Abstract

High sodium intake increases blood pressure and consequently increases the risk of cardiovascular diseases. In Australia, the best estimate of sodium intake is 3840 mg sodium/day, almost double the World Health Organization (WHO) guideline (2000 mg/day), and processed meats contribute approximately 10% of daily sodium intake to the diet. This study assessed the median sodium levels of 2510 processed meat products, including bacon and sausages, available in major Australian supermarkets in 2010, 2013, 2015 and 2017, and assessed changes over time. The median sodium content of processed meats in 2017 was 775 mg/100 g (interquartile range (IQR) 483–1080). There was an 11% reduction in the median sodium level of processed meats for which targets were set under the government’s Food and Health Dialogue (p < 0.001). This includes bacon, ham/cured meat products, sliced luncheon meat and meat with pastry categories. There was no change in processed meats without a target (median difference 6%, p = 0.450). The new targets proposed by the current government’s Healthy Food Partnership capture a larger proportion of products than the Food and Health Dialogue (66% compared to 35%) and a lower proportion of products are at or below the target (35% compared to 54%). These results demonstrate that voluntary government targets can drive nutrient reformulation. Future efforts will require strong government leadership and robust monitoring and evaluation systems.

Highlights

  • Sodium is a chemical element required by the body for many physiological functions including maintenance of blood volume and pressure

  • Normality testing revealed that the sodium levels of processed meat overall, all categories and most subcategories were skewed

  • In contrast to the above, if we look at changes based on the mean, the Scheffe’s post hoc test following the analysis of variance (ANOVA) only revealed a significant reduction in the mean sodium levels of bacon

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Summary

Introduction

Sodium is a chemical element required by the body for many physiological functions including maintenance of blood volume and pressure. Excess dietary sodium intake, increases blood pressure and increases the risk of cardiovascular diseases (CVDs) [1]. Reducing salt intake to less than 5 g/day (2000 mg sodium), as recommended by the World Health Organization (WHO) [4], is an effective way to reduce the risk of CVDs through lowering blood pressure, as well as other adverse health implications associated with high salt intakes including chronic kidney disease, Nutrients 2018, 10, 1686; doi:10.3390/nu10111686 www.mdpi.com/journal/nutrients. Australia has committed to reducing population salt intake by 30% by 2025, alongside all WHO member states, to reduce premature death from non-communicable diseases (NCDs) [9]

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