Setting targets for salt levels in foods: A five-step approach for low- and middle-income countries

Shauna M. Downs, Anthea Christoforou, Wendy Snowdon, Elizabeth Dunford, Peter Hoejskov, Branka Legetic, Norm Campbell, Jacqui Webster

Research output: Contribution to journalReview articlepeer-review

12 Scopus citations

Abstract

Eighty percent of non-communicable diseases (NCDs) occur in low- and middle-income countries (LMICs). In the Global Action Plan to prevent and control NCDs, the World Health Organization has set a target to reduce mean population salt intakes by 30% by 2025. To achieve this target, salt levels in prepared and processed foods must be reduced. In this paper we propose a step-wise approach for setting targets for salt levels in foods for LMICs, as the basis for voluntary or mandatory policy interventions. The five steps are: (1) identifying the foods which contribute to salt in the diet; (2) agreeing which foods to set targets for; (3) establishing the target levels; (4) stakeholder engagement; (5) establishing monitoring mechanisms. A case study of the process of establishing regional targets in the Pacific Islands is also provided. LMICs with limited resources should establish maximum upper limits for salt for the product categories, which together contribute the majority of salt in the diet. Targets should be standardized (e.g., salt per 100. g of product) and have clear timelines. As well as being the basis for voluntary or mandatory levels for salt levels in foods, targets can also be used to inform labeling and taxation policy. In order to have the most significant effect on population salt intake in LMICs, these policy interventions will need to be combined with consumer-facing strategies aimed at changing behaviours and investment in research and development to support effective implementation.

Original languageEnglish (US)
Pages (from-to)101-108
Number of pages8
JournalFood Policy
Volume55
DOIs
StatePublished - Aug 1 2015
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Development
  • Food Science
  • Economics and Econometrics
  • Management, Monitoring, Policy and Law
  • Sociology and Political Science

Keywords

  • Food industry
  • Food policy
  • Low- and middle-income countries
  • Sodium reduction

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