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

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. "8 Committee's Considerations and Basis for Recommendations." 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 8-2 Overview of Initiatives in Other Countries

Country

Public Education

Requests to Industry for Sodium Reformulation

Food Labeling

Comments About Program

Canada

Yes

Yes

Voluntary

  • Early voluntary reductions by food industry combined with public education and labeling had no impact on sodium intake from processed foods

  • Too early to assess

Finland

Yes

Yes

Mandatory

  • Government regulation and implementation of food labeling with high-sodium-content warning

  • Strong media campaigns to increase public awareness

  • Much sodium intake under control of consumer (salt at table)

  • Replacement of usual salt with potassium-enriched Pansalt

  • Sodium intake decreased from 5,600 mg in 1972 to 3,200 mg in 2002

  • Blood pressure and stroke mortality rates declined

France

Yes

Yes

Voluntary

  • Efforts initiated in 2004

  • Optional sodium labeling being developed

  • Limited public education in which sodium reduction is the main message; done through the National Nutrition and Health Program

  • Not much change to date except in the bakery sector, where 33% of bakers claim to have reduced sodium

Ireland

Yes

Yes

Voluntary pending

  • Collaborative program between government and industry to heighten industry’s awareness about salt and health

  • Government seeks salt reduction commitments from industry sectors; more than 70 have registered

  • Working on voluntary universal labeling of salt in packaged foods

  • No intake data available post-implementation

Page
243
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)