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How does salt intake affect kidney function?

By The Salt AlmanacUpdated November 8, 20262 sources cited

Short answer

Your kidneys control the body's sodium balance. A high-sodium diet raises blood pressure, which over time damages the small blood vessels in the kidneys, and is linked to more protein in the urine, a sign of kidney stress. People with chronic kidney disease are usually advised to limit sodium to protect their kidneys and control swelling and blood pressure.

The Salt Almanac

How excess salt can strain the kidneys

  1. 1High-sodium diet
  2. 2Blood pressure rises
  3. 3Kidney blood vessels are damaged over time
  4. 4Less filtering capacity; more protein in urine
Graphic: The Salt Almanac, drawn from the sources listed below.

What the kidneys do with sodium

The kidneys filter blood and decide how much sodium to keep and how much to excrete. With a high-salt diet, they must work to excrete the excess, and the body holds more water while they do.

How too much salt can harm them

If you have kidney disease

The National Kidney Foundation advises limiting sodium and using herbs and spices instead. Be careful with potassium salt substitutes, which can be dangerous in kidney disease; ask your care team first.

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The Salt Almanac. (2026, November 8). How does salt intake affect kidney function. https://saltalmanac.com/answers/how-does-salt-intake-affect-kidney-function

Original sources

  1. National Kidney Foundation. Sodium and your CKD diet. https://www.kidney.org/kidney-topics/sodium-and-your-ckd-diet-how-to-spice-your-cooking
  2. American Heart Association. How much sodium should I eat per day? https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/sodium/how-much-sodium-should-i-eat-per-day