All articles 8 September 20262 min readBy Timon DhaezeSleep

Salt and night-time urination: why less salt helps you sleep through

A pinch of salt before bed is often recommended against waking up to pee. The research points the other way: less salt meant fewer trips to the toilet at night.

Silver salt cellar with a heap of coarse salt, detail from a seventeenth-century still life
Salt cellar with coarse salt, detail from a still life by Pieter Claesz, Saint Louis Art Museum. Public domain.

Does less salt help against waking up to pee? The research points that way. Of 321 people with a high salt intake, 223 managed to cut back, and among them night-time urination fell from 2.3 to 1.4 times a night. Those who ate more salt got up more often.

My story said the opposite: a pinch of salt would prevent night-time urination. That claim I take back.

Sea salt: this one I take back

Does less salt help against waking up to pee?

My story claimed that a pinch of salt before bed prevents night-time trips to the toilet. The research says the opposite.

Of 321 Japanese patients with urinary complaints, 223 managed to eat less salt for twelve weeks, going from 10.7 to 8 grams a day. Their night-time urination dropped from 2.3 to 1.4 times a night. Those who ate more salt over the same period got up more often. A smaller study in 74 cardiology patients saw the same among those who stuck to it: from 2.5 to 1 time a night in the 56 adherent patients.

The average Belgian eats about 9.5 grams of salt a day. The World Health Organization's guideline is 5. Only people on a strict keto diet or those who sweat litres lose enough sodium to consider topping up, and even for them no study measures the effect on sleep. For everyone else, extra salt before bed is a bad idea.

Source: Matsuo et al.1 2019, Neurourology and Urodynamics; Monaghan et al.2 2020, Journal of Clinical Hypertension; Vandevijvere et al.3 2021, European Journal of Clinical Nutrition (Sciensano, 2018 data)

What actually makes the difference

Supplements are the last five percent. The first 95 percent sits in your structure.

Go to bed around the same time every day. Keep your phone out of the bedroom. No more caffeine in the six hours before sleep. First thing in the morning, step outside into daylight for a moment.

You need neither a tracker nor fancy supplements. Stick to the basics. And that cup of chamomile? Go ahead and drink it. As a ritual.

The other two claims from my story are covered separately: magnesium and sleep and chamomile tea and sleep.

Group in the studySalt intakeNight-time urinationDirection
223 people who cut backFrom 10.7 to 8 grams a dayFrom 2.3 to 1.4 times a nightLess salt, fewer wake-ups
98 people who ate moreFrom 9.6 to 11 grams a dayFrom 2.3 to 2.7 times a nightMore salt, more wake-ups

Frequently asked questions

Does less salt help against waking up to pee?

The research points that way. Of 321 people with a high salt intake, 223 managed to cut back, and among them night-time urination fell from 2.3 to 1.4 times a night. It was not a randomised trial.

Does a pinch of salt before bed help?

No study shows that. A strict ketogenic diet or heavy sweating do cost you sodium, but that is a plausible mechanism, not a measured effect on sleep.

How much salt does the average Belgian eat?

Between 8 and 9.4 grams a day, depending on the formula used in the urine research. The World Health Organization norm is 5 grams.

Timon coaches online across Belgium and the Netherlands and also trains clients in person in Maldegem and Ghent.

SleepNutritionScience

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    Sources

    Sources

    Every number in this article was checked against the original publication.

    1. Matsuo et al. (2019). Neurourology and Urodynamics. intervention study, 321 patients with urinary complaints, twelve weeks of salt restriction.
    2. Monaghan et al. (2020). Journal of Clinical Hypertension. 74 cardiology patients, night-time urination before and after salt restriction.
    3. Vandevijvere et al. (2021). European Journal of Clinical Nutrition. salt intake of Belgians measured through urine analysis (Sciensano, 2018 data).
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