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

Citation Manager

. "Appendix B: Government Initiatives and Past Recommendations of the National Academies, the World Health Organization, and Other Health Professional Organizations." 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

Date

Program/Initiative/Report Title

Recommendations/Initiatives/Actions

Target Population (if specified)

1982

Rejected petitions requesting reclassification of salt’s status from “GRAS” (generally recognized as safe) to “food additive” and the addition of warning labels to highsodium foods and salt packets by deferring action on GRAS status of salt (HHS/FDA, 1982)

Deferred action pending assessment of the impact of

  • Sodium labeling regulations

  • Manufacturer efforts to voluntarily reduce salt

Indicated that a voluntary program would produce the desired results with less regulatory burden and affirmed that the food industry was in the best position to reduce sodium levels in processed foods and should be given a chance to do so

 

1984

Sodium labeling (HHS/FDA, 1984)

Sodium added to mandatory list of nutrients to be declared on food labels

Defined the terms for sodium content claims

 

1993–2005

Nutrition Labeling Final Rules (HHS/FDA, 1993a,b,c, 1994, 2005)

Established a Daily Value (DV) of 2,400 mg for sodium labeling

Mandated declaration of sodium content on all foods (mg and % DV)

Established labeling rules:

  • Nutrient content claims for “free” (< 5 mg sodium per serving), “low” (≤ 140 mg sodium per serving), and “reduced or less than” (≥ 25% less sodium per serving than an appropriate reference food)

  • Foods labeled as “healthy” to contain ≤ 480 mg sodium per serving until Jan. 1, 1998, at which time sodium levels were to decrease to ≤ 360 mg per serving

  • Health claim: “Diets low in sodium may reduce the risk of high blood pressure” (foods ≤ 140 mg per serving)

  • Disqualifying or disclosure levels (≤ 480 mg per serving)

 

2005

Final rule regarding sodium levels in foods labeled as “healthy” (HHS/FDA, 2005)

Retained 1993 level of ≤ 480 mg sodium per serving; eliminated requirement that this level drop to ≤ 360 mg

Rationale:

  • Technological barriers to reducing sodium in processed foods

  • Poor sales of products meeting lower-sodium levels

  • More restrictive sodium levels would inhibit the development of new “healthy” food products

 

Page
342
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)