Public health is pushing to reduce sodium content in packaged foods
Learn why public health officials want to reduce sodium in packaged foods. Studies show the connection with mortality. Find out more here.

Public health is pushing to reduce sodium content in packaged foods
In a recently published review article inNutrientsResearchers examined the dual role of sodium in regulating water balance and food formulation and found that there is a significant association with mortality due to excessive intake.
Their conclusions underscore the importance of reducing sodium intake, promoting a globally healthy lifestyle that includes both dietary changes and physical activity, and implementing educational measures to optimize sodium balance and overall health.
Sodium intake must be controlled
Sodium, which is crucial in extracellular fluid regulation and food science, poses risks when consumed in excess. Worldwide studies show that high intake levels are associated with cardiovascular risks.
This has made reducing sodium in processed foods a global priority for public health authorities, and efforts are underway to reduce sodium in processed foods. While theoretical solutions exist, practical implementation requires consideration of multiple factors such as taste, texture and cost, highlighting ongoing efforts in food processing.
Reducing or replacing sodium in processed foods presents complex technological challenges. Strategies include reducing added salt, replacing sodium chloride with alternative salts or ingredients, and optimizing