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

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. "7 The Regulatory Framework: A Powerful and Adaptable Tool for Sodium Intake Reduction." 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

poultry products,21 and it has proposed but not yet finalized regulations requiring nutrition information for these products on labels or at point of purchase (USDA/FSIS, 2009b). In order to establish comparable nutrition labeling requirements for meat and poultry products, USDA in 1993 acting under its own authorities made mandatory the nutrition labeling of meat and poultry products, other than single-ingredient, raw products. Voluntary guidelines were set in place for nutrition labeling of single-ingredient, raw meat and poultry products. In 2001, USDA proposed to make these voluntary guidelines mandatory (USDA/FSIS, 2001). This proposal was not finalized, but in December of 2009 USDA announced it would solicit further public comments on the proposed rule (USDA/FSIS, 2009b).

Sodium and the Nutrition Facts Panel

The Nutrition Facts panel, an example of which is shown in Appendix I, provides nutrient information in amounts per serving and as a percentage of the DV for certain required nutrients. Sodium is one of the required nutrients, and its declarations are expressed both as a milligram amount and as a percentage of the recommended DV, which currently is established as 2,400 mg.22 FDA regulations provide a procedure for food producers to analyze the sodium content and determine quantitative sodium levels in their products. To be in compliance with labeling requirements, the actual nutrient content must not differ from the amounts declared in the panel by more than 20 percent.23 For sodium, the actual amount can not be more than 20 percent above the declared value.24

Establishing the Daily Value for Sodium

One of the goals of the NLEA was to allow consumers to quickly and easily view and understand the nutrition information on food labels. Consumers were to be able to understand the nutrients’relative significance “in the context of the total daily diet”25—to tell at a glance whether the nutrients in a product represented a large or small amount of a “desirable” intake or an intake associated with better health. The DV information not only allows consumers to make choices about the foods they consume, but also it allows them to make trade-offs. By observing that a particular product may contribute, for example, 75 percent of the amount of sodium considered

21

9 CFR 317.345.

22

58 FR 2079 and 2206.

23

21 CFR 101.9(g)(4)(ii).

24

21 CFR 101.9(g)(5).

25

Nutrition Labeling and Education Act of 1990. Public Law 101-535, 104 Stat 2353.

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225
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)