TY - JOUR
T1 - Strategies to reduce dietary sodium intake
AU - Cobb, Laura K.
AU - Appel, Lawrence J.
AU - Anderson, Cheryl A.M.
N1 - Funding Information:
Laura Cobb is funded by the T32HL007024 Cardiovascular Epidemiology Institutional Training Grant from NIH/NHLBI and by the Johns Hopkins Bloomberg School of Public Health Department of Epidemiology. Cheryl Anderson receives grant support from National Heart Lung and Blood Institute, Grant Number K01HL092595.
PY - 2012/8
Y1 - 2012/8
N2 - Excess sodium intake has an important, if not predominant, role in the pathogenesis of elevated blood pressure, one of the most important modifiable determinants of cardiovascular disease (CVD). In the United States, almost 80 % of sodium in the diet comes from packaged and restaurant foods. Given the current food environment, educational efforts such as clinician counseling are useful, but a comprehensive public health approach is necessary to achieve meaningful reductions in sodium intake. A successful approach includes several key strategies, which together will both promote positive decisions by individuals and change the context in which they make those decisions. The strategies include 1) public education, 2) individual dietary counseling, 3) food labeling, 4) coordinated and voluntary industry sodium reduction, 5) government and private sector food procurement policies, and 6) FDA regulations, as recommended by the Institute of Medicine, to modify sodium's generally regarded as safe (GRAS) status. Population-wide reduction in sodium intake has the potential to substantially reduce the public burden of preventable CVD and reduce health care costs.
AB - Excess sodium intake has an important, if not predominant, role in the pathogenesis of elevated blood pressure, one of the most important modifiable determinants of cardiovascular disease (CVD). In the United States, almost 80 % of sodium in the diet comes from packaged and restaurant foods. Given the current food environment, educational efforts such as clinician counseling are useful, but a comprehensive public health approach is necessary to achieve meaningful reductions in sodium intake. A successful approach includes several key strategies, which together will both promote positive decisions by individuals and change the context in which they make those decisions. The strategies include 1) public education, 2) individual dietary counseling, 3) food labeling, 4) coordinated and voluntary industry sodium reduction, 5) government and private sector food procurement policies, and 6) FDA regulations, as recommended by the Institute of Medicine, to modify sodium's generally regarded as safe (GRAS) status. Population-wide reduction in sodium intake has the potential to substantially reduce the public burden of preventable CVD and reduce health care costs.
KW - Blood pressure
KW - Cardiovascular disease
KW - Hypertension
KW - Policy
KW - Salt
KW - Sodium
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U2 - 10.1007/s11936-012-0182-9
DO - 10.1007/s11936-012-0182-9
M3 - Review article
C2 - 22580974
AN - SCOPUS:84865693563
VL - 14
SP - 425
EP - 434
JO - Current Treatment Options in Cardiovascular Medicine
JF - Current Treatment Options in Cardiovascular Medicine
SN - 1092-8464
IS - 4
ER -