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

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. "2 Sodium Intake Reduction: An Important But Elusive Public Health Goal." 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
FIGURE 2-11 Number of new food products bearing nutrient content claims, 1988–1997.

FIGURE 2-11 Number of new food products bearing nutrient content claims, 1988–1997.

NOTE: The ↓ indicates “reduced” or “low” for fat, calories, salt, and sugar, and “low” or “no” for cholesterol.

SOURCE: Weimer, 1999.

cussed previously in this chapter, and the low and declining introduction of new products labeled by manufacturers as reduced or low in sodium.

Sodium Intake

There are three approaches for assessing intake of a nutrient such as sodium: (1) population means based on the disappearance of the nutrient of interest into the U.S. food supply, (2) intake by individuals calculated from intake records or interviews, and (3) the measurement of a biomarker of exposure. Each approach has strengths and weaknesses. While any single approach alone is associated with considerable uncertainty, consistencies across methodologies in time trend patterns and assessments relative to public health goals provide greater confidence in the conclusions reached. This section provides an overview of sodium intake in a time trend context for the purpose of describing the outcomes of the public health initiatives. Current estimates of sodium intake developed for this study are described in more detail in Chapter 5.

Salt Disappearance Data

The advantage of monitoring intake from disappearance data is that it allows for a reasonably accurate estimate of time trend patterns because

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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)