African-American health risks are rooted in geography, not race. Many ancestors came from deep interior West Africa—an extremely sodium-deficient region—which led to genetic adaptations for conserving salt. In today’s high-salt American diet, those same adaptations contribute to hypertension, kidney failure, and related diseases.
Modern nutrition guidelines aren’t designed for Black biology. Recommended sodium and calcium levels are based on Northern European genetics, not African ancestral needs. For many African-Americans, consuming “standard” amounts of salt or calcium can be harmful, fueling conditions like high blood pressure and certain aggressive cancers.
Precision medicine requires recognizing population-specific adaptations. African-Americans have immense genetic diversity, yet medical research rarely studies African gene variants. Without understanding these differences, life-saving treatments, prevention strategies, and nutritional guidelines will continue to overlook the community’s true biological needs.
Gregory L. Hall, MD, a native of Cleveland, Ohio, is an internal medicine doctor and an expert in African American health. He authored “Better Black Health: A Comprehensive Guide in the Age of Precision Medicine”...