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

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. "9 Recommended Strategies to Reduce Sodium Intake and to Monitor Their Effectiveness." 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

to gather data and background information about restaurant/foodservice operations and to carry out the stakeholder dialogues that will be necessary to develop, and then implement, workable regulations for claims to be used in such operations.

Strategy 3.3 Congress should act to remove the exemption from nutrition labeling for food products intended solely for use in restaurant/foodservice operations.

Currently, U.S. law1 exempts products intended for restaurant/food-service operations from bearing nutrition labeling. If small as well as large restaurant/foodservice operators are to be encouraged to take part in efforts to reduce the sodium content of their products, information about the sodium content of the foods they acquire from their distributors is critical information.

Strategy 3.4 Food retailers, governments, businesses, institutions, and other large-scale organizations that purchase or distribute food should establish sodium specifications for the foods they purchase and the food operations they oversee.

Groups that purchase large volumes of food products that in turn are either sold to others or served as part of a restaurant/foodservice operation can wield a powerful tool when they set the specifications for products they will purchase and foods served by operations under their authority. Specifically, the nutrition specifications for foods procured are likely to provide incentives for food manufacturers to develop or offer lower-sodium foods, especially given the high levels of procurement expenditures. Further, specifications for the use of sodium in foods served can ensure that foodservice staff will not add excess sodium. Federal, state, and local governments all have the potential to create sodium specifications for foods purchased or served in their facilities or through their programs. Relevant programs include the federal school lunch and breakfast programs as well as the military. To some extent the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and the Supplemental Nutrition Assistance Program (SNAP) may also be useful to drive change through the use of incentives for participants to purchase lower-sodium food products. State and local governments are also large-scale procurers of foods and can be instrumental in this strategy. Further, food retailers can assist in

1

21 USC § 343(q)(5).

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290
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)