumes, salt and sugars — are off the menu.

“Although in theory this may seem like a sensible diet, particularly when removing sugar and salt, it has eliminated several food groups like dairy and grains, which provide essential nutrients, such as calcium, vitamin D, magnesium and phosphorus in dairy and B vitamins, fiber and antioxidants in grains,” says Joy Dubost, a registered dietician and a spokesperson for the Academy of Nutrition and Dietetics. “Legumes also provide a great protein source with little fat and lower in calories while providing essential nutrients and fiber.”

Lisa Sassoon, a registered dietitian and assistant clinical professor of nutrition at NYU, agrees. “There’s no real research behind it either. And it eliminates things that do have research behind them: grains, beans and low-fat dairy.”

That research shows that nutrients in legumes, whole grains and dairy help to lower one’s risk of osteoporosis and cardiovascular disease, reduce blood pressure, and maintain a healthy weight, according to Dubost.

And while the diet’s restrictive nature might result in initial weight loss, it can be problematic as a long-term weight loss solution, according to the researchers we spoke with. When you eliminate whole food groups, you are bound to pay more attention to what you eat. And the ban on refined grains, salt and sugars means that processed foods are out. For those with a relatively processed diet, that will likely result in weight loss. And excess weight is one of the major associated conditions to high cholesterol, high blood pressure and pre-diabetes.

“If you lose weight, your cholesterol comes down. Weight loss will help all of those other things, with the exception of certain cases, where there’s a genetic predisposition,” says Sassoon. In this way, Rita’s doctor may be correct: if she currently eats a diet high in refined carbs, processed meals and sugar-laden treats, the Paleo Diet is certainly a step in the right direction.

But if she already has a diet full of fresh produce, lean proteins and whole foods, Paleo eating may not result in weight loss and may prevent healthy eating behaviors that come naturally. “If someone eats low-fat plain yogurt with berries for breakfast, that’s not allowed on the diet,” says Sassoon.

“The biggest issue to be addressed is not eliminating these food groups but ensuring that portion size is appropriate,” explains Dubost.

There’s also problematically little stated about saturated fat. As part of the Paleo diet, it would be easy to choose cuts of meat that are sky-high in artery-clogging LDL cholesterol and saturated fat. Especially for someone used to eating low-fat dairy protein, this switch would be harmful to cholesterol levels. And while the Paleo diet is high in fiber (thanks to all the fresh produce), forbidden foods like whole grain oats, beans and other grain and legume sources of fiber have been found to help moderate cholesterol levels.

There’s another, wholly unrelated problem: pleasure. “It eliminates quinoa, ice cream, pasta — these things we love to eat, that make us social creatures,” says Sassoon. “And that means we’re less likely to stick with it, more likely to binge. It’s not just about losing weight, it’s also about learning how to enjoy food in a healthy way.”

So does the Paleo Diet really lower cholesterol and help with many of the conditions that lead to metabolic syndrome? Only insofar as they cut out sugary, fatty and processed foods. Buy you can do that without eliminating whole food groups or imitating the eating patterns — most likely dictated by food scarcity — of pre-agrarian ancestors.

Have a question? Ask Healthy Living!

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Diet drug Qsymia now available


Meg Evans, in red, lost 48 pounds her first year on Qsymia and another two pounds the second year.

(CNN) — A new diet drug approved by the U.S. Food and Drug Administration in July is now available for obese and at-risk overweight patients. The oral medication Qsymia can only be obtained with a doctor’s prescription.

Qsymia (pronounced kyoo-SIM-ee-uh) is the second diet drug approved this year. The FDA approved a weight-loss pill called Belviq on June 27.

Patients in clinical trials experienced more dramatic weight loss with Qsymia than with Belviq. On Qsymia, patients went from an average 227 pounds to 204 pounds; on Belviq, the average weight dropped from 220 to 207.

Qsymia had been known as Qnexa until its approval. The FDA asked the company to change the name to avoid confusion with another drug on the market, according to the company.

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Some consumer advocates worry that the medication’s weight loss comes with a price. Some patients in the clinical trial suffered an increased heart rate and a condition called metabolic acidosis, which can lead to hyperventilation, fatigue and anorexia.

Concerns have also been raised about birth defects. One of the ingredients in Qsymia is topiramate, an anti-convulsant that has been linked to birth defects such as cleft lip and cleft palate in babies born to women who have taken it for migraines or seizures. Qsymia’s other ingredient is phentermine, an appetite suppressant.

“Our belief is that women will be invited (through) compelling advertising and marketing messages to experiment on themselves with a drug that has some effectiveness with healthy weight loss but possible serious risks,” said Cindy Pearson, executive director of the National Women’s Health Network.

Qsymia’s manufacturer, Vivus Inc., says that the drug helped lower blood pressure and cholesterol levels in obese people and that people taking it were less likely to get type II diabetes.

Not enough good data to back obesity drug, panel says

“Obesity is not being adequately addressed by diet and lifestyle changes or currently available therapies,” the company said. “The need for new options is urgent, particularly nonsurgical options.”

The FDA approved Qsymia only for obese people or for overweight people with a body mass index greater than 27 who also suffer from weight-related conditions like hypertension and diabetes.

Doctors are free to prescribe the drug to anyone, however, and there are concerns that physicians will open “pill mills” and prescribe Qsymia to people who just want to lose a few pounds. That’s what happened in the 1990s with fen-phen, another diet drug combination that includes phentermine.

An FDA advisory committee voted against Qsymia’s approval in 2010. The panel recommended the drug’s approval with a 20-2 vote in February, after Vivus proposed a risk management program to limit Qsymia’s distribution and published additional results from one of its three clinical trials.

