Sodium Nitrate vs Polysorbate 80: which is worse?

What is Sodium Nitrate?

Sodium nitrate (NaNO3) is a naturally occurring salt found in soil and some plants, and also synthetically produced for use as a food preservative and curing agent. It is converted to sodium nitrite by bacterial action in foods or in the body, where it exerts its preservative and curing effects. Sometimes called 'Chile saltpeter' after its natural South American ore source.

What is Polysorbate 80?

Polysorbate 80 (Tween 80) is a synthetic nonionic surfactant and emulsifier derived from sorbitol and oleic acid (from vegetable oils) through ethoxylation. It is widely used in food to keep water-based and oil-based ingredients uniformly mixed. Chemical formula: polyoxyethylene (20) sorbitan monooleate.

Documented risks

Sodium Nitrate: Sodium nitrate shares the same health concerns as sodium nitrite: conversion to nitrosamines is the primary mechanism of concern. Sodium nitrate is converted to nitrite by bacterial reduction in foods and by nitrate-reducing bacteria in saliva before reaching the stomach. The subsequent conversion of nitrite to nitrosamines carries the same carcinogenicity concerns described for sodium nitrite. IARC's 2015 classification of processed meat as Group 1 human carcinogen applies to all nitrite/nitrate-cured processed meats. EFSA's 2017 re-evaluation established acceptable daily intakes (ADIs) for nitrate (3.7 mg/kg body weight/day) and nitrite (0.07 mg/kg body weight/day) based on risk assessment. A notable paradox in nitrate nutrition: dietary nitrate from vegetables (particularly leafy greens like spinach, arugula, and lettuce, and root vegetables like beets) is associated with cardioprotective effects through the nitrate-nitrite-NO pathway, where nitric oxide from dietary nitrate improves vascular function and reduces blood pressure. This beneficial effect of vegetable nitrate contrasts with the potential harm from processed meat nitrate/nitrite, suggesting that the food matrix and associated compounds (antioxidants in vegetables vs. amines in meat protein) significantly influence whether nitrite produces beneficial or harmful effects. Infant exposure to high nitrate levels — particularly from well water — can cause methemoglobinemia ('blue baby syndrome'). The EU and WHO set strict nitrate limits for infant water and food for this reason.

Polysorbate 80: Emerging research has raised concerns about polysorbate 80's effects on the gut. A landmark 2015 study in Nature (Chassaing et al.) found that dietary polysorbate 80 and polysorbate 60 at concentrations approaching food use levels promoted colitis and metabolic syndrome in genetically susceptible mice by disrupting the intestinal mucus layer and altering gut microbiome composition. The emulsifiers thinned the protective mucus layer, allowing bacteria to come into closer contact with gut epithelial cells and triggering inflammation. This study was a seminal contribution to gut health research, though it was conducted in mice and requires confirmation in humans. A 2020 follow-up study found that dietary emulsifiers including polysorbate 80 promoted gut inflammation and altered gut microbiome in human participants with Crohn's disease. People with inflammatory bowel disease may be most vulnerable to polysorbate 80's potential gut effects.