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Strategies to Reduce Sodium Intake in the United States (2010)
Food and Nutrition Board (FNB)

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. "6 The Food Environment: Key to Formulating Strategies for Change in Sodium Intake." Strategies to Reduce Sodium Intake in the United States. Washington, DC: The National Academies Press, 2010.

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Strategies to Reduce Sodium Intake in the United States

TABLE 6-1 Value of Shipments by the U.S. Food Manufacturing Industry in 2006

Type of Shipment

Value (billions of U.S. dollars)

Meat

145

Dairy

69

Other food

71

Grain and oilseed milling

52

Fruit, vegetable, and specialty food

54

Bakeries and tortilla

49

Sugar and confectionery

28

Seafood

10

SOURCE: U.S. Department of Commerce Processed Food Outlook, 2008. Available online: http://www.trade.gov/td/ocg/report08_processedfoods.pdf (accessed July 20, 2009).

small number of large manufacturing plants. Large plants (100 or more employees) comprised only 12 percent of all processing plants in 2005, yet produced 77 percent of products by value. Small plants (1–19 employees) comprised 69 percent of all plants in 2005, while producing only 4 percent of products by value.3 Further, the size of the domestic manufacturing system does not provide a complete picture because substantial amounts of the food sold for consumption in the United States are processed overseas. In 2007, more than $60 billion in consumer-ready processed foods were imported, an increase from approximately $30 billion in 1998. Canada, the European Union, Mexico, and China were the top four exporters of these products (Brooks et al., 2009). In addition, many ingredients for foods processed in the United States are imported.4

Table 6-2 lists the top 20 food processors in the United States and Canada on the basis of food sales in 2008. The top food manufacturers in the United States are multinationals that create and sell a variety of products under numerous national brand names. National brands are typically those that are well known and advertised, and most have strong customer loyalty.5 In addition to large multinationals, thousands of small- and medium-sized companies make products that are sold nationally or regionally. For example, it is estimated that the average supermarket stocks products from more than 16,000 food processing companies (Harris et al., 2002), many of which produce far fewer products than large multinationals. Both large

3

Available online: http://ers.usda.gov/Briefing/FoodMarketingSystem/processing.htm (accessed August 1, 2009).

4

Available online: http://www.foodprocessing.com/articles/2008/037.html (accessed November 11, 2009).

5

Available online: http://www.fmi.org/glossary/index.cfm (accessed October 12, 2009).

Page
155
Front Matter (R1-R12)
Summary (1-16)
1 Introduction (17-28)
2 Sodium Intake Reduction: An Important But Elusive Public Health Goal (29-66)
3 Taste and Flavor Roles of Sodium in Foods: A Unique Challenge to Reducing Sodium Intake (67-90)
4 Preservation and Physical Property Roles of Sodium in Foods (91-118)
5 Sodium Intake Estimates for 2003–2006 and Description of Dietary Sources (119-152)
6 The Food Environment: Key to Formulating Strategies for Change in Sodium Intake (153-212)
7 The Regulatory Framework: A Powerful and Adaptable Tool for Sodium Intake Reduction (213-234)
8 Committee's Considerations and Basis for Recommendations (235-284)
9 Recommended Strategies to Reduce Sodium Intake and to Monitor Their Effectiveness (285-296)
10 Next Steps (297-316)
Committee Member Biographical Sketches (317-324)
Appendix A: Acronyms, Abbreviations, and Glossary (325-334)
Appendix B: Government Initiatives and Past Recommendations of the National Academies, the World Health Organization, and Other Health Professional Organizations (335-356)
Appendix C: International Efforts to Reduce Sodium Consumption (357-404)
Appendix D: Salt Substitutes and Enhancers (405-408)
Appendix E: Background on the National Health and Nutrition Examination Surveys and Data Analysis Methods (409-416)
Appendix F: Sodium Intake Tables (417-442)
Appendix G: National Salt Reduction Initiative Coordinated by the New York City Health Department (443-452)
Appendix H: Federal Rulemaking Process (453-456)
Appendix I: Nutrition Facts Panel (457-458)
Appendix J: State and Local Sodium Labeling Initiatives (459-466)
Appendix K: Approach to Linking Universal Product Code (UPC) Sales Data to the Nutrition Facts Panel (467-468)
Appendix L: Public Information-Gathering Workshop Agenda (469-472)
Index (473-494)