Low Sodium Diet: A Comprehensive Food List and Guide

Too much sodium in your diet can pose health risks. Salt contains sodium, and while your body requires sodium to function properly, excessive intake, primarily from salt added to food, can be detrimental. Dietary sodium is measured in milligrams (mg). If you have high blood pressure or heart failure, you will likely be asked to limit how much salt you eat every day. Even people with normal blood pressure will have lower (and healthier) blood pressure if they lower how much salt they eat. For most people, dietary sodium comes from salt that is in or added to their food.

This article provides a detailed food list and practical tips for adopting a low-sodium diet, crucial for managing conditions like high blood pressure and heart failure and beneficial for overall health. Your health care provider may tell you to eat no more than 2,300 mg a day when you have these conditions. A measuring teaspoon of table salt contains 2,300 mg of sodium. For some people, 1,500 mg a day is an even better goal.

Understanding Sodium and Its Impact

Sodium is essential for controlling fluid balance, maintaining blood volume, and regulating blood pressure in our bodies. However, the average American consumes five or more teaspoons of salt daily, far exceeding the body's requirement of just 1/4 teaspoon. Sodium is found naturally in foods, but a lot of it is added during processing and preparation. Many foods that do not taste salty may still be high in sodium. Large amounts of sodium can be hidden in canned, processed and convenience foods.

Key Principles of a Low-Sodium Diet

Eating a variety of foods every day can help you limit salt. Try to eat a balanced diet. The cornerstone of a low-sodium diet involves making informed food choices and adopting healthier cooking habits. This includes:

  • Prioritizing Fresh Foods: Buy fresh vegetables and fruits whenever possible. They are naturally low in sodium. Canned foods often contain salt to preserve the color of the food and keep it looking fresh. For this reason, it is better to buy fresh foods. Also buy fresh meats, chicken or turkey, and fish.
  • Reading Food Labels Carefully: Check all labels for how much salt foods contain per serving. Ingredients are listed in order of the amount the food contains. Avoid foods that list salt near the top of the list of ingredients. A product with less than 140 mg of sodium per serving is good. Look for these words on labels: Low-sodium, Sodium-free, No salt added, Sodium-reduced, Unsalted.
  • Limiting Processed Foods: Stay away from foods that are always high in salt. Some common ones are processed foods, such as cured or smoked meats, bacon, hot dogs, sausage, bologna, ham, and salami. Also, anchovies, olives, pickles, and sauerkraut; soy and Worcestershire sauces, tomato and other vegetable juices, and most cheeses; many bottled salad dressings and salad dressing mixes; most snack foods, such as chips, crackers, and others. Ready-to-eat foods make dinner preparation easy, but they account for 75% of the sodium in the American diet. They include prepared mixes, packaged rice dishes, soups, canned foods, frozen meals, packaged baked goods, and fast food.
  • Cooking at Home: Eat more home-cooked meals. Foods cooked from scratch are naturally lower in sodium than most instant and boxed mixes.
  • Using Salt Alternatives: When you cook, replace salt with other seasonings. Pepper, garlic, herbs, and lemon are good choices. Avoid packaged spice blends. They often contain salt. Use garlic and onion powder, not garlic and onion salt. Don't eat foods with monosodium glutamate (MSG). Be creative and season your foods with spices, herbs, lemon, garlic, ginger, vinegar and pepper.
  • Being Cautious While Eating Out: When you go out to eat, stick to steamed, grilled, baked, boiled, and broiled foods with no added salt, sauce, or cheese. If you think the restaurant might use MSG, ask them not to add it to your order. Use oil and vinegar on salads. Add fresh or dried herbs. Eat fresh fruit or sorbet for dessert, when you have dessert.

Detailed Food List for a Low-Sodium Diet

This section provides a comprehensive list of foods suitable for a low-sodium diet, categorized for easy reference.

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Fruits and Vegetables

  • Fresh Fruits: All fresh fruits are naturally low in sodium. Examples include apples, bananas, berries, oranges, grapes, and melons. Plant-based foods -- carrots, spinach, apples, and peaches -- are naturally low in sodium.
  • Fresh Vegetables: Most fresh vegetables are low in sodium. Options include leafy greens, broccoli, cauliflower, carrots, cucumbers, peppers, and tomatoes.
  • Frozen Vegetables (Unsalted): Opt for frozen vegetables without added salt or sauces.
  • Canned Vegetables (No Salt Added): Choose canned vegetables labeled "no salt added." Drain and rinse canned beans and vegetables.
  • Dried Fruits: Sun-dried tomatoes, dried mushrooms, cranberries, cherries, and other dried fruits are bursting with flavor.

Proteins

  • Fresh Meats, Poultry, and Fish: Buy fresh meats, chicken or turkey, and fish. Sodium levels in unseasoned fresh meats are around 100 milligrams or less per 4-ounce serving. Pick fresh and frozen poultry that hasn’t been injected with a sodium solution. Check the fine print on the packaging for terms like “broth,” “saline” or “sodium solution.”
  • Eggs: Eggs are naturally low in sodium.

Grains and Starches

  • Unsalted Rice, Pasta, and Grains: Cook pasta, rice and hot cereal without salt.
  • Whole Grain Bread (Low Sodium): Check labels to ensure low sodium content.
  • Unsalted Crackers: Choose unsalted varieties.

Dairy and Alternatives

  • Low-Sodium or Sodium-Free Cheese: Select cheeses with low or no sodium.
  • Unsweetened Milk and Yogurt: Opt for plain, unsweetened varieties.

Snacks

  • Unsalted Nuts and Seeds: Choose unsalted brands of nuts and trail mix.
  • Air-Popped Popcorn (Unsalted): Prepare popcorn without added salt.

Condiments and Seasonings

  • Fresh and Dried Herbs: Use flavorful ingredients. Onions, garlic, herbs, spices, citrus juices and vinegars can add flavor in place of some, or all, of the salt.
  • Spices (Salt-Free): Read the labels on spice mixes. Some have added salt. Herbs and spices provide a mix of flavors. If you are not sure what spices to use, do a taste test. Mix a small pinch of a spice or spice mix into a lump of low-fat cream cheese.
  • Vinegar: Experiment with vinegars (white and red wine, rice wine, balsamic, and others). For the most flavor, add it at the end of cooking time.
  • Lemon and Lime Juice: Add a splash of lemon or lemon juice and other citrus fruits, or wine, to soups and other dishes. Use them as a marinade for chicken and other meats.
  • Toasted Sesame Oil: Toasted sesame oil adds a savory flavor without added salt.
  • Small Amounts of Condiments: Also, use small amounts of condiments like ketchup, mustard, and soy sauce. Even the low-salt versions are often high in sodium.

Beverages

  • Water: If you have a home water softener, limit how much tap water you drink. Drink bottled water instead.
  • Unsweetened Tea and Coffee: Prepare without adding salt.

Foods to Avoid or Limit

Certain foods are consistently high in sodium and should be avoided or consumed sparingly on a low-sodium diet.

  • Processed Meats: Avoid cured meats like ham and bacon, pickles, olives, and other foods prepared in salt.
  • Canned Soups and Vegetables (Regular): Opt for low-sodium or no-salt-added versions.
  • Salty Snacks: Limit chips, pretzels, and salted crackers.
  • Fast Food: Fast food is typically very high in sodium.
  • Soy Sauce and Other Salty Sauces: Even the low-salt versions are often high in sodium.
  • Cheese: Most cheeses
  • Bottled Salad Dressings and Salad Dressing Mixes
  • Anchovies, olives, pickles, and sauerkraut
  • Tomato and other vegetable juices

Tips for Reducing Sodium in Your Diet

Beyond choosing the right foods, several strategies can help lower overall sodium intake.

  • Taste Before Salting: Tell them how you like it. Taste your food before adding salt. If you think it needs a boost of flavor, add freshly ground black pepper or a squeeze of fresh lemon or lime and taste it again before adding salt.
  • Be Aware of Food Words: Watch out for these food words: pickled, brined, barbecued, cured, smoked, broth, au jus, soy sauce, miso or teriyaki sauce. These tend to be high in sodium.
  • Control Portion Sizes: Control portion sizes. When you cut calories, you usually cut the sodium, too.
  • Ask About Sodium Content When Eating Out: Ask about the sodium content of menu items.
  • Adjust Your Taste Buds: Over time, your taste buds can adjust to less salt. Studies show that when people follow a lower-sodium diet, they start to prefer it, and that the foods they once enjoyed taste too salty.
  • Use Salt Substitutes (with caution): There are several salt substitutes on the market that replace some or all of the sodium with potassium. Potassium salt tastes similar to sodium chloride, except when heated it can have a bitter aftertaste. Most people can try potassium salt, but certain medical conditions (like kidney disease) and medications can have implications on your body’s potassium level. Ask your provider if a salt substitute is safe for you. Many contain a lot of potassium. This may be harmful if you have certain medical conditions or if you are taking certain medicines.
  • Eliminate salty foods from your diet and reduce the amount of salt used in cooking. Choose low sodium foods. Many salt-free or reduced salt products are available. Salt substitutes are sometimes made from potassium, so read the label. Remove the salt shaker from the table.
  • Don't use softened water for cooking and drinking since it contains added salt. Avoid medications which contain sodium such as Alka Seltzer and Bromo Seltzer.

Sample Low-Sodium Recipe: Chicken and Spanish Rice

This recipe provides a delicious and healthy low-sodium meal option.

Ingredients:

  • One cup (240 mL) onions, chopped
  • Three fourth cup (180 mL) green peppers
  • Two teaspoons (tsp) (10 mL) vegetable oil
  • One 8-oz (240 g) can tomato sauce*
  • One tsp (5 mL) parsley, chopped
  • One half tsp (2.5 mL) black pepper
  • One and a quarter tsp (6 mL) garlic, minced
  • Five cups (1.2 L) cooked brown rice (cooked in unsalted water)
  • Three and a half cups (473 g) chicken breasts, cooked, skin and bone removed, and diced

Instructions:

  1. In a large skillet, sauté onions and green peppers in oil for 5 minutes on medium heat.
  2. Add tomato sauce and spices. Heat through.
  3. Add cooked rice and chicken. Heat through.

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