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

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. "Appendix C: International Efforts to Reduce Sodium Consumption." 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

The following pages provide information on the three components of the UK salt reduction initiative as reported by the Food Standard Agency (FSA).9

Salt Reduction Program: Focus Areas

Involvement with the Food Industry

Recognizing that approximately three-quarters of dietary salt intake comes from processed food, FSA established voluntary targets for salt in a number of processed food categories.10 The targets are a means to track and report progress toward salt intake reductions and to provide guidance to industry. Starting with discussions that began in 2003, FSA developed a set of calculations to look at the potential impact of salt reductions in different food categories on population salt intake. The calculations were based on average sodium levels in foods within categories, weighted to account for varying consumption levels of different foods. The calculations were used to forecast how changes in the average salt content of various food categories can help the population reach the daily target of 6 g salt.11 After soliciting and considering public comments, the final calculation spreadsheet was published in February 2005.12

Also in 2005, FSA Strategic Plan 2005–2010 was completed, which aimed to reduce the average population salt intake to 6 g/d (2,400 mg/d) by 2010 and to establish targets for salt content of key food categories by 2006. FSA consulted with the public and stakeholders to develop the final, voluntary salt targets for 2010, which were published in March 2006.12 Eighty-five processed food categories including bread, bacon, breakfast cereals, and cheese were included among the target foods. FSA reported that it aimed to set challenging levels that would have a meaningful impact on consumer salt intake, while being mindful of food safety and technical issues and acknowledging that major processing changes would be necessary for certain foods to meet the targets.13

FSA reports that all sectors of the food industry have responded posi-

9

Available online: http://www.food.gov.uk/consultations/ukwideconsults/2008/saltreductiontargets (accessed October 5, 2009).

10

Available online: http://www.food.gov.uk/multimedia/spreadsheets/saltcommitmentsum.xls (accessed October 15, 2009).

11

Available online: http://www.food.gov.uk/consultations/ukwideconsults/2003/saltmodellingconsult (accessed October 15, 2009).

12

Available online: http://www.food.gov.uk/healthiereating/salt/salttimeline (accessed March 24, 2010).

13

Available online: http://www.food.gov.uk/multimedia/pdfs/saltreductioninitiatives.pdf (accessed March 24, 2010).

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364
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)