The lower-sodium salt revolution

Replacing regular salt with potassium-enriched, lower-sodium salt could be the next big public health victory.   

Right: Participants in “Law & Health Security: Strengthening Nigeria’s Legal Preparedness”. Credit – Resolve to Save Lives

Lower-sodium salt revolution

Challenge

High-sodium diets are deadlybut cutting salt often cuts flavor, too. 

Solution

Replacing regular table salt with a lower-sodium salt—at home, in restaurants, and in package foods—can deliver a familiar taste with fewer health risks. 

Impact

Just switching to a lower-sodium salt can reduce the risk of a heart attack, stroke, or death by nearly 15%. 

What is lower-sodium salt?

Lower-sodium salt tastes like regular salt, but it’s a much healthier choice. Most lower-sodium salts replace 10% to 50% of sodium—the harmful ingredient in salt—with potassium.

This is a double win. Reducing sodium reduces blood pressure. Increasing potassium, which most people don’t consume enough of, further reduces blood pressure and improves heart health. 

The World Health Organization recommends replacing regular salt with lower-sodium, potassium-enriched salt

How lower-sodium salt saves lives

In many countries, most salt in the diet is added during cooking or at the table—so reducing salt requires people to change their behavior. But what if salt itself could be less harmful? 

Studies in China, India and Peru have shown that switching to lower-sodium salt reduces sodium intake and lowers blood pressure effectively and at low cost. A study in China found that people who used the lower-sodium salt were less likely to have a stroke or other cardiovascular event, or to die prematurely.  

Lower-sodium salts can replace regular salt in many places:  

  • Most people* can use them at home.  
  • Cooks can use them in restaurants and in street foods. 
  • Governments can purchase them for use in public institutions, including schools and cafeterias in government office buildings. 
  • Food manufacturers can use them in packaged foods

How we support lower-sodium salt

We’re collaborating with research institutions, advocates and our country partners to make lower-sodium salt  the next big win for global public health.  

Switch the Salt Alliance

Jointly convened by Resolve to Save Lives and The George Institute for Global Health, the Switch the Salt Alliance is a diverse group of global, regional and national partners working to create an enabling environment for lower-sodium salt uptake.

Members—from global and regional health and nutrition organizations and multilateral and normative bodies to academic institutions and medical associations—share a commitment to reducing population sodium intake through the safe and effective use of lower-sodium salts. Learn more and join the alliance here.

Building the science behind a smarter salt

Despite strong evidence that lower-sodium salt could prevent hundreds of thousands of deaths annually, adoption remains slow. Coordinated research and investment across sectors will be crucial to unlock lower-sodium salt’s global potential.

With Johns Hopkins University and the George Institute, we convened international experts to identify the most urgent research gaps:

  1. Assessing LSSS safety for people with conditions like chronic kidney disease, diabetes, or using blood pressure-lowering medications;
  2. Improving product formulation, acceptability, and supply;
  3. Testing implementation strategies that build trust and encourage adoption; and
  4. Evaluating policy tools such as subsidies, tariffs, and public procurement.

With collaboration among scientists, governments, industry, and funders, lower-sodium salt can prevent millions of deaths from cardiovascular disease worldwide.

Safety considerations

Lower sodium salt is generally safe, but because of its potassium content, it may not be appropriate for people with some health conditions (such as kidney disease). Given the limited potential risk, lower-sodium salts should carry a warning, but this should not discourage consumers who don’t have contraindications. 

Latest resources

shake2.0tn

SHAKE the salt habit, 2nd ed.

WHO
May 12, 2026
WHO’s updated SHAKE technical package offers practical tools countries can use to cut back on salt
Screenshot 2026-06-04 at 3.28.08 PM

White paper: Low-sodium salt substitutes for hypertension and cardiovascular disease control in India

Resolve to Save Lives, The George Institute
April 14, 2026
White paper on LSSS summarizes current evidence and concludes that low-sodium salt substitutes (LSSS) can play an important role as a population-level sodium reduction strategy in India.
Screenshot 2026-06-04 at 3.29.53 PM

Consensus on the Use of Potassium-Enriched Low-Sodium Salt Substitutes (LSSS) as a Public Health Intervention in India

Resolve to Save Lives and The George Institute
April 14, 2026
A consensus statement on the use of potassium-enriched low-sodium salt substitutes (LSSS) in India developed by RTSL and TGI in consultation with doctors, nutritionists, public health specialists, and representatives from government and other organisations.  The statement…
LSSS research prioritization report one-pager

Building the science behind a smarter salt

Resolve to Save Lives
December 4, 2025
Global adoption of low-sodium salts is slow despite strong evidence they lower health risks. Strategic research will help fill in gaps and make this health tool a viable option for everyone.

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