Vivus is offering the pill only through mail order, so doctors can’t sell it directly, said Dr. Barbara Troupin, Vivus’ vice president of scientific communications and risk management.

“There will not be dispensing from doctors’ offices,” she said. “Seeing that issue and what has happened in fad and diet drugs in the past, that is not a path that we’re going to be taking.”

The 4,430 overweight and obese patients in the Qsymia studies experienced various levels of weight loss. About half of patients on the recommended dose lost 10% of their weight, while four-fifths lost 5%. That amounts to about 12 pounds for a 227-pound person.

Meg Evans, one of the patients, started out at 230 pounds and lost 48 pounds her first year on the drug and another two pounds the second year.

“I loved it,” she said. “I wasn’t hungry. I almost had to remind myself to eat.”

At 5 feet 9 inches tall, Evans, now 63, describes herself as having been “Twiggy-like” in college, weighing 120 pounds. Then she gained weight after having four children. An avid cook and eater, she said the drug made it easier to resist tempting foods.

FDA advisers recommend diet drug

“If I saw a chocolate-chip cookie, it was easy enough for me to say, ‘I’m not really hungry. I can pass on it,’ ” Evans said.

She said the weight came off gradually, about four pounds a month, and her blood pressure went down almost immediately.

In February, Dr. Michael Lauer was one of two FDA advisory committee members who voted against Qsymia’s approval.

“I believe that if the public were to ‘buy’ (Qsymia) after FDA approval, it would run the risk of severe, even fatal, consequences from another diet lemon,” Lauer wrote in Annals of Internal Medicine, also noting that the drug led to a slight increase in heart rates.

The FDA and Vivus both acknowledge that the three clinical trials meant to measure Qsymia’s safety and effectiveness were not designed to properly assess cardiovascular risk.

The FDA has required Vivus to do a study on the drug’s cardiovascular effects. Vivus earlier said it would be done after the drug’s approval.

Despite the label’s warning that women of childbearing age should use birth control while on Qsymia, there are concerns that women will still get pregnant while on the drug. The FDA recommends a pregnancy test every month while on Qsymia.

In the drug-maker’s two-year clinical trial, 34 women on Qsymia became pregnant, even though they were told repeatedly to use contraception. No birth defects happened in those pregnancies, according to the company.

Previous clinical trials of topiramate, one of the ingredients in Qsymia, have shown a risk of about five birth defects for every 1,000 pregnancies.

Comparing the anti-obesity drug to treatments for other chronic diseases, Troupin said patients will probably need to continue taking Qsymia long-term, though the new drug is not expected to be widely covered by health insurance plans.

FDA rejects another obesity drug

Evans, the patient who lost 50 pounds on the drug, said she has gained back about 20 pounds since the clinical trial ended two years ago and looks forward to going on Qsymia once it’s approved, even though it can have side effects.

“There are side effects to everything,” she said.

She added that the drug wasn’t the only reason she lost weight. Weekly counseling on nutrition and exercise were a big factor, too.

The counselor helped her change her diet — choosing a salad for lunch instead of a burger, forgoing pasta and potatoes at dinner — and encouraged her to walk a few times a week in addition to her regular exercise as goalie in a women’s soccer league.

“Before the medicine, I had been telling the girls they’d have to find a new goalie, because I couldn’t dive for the ball like I did before,” she said. “Then I lost the weight, and I was diving and bouncing back up and having a great old time again.”






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Salt in Kids’ Diets Linked to High Blood Pressure

Salt in Kids’ Diets Linked to High Blood Pressure

spilled salt

Sept. 17, 2012 — Eating a diet that’s high in sodium has been linked in numerous studies to higher blood pressure in adults. Now, new research from the CDC suggests the same link in children and teens.

The investigation found that the more sodium children and teenagers ate, the higher their risk for developing high blood pressure, especially if they were overweight or obese.

Average sodium intake among the children and teens was as high as that of adults. Most sodium is found in processed or packaged foods and restaurant food, not from salt.

CDC nutritional epidemiologist Elena V. Kuklina, MD, who co-authored the study, says high blood pressure is increasingly common among children in the U.S., and high sodium in the diet may be a major contributor.

The average daily intake of sodium among the children and teens in the study was 3,400 mg, the equivalent of just under 2 teaspoons of salt.

That is more than double the daily maximum of 1,500 mg of sodium that the American Heart Association has set as a goal for children and adults.

“We clearly need to reduce sodium intake at the population level,” Kuklina says. “We can do this by eating more fruits and vegetables and less processed foods.”

Salt Shockers Slideshow: High-Sodium Surprises

Kids, Salt, and Blood Pressure

But in a written statement, Morton Satin, who is vice present of science and research for the salt industry trade group the Salt Institute, calls the research “pseudo-science.”

The study included 6,235 children and teens who were participants in a larger health study. As part of the study, they were asked to recall all the foods they ate over a 24-hour period.

Just over a third (37%) were overweight or obese, and 15% had either high blood pressure or blood pressure that was above normal but not yet at the level of high blood pressure.

Among kids and teens who were overweight or obese, every 1,000-mg increase in sodium intake per day nearly doubled their risk for high blood pressure or pre-high blood pressure.

Overweight and obese kids and teens who ate the most sodium were 3.5 times as likely to have high blood pressure as overweight and obese kids and teens who ate the least sodium.

Having high blood pressure as a child means a person is more likely to have the same as an adult, which can increase risk for heart disease and stroke.

Salt Bigger Problem for Overweight Kids

Pediatric cardiologist Stephen R. Daniels, MD, PhD, of the University of Colorado School of Medicine, says the finding that overweight kids may be the most at risk has public health implications.

Daniels, who is a spokesman for the American Heart Association, says he is seeing more and more kids with high blood pressure in his practice.