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the ability to measure one’s own intake over time would be advantageous. This is particularly important for high-risk individuals.

  • Research is needed to better track the sodium content of the food supply. The development of new and refined methodologies would be useful. Such methodologies might range from opportunities to link Universal Product Code-level sales data to information on the nutrient content of the food as stated on the Nutrition Facts panel, to the development of databases relative to the sodium content of foodservice menu items.

  • Research is needed to expand the development of and continue to validate brief salt taste tests to monitor changes in perception following reduction of salt in the food supply. A recommendation has been made to complete development of an appropriate methodology and, in turn, initiate monitoring of salt taste preference on a national level. It is expected that consumers will adapt their sensory preferences toward lower salt levels as they are exposed to them during the stepwise reduction of salt and sodium in the food supply, and monitoring of this is critical to measuring the effectiveness of and adjusting the approaches to reducing sodium intake. To accomplish taste monitoring, there is a need for the development, testing, and validation of brief taste tests that can be incorporated into population-based monitoring efforts, such as NHANES. Efforts for other aspects of taste are currently under development as part of the NIH Toolbox for Assessment Initiative,6 and these could serve as a model.

REFERENCES

Angell, S. Y., L. D. Silver, G. P. Goldstein, C. M. Johnson, D. R. Deitcher, T. R. Frieden, and M. T. Bassett. 2009. Cholesterol control beyond the clinic: New York City’s trans fat restriction. Annals of Internal Medicine 151(2):129-134.

Bibbins-Domingo, K., G. M. Chertow, P. G. Coxson, A. Moran, J. M. Lightwood, M. J. Pletcher, and L. Goldman. 2010. Projected effect of dietary salt reductions on future cardiovascular disease. New England Journal of Medicine 362(7):590-599.

Palar, K., and R. Sturm. 2009. Potential societal savings from reduced sodium consumption in the U.S. adult population. American Journal of Health Promotion 24(1):49-57.

Smith-Spangler, C. M., J. L. Juusola, E. A. Enns, D. K. Owens, and A. M. Garber. 2010, Population strategies to decrease sodium intake and the burden of cardiovascular disease. Annals of Internal Medicine 152(8):481-487.

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Available online: http://www.nihtoolbox.org/WebPart%20Pages/AboutUs.aspx (accessed November 17, 2009).



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