Abstract

Dish-based nutrient profile analyses are essential for setting goals to achieve a balanced diet. In 2014, the Japanese government proposed the “Healthy Meal” criteria, which requires a salt content of 3 g/650 kcal per meal. To examine the current intake status of a nationally representative sample, we conducted a series of secondary analyses of the 2014–2018 National Health and Nutrition Survey data. Participants (aged 18–74 years) were grouped as “high-salt” consumers if their salt intake was 3 g/650 kcal or higher and “adequate” consumers if they consumed less than 3 g/650 kcal. A total of 13,615 participants were identified as “adequate” consumers and 22,300 as “high-salt” consumers. The median salt intake in the “high-salt” group was 11.3 g/day, while that in the “adequate” group was 7.5 g/day. Almost all dishes consumed by the “adequate” group had significantly high energy and fat content but low salt content, compared with those consumed by the “high-salt” group. For example, the median energy, fat, and salt contents in the main dishes consumed by the “adequate” group were 173 kcal, 10.4 g, and 0.9 g/dish, respectively, while those in the main dishes consumed by the “high-salt” group were 159 kcal, 8.9 g, and 1.1 g/dish, respectively. Examples of balanced dishes that are low in both salt and fat content can be proposed to help improve the Japanese consumers’ dietary behavior.

Highlights

  • High dietary salt intake persists among the Japanese population; the use of seasonings with high-salt content, such as soy sauce and miso, is essential for preparing traditional Japanese dishes [1]

  • During the discussion on the criteria for “Healthy Meals”, the committee concluded that special considerations are needed for nutrients whose intake reported in the 2012 National Health and Nutrition Survey, Japan (NHNS-J) exceeded the “tentative dietary goal (DG) for preventing life-style related diseases” stipulated in the 2015 DRIs [9]

  • Salt intake differed between the two groups; the median (25th and 75th percentile values) salt intake was 7.5 g (2.6 and 9.2) and 11.3 g (9.3 and 13.9)/day in the adequate and high-salt consumers, respectively

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Summary

Introduction

High dietary salt intake persists among the Japanese population; the use of seasonings with high-salt content, such as soy sauce and miso (fermented soybean paste), is essential for preparing traditional Japanese dishes [1]. We have previously reported that people with a high intake of soy sauce and/or miso do not exhibit a higher blood pressure; this observation was based on a single one-day food record, and their habitual intake was not assessed [2]. During the discussion on the criteria for “Healthy Meals”, the committee concluded that special considerations are needed for nutrients whose intake reported in the 2012 National Health and Nutrition Survey, Japan (NHNS-J) exceeded the “tentative dietary goal (DG) for preventing life-style related diseases” stipulated in the 2015 DRIs [9]. The mean salt DG of the eight groups was calculated (7.5 g/day).

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