Salt and weight
Why do we love salt? Because it tastes good. Why does it taste good? Because the body wants us to eat it. The body wants us to eat it because we evolved on the plains of Africa, where maintaining salt levels was crucial to survival. There can be too much of a good thing, however–a motto I'm sure no food-industry chief pins on his office wall.
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Until recently, my view of how water weight works was uninformed. I imagined that the body has a set sodium limit, which we reach after eating a certain amount of salt, and beyond which any excess is excreted. Someone who eats a lot of salt may carry a few extra pounds of water weight, I thought, but this makes no difference to their losing or maintaining true weight overall. It would be like carrying the same half-gallon can of water each time you weigh. I now realise salt-induced water-weight gain is not like that. Whether or not people gain water weight depends on the concentration of salt in their body at the time. If that is too high, they gain water weight, no matter what happened on previous days.
So someone who consumes little salt, or someone who consumes lots of salt but with enough water to dilute it, never gains salt-induced water weight, because the concentration of salt in their body remains optimal. However, someone who regularly consumes lots of salt without enough fluid will not only retain water but may gain body fat over time, since their body is locked in retentive mode, forced to conserve energy by suppressing the mobilisation of glucose and fat. The body does this because it believes it is under threat. If salt intake continues to exceed needs, the body will continue to retain more water.
This doesn't mean that high-salt eaters (in other words, most people on a standard modern diet) will end up carrying thirty pounds of empty water weight or more around with them; it means that, owing to not consuming enough fluid, they will carry the extra body fat that accumulates while salt is over-concentrated in their bodies. Slim people, who need less water than overweight people, may avoid this even if they eat a lot of salt, either because they eat modestly or because they burn more energy thanks to their faster metabolisms. In a sense, they offset potential water weight gain by lower energy intake or extra energy expenditure, as overweight people do when they diet. By reducing their size, overweight people lower the body’s set point for water retention. Therefore water is intimately involved in the process of weight reduction at every step.
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Walter Bortz gave an example of a patient whose weight loss stalled, despite a calorie deficit:
“In one obese individual, there was a period of 21 days in which no weight was lost whatsoever, despite an anticipated weight loss of 1.2 lb/day, calculated from a 4,200 calorie daily deficit. This period tested the patient’s determination and the doctor’s faith. The explanation for this protracted weight plateau in such an extremely obese individual was of course fluid retention. This was confirmed by observations of fluid and sodium balance.” (Bortz, Predictability of Weight Loss, 1968)
Though the patient’s weight loss resumed after their fluid and sodium balance was corrected, it would not have done so to the tune of an instant 25-lb weight drop, the amount of loss that had been forfeited. This is an extreme example; but it could be that many overweight people find themselves gaining or failing to lose weight for the same reason.
Bortz’s patient was lucky to have been under clinical observation, so that the issue was detected. But in normal circumstances you wouldn’t blame the individual for giving up. Overweight people are more vulnerable to the effect of water weight if they do not think to drink more water on account of being large. Which I doubt most of them do. I habitually drank the same amount of fluid when 70 lb overweight as I did once I was slim. If I’m typical, that could be one reason why losing weight seems so difficult, and why, despite sticking to plan, overweight people are prone to gain weight at the drop of a hat. It would be unsurprising if, as I did, they end up feeling irrational about the apparently random weight fluctuations that bedevil their progress.
In these circumstances, it might seem as if the body, by making us retain not only water but also fats and glucose, is conspiring against us; in fact, it is trying to help us. Our homeostatic system of salt and water balance evolved to protect us when we lived under the African sun. It makes sense that the body would conserve water and body mass when our ancestors overheated. It slowed down sweating, blocked urination, triggered thirst. And it used every trick in the book to protect us from losing weight.
Apparently, black people pee less rapidly than white, which is probably an evolutionary adaptation. Unfortunately, in the absence of copious water intake, that and related adaptations might makes them prone to weight gain, high blood pressure, and metabolic syndrome in a modern food environment, particularly in the hot conditions of the southern US states.
“Natural selection could have played a role in shaping racial differences in renal water handling and suggest that, in addition to enhanced urine concentrating ability, slower excretion of a water load could have conferred a selective advantage during the evolution of humans in the hot, arid climate of East Africa […] Because water is available only intermittently to hunter gatherers, slowing excretion of an acute water load could help to optimize water retention and improve reproductive success.” (Weder et al, Whites excrete water more rapidly than blacks, 2009)
I'm struck by how small the measures of drink are in hot countries. In Turkey, for example, they drink the smallest coffees imaginable. Coffees are not much bigger in Italy, where, nursing my litre of beer, I have also seen sweaty labourers nip into bars for a thimble of Stock brandy on their way home from work. I wonder if drinkers in these countries instinctively avoid large fluid intakes that would dilute the sodium in their systems? After all, in hot conditions, fluid retention is extremely desirable. By all accounts, early man consumed little salt, so a relatively small intake of water might have been enough to maintain sodium concentration in the right proportion. These days, however, most people eat so much salt that they need to drink large quantities of fluid to counteract it.
Did early man have constant high blood pressure because he was often short of liquids? I doubt it. I suspect he had normal blood pressure because he ate so little salt. Studies of modern hunter-gatherers show that they have excellent blood pressure and a low consumption of salt. Estimates of Palaeolithic man’s salt consumption are extremely low, maybe 500 mg a day or less. Consequently, he would not have needed to carry excess water weight, because he enjoyed sodium balance on a lower intake of water than we need today. High blood pressure results (among other things) from the constricting effect of the excess water weight that results from excess salt. In the absence of excess salt, I imagine early man enjoyed healthy blood pressure even when his consumption of fluids was low.
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It seems to me from all this that we have a choice. We can either consume a very low-sodium diet, in which case we may fare well on a relatively low intake of fluid. Or we can enjoy salty foods and offset them by drinking plenty of water. The worst thing we could do is eat salty foods while drinking too little fluid, the result of which will be water retention, and, if we are not careful, body-fat retention. Of course, we can vary how much fluid we consume each day, as I do now, according to how much salt we consume. We may eat carefully and drink to thirst at home; but if we dine out on restaurant food, with its notoriously high sodium content, it might pay us to drink a pint of water or two to prevent a jump in the scale the next day. The same if we choose to eat such salty foods as cheese, fish, salted nuts, sausages, and bacon.
Last edited by Plinge : Thu, Aug-09-12 at 07:48.
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