Sodium Reduction Targets for Fast-Food Products: Methods for Estimation and an Investigation of Potential Acceptability and Implementation

Fast foods contribute to excessive intake of sodium in New Zealand (~3373–3544 mg/day). High sodium consumption is associated with hypertension, a leading risk factor of cardiovascular disease. Our objectives were to (1) estimate sodium reduction targets for New Zealand (NZ) fast-food products and t...

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Main Authors: Shona Gomes, Sally Mackay, Sarah Gerritsen, Helen Eyles
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Medical Sciences Forum
Subjects:
Online Access:https://www.mdpi.com/2673-9992/18/1/22
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author Shona Gomes
Sally Mackay
Sarah Gerritsen
Helen Eyles
author_facet Shona Gomes
Sally Mackay
Sarah Gerritsen
Helen Eyles
author_sort Shona Gomes
collection DOAJ
description Fast foods contribute to excessive intake of sodium in New Zealand (~3373–3544 mg/day). High sodium consumption is associated with hypertension, a leading risk factor of cardiovascular disease. Our objectives were to (1) estimate sodium reduction targets for New Zealand (NZ) fast-food products and to (2) investigate the potential acceptability of sodium reduction targets, including barriers and facilitators to implementation, and potential methods for execution and monitoring. Sodium contents and serving size of fast-food products were sourced from a 2019 fast food database (Nutritrack). A step-by-step process was used to create food categories and develop sodium targets that are currently met by 35–45% of products. Semi-structured interviews were held with 12 expert stakeholders who work within public health, government agencies, and food science via videoconferencing. Sodium reduction targets per 100 g and per serving were estimated for 17 fast-food categories. The targets ranged from 158 mg (salads) to 665 mg per 100 g (mayonnaise and dressings). On a per serving basis, the targets ranged from 118 mg (sauce) to 1270 mg (burgers with cured meat). The experts agreed that sodium reduction targets for NZ fast foods are needed and acceptable. Barriers to implementation include unequal participation by industry and limited data for monitoring. A voluntary approach led by cross-government collaboration, along with mandating if there is limited uptake, and a robust monitoring system were deemed to be important for implementation. The sodium reduction targets estimated for NZ fast foods were supported by the non-industry stakeholders. While further review and consultation with the industry may be necessary, the newly estimated targets provide a platform for one aspect of a much-needed government-led sodium reformulation programme for NZ, which should also include targets for packaged foods and consumer awareness.
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spelling doaj.art-75ea99bd5e59432e8d889065f29239522023-12-22T14:28:35ZengMDPI AGMedical Sciences Forum2673-99922023-03-011812210.3390/msf2023018022Sodium Reduction Targets for Fast-Food Products: Methods for Estimation and an Investigation of Potential Acceptability and ImplementationShona Gomes0Sally Mackay1Sarah Gerritsen2Helen Eyles3Pinnacle Midlands Health Network, 152 Grey Street, Gisborne 4010, New ZealandDepartment of Epidemiology and Biostatistics, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandDepartment of Social and Community Health, School of Population Health, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandDepartment of Epidemiology and Biostatistics, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandFast foods contribute to excessive intake of sodium in New Zealand (~3373–3544 mg/day). High sodium consumption is associated with hypertension, a leading risk factor of cardiovascular disease. Our objectives were to (1) estimate sodium reduction targets for New Zealand (NZ) fast-food products and to (2) investigate the potential acceptability of sodium reduction targets, including barriers and facilitators to implementation, and potential methods for execution and monitoring. Sodium contents and serving size of fast-food products were sourced from a 2019 fast food database (Nutritrack). A step-by-step process was used to create food categories and develop sodium targets that are currently met by 35–45% of products. Semi-structured interviews were held with 12 expert stakeholders who work within public health, government agencies, and food science via videoconferencing. Sodium reduction targets per 100 g and per serving were estimated for 17 fast-food categories. The targets ranged from 158 mg (salads) to 665 mg per 100 g (mayonnaise and dressings). On a per serving basis, the targets ranged from 118 mg (sauce) to 1270 mg (burgers with cured meat). The experts agreed that sodium reduction targets for NZ fast foods are needed and acceptable. Barriers to implementation include unequal participation by industry and limited data for monitoring. A voluntary approach led by cross-government collaboration, along with mandating if there is limited uptake, and a robust monitoring system were deemed to be important for implementation. The sodium reduction targets estimated for NZ fast foods were supported by the non-industry stakeholders. While further review and consultation with the industry may be necessary, the newly estimated targets provide a platform for one aspect of a much-needed government-led sodium reformulation programme for NZ, which should also include targets for packaged foods and consumer awareness.https://www.mdpi.com/2673-9992/18/1/22sodiumsalttargetbenchmarkingfast foodsNew Zealand
spellingShingle Shona Gomes
Sally Mackay
Sarah Gerritsen
Helen Eyles
Sodium Reduction Targets for Fast-Food Products: Methods for Estimation and an Investigation of Potential Acceptability and Implementation
Medical Sciences Forum
sodium
salt
target
benchmarking
fast foods
New Zealand
title Sodium Reduction Targets for Fast-Food Products: Methods for Estimation and an Investigation of Potential Acceptability and Implementation
title_full Sodium Reduction Targets for Fast-Food Products: Methods for Estimation and an Investigation of Potential Acceptability and Implementation
title_fullStr Sodium Reduction Targets for Fast-Food Products: Methods for Estimation and an Investigation of Potential Acceptability and Implementation
title_full_unstemmed Sodium Reduction Targets for Fast-Food Products: Methods for Estimation and an Investigation of Potential Acceptability and Implementation
title_short Sodium Reduction Targets for Fast-Food Products: Methods for Estimation and an Investigation of Potential Acceptability and Implementation
title_sort sodium reduction targets for fast food products methods for estimation and an investigation of potential acceptability and implementation
topic sodium
salt
target
benchmarking
fast foods
New Zealand
url https://www.mdpi.com/2673-9992/18/1/22
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AT sallymackay sodiumreductiontargetsforfastfoodproductsmethodsforestimationandaninvestigationofpotentialacceptabilityandimplementation
AT sarahgerritsen sodiumreductiontargetsforfastfoodproductsmethodsforestimationandaninvestigationofpotentialacceptabilityandimplementation
AT heleneyles sodiumreductiontargetsforfastfoodproductsmethodsforestimationandaninvestigationofpotentialacceptabilityandimplementation