Preventive Medicine Reports · 2015 · 31 citations · 20 references
AgricultureNutritionNutritional SciencesDietary AssessmentFood AnalysisHuman NutritionDiet Quality IndicesDietary GuidelinesDietary Reference IntakesFood IntakeMinerals In FoodsNutrition SurveillanceDietary Salt IntakeDietary Sodium IntakeProcessed Food Sodium ReductionRestaurant Sodium ReductionSodium ContentSodium Intake SurveillanceSodium NutritionTotal Dietary Fiber
PURPOSE: The purpose of this study was to provide baseline estimates of sodium levels in 125 popular, sodium-contributing, commercially processed and restaurant foods in the U.S., to assess future changes as manufacturers reformulate foods. METHODS: In 2010-2013, we obtained ~ 5200 sample units from up to 12 locations and analyzed 1654 composites for sodium and related nutrients (potassium, total dietary fiber, total and saturated fat, and total sugar), as part of the U.S. Department of Agriculture-led sodium-monitoring program. We determined sodium content as mg/100 g, mg/serving, and mg/kcal and compared them against U.S. Food and Drug Administration's (FDA) sodium limits for "low" and "healthy" claims and to the optimal sodium level of < 1.1 mg/kcal, extrapolating from the Healthy Eating Index-2010. RESULTS: Results from this study represent the baseline nutrient values to use in assessing future changes as foods are reformulated for sodium reduction. Sodium levels in over half (69 of 125) of the foods, including all main dishes and most Sentinel Foods from fast-food outlets or restaurants (29 of 33 foods), exceeded the FDA sodium limit for using the claim "healthy". Only 13 of 125 foods had sodium values below 1.1 mg/kcal. We observed a wide range of sodium content among similar food types and brands. CONCLUSIONS: Current sodium levels in commercially processed and restaurant foods in the U.S. are high and variable. Targeted benchmarks and increased awareness of high sodium content and variability in foods would support reduction of sodium intakes in the U.S.
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Update of the Healthy Eating Index: HEI-2010
Patricia M. Guenther, Kellie Casavale, Jill Reedy et al. · Journal of the Academy of Nutrition and Dietetics · 2013 · 1.4K citations · Full text