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Salt craving: the psychobiology of pathogenic sodium intake
Journal article   Peer reviewed

Salt craving: the psychobiology of pathogenic sodium intake

Michael J Morris, Elisa S Na and Alan Kim Johnson
Physiology & behavior, Vol.94(5), pp.709-721
08/06/2008
DOI: 10.1016/j.physbeh.2008.04.008
PMCID: PMC2491403
PMID: 18514747
url
https://www.ncbi.nlm.nih.gov/pmc/articles/2491403View
Open Access

Abstract

Ionic sodium, obtained from dietary sources usually in the form of sodium chloride (NaCl, common table salt) is essential to physiological function, and in humans salt is generally regarded as highly palatable. This marriage of pleasant taste and physiological utility might appear fortunate--an appealing taste helps to ensure that such a vital substance is ingested. However, the powerful mechanisms governing sodium retention and sodium balance are unfortunately best adapted for an environment in which few humans still exist. Our physiological and behavioral means for maintaining body sodium and fluid homeostasis evolved in hot climates where sources of dietary sodium were scarce. For many reasons, contemporary diets are high in salt and daily sodium intakes are excessive. High sodium consumption can have pathological consequences. Although there are a number of obstacles to limiting salt ingestion, high sodium intake, like smoking, is a modifiable behavioral risk factor for many cardiovascular diseases. This review discusses the psychobiological mechanisms that promote and maintain excessive dietary sodium intake. Of particular importance are experience-dependent processes including the sensitization of the neural systems underlying sodium appetite and the effects of sodium balance on hedonic state and mood. Accumulating evidence suggests that plasticity within the central nervous system as a result of experience with high salt intake, sodium depletion, or a chronic unresolved sodium appetite fosters enduring changes in sodium related appetitive and consummatory behaviors.
Animals Appetite - drug effects Appetite Regulation - physiology Appetitive Behavior - drug effects Eating - drug effects Eating - psychology Feeding Behavior - drug effects Feeding Behavior - psychology Humans Hypothalamus - drug effects Hypothalamus - physiology Motivation Nutritional Requirements Rats Reward Sodium, Dietary - pharmacology Taste - drug effects Taste - physiology

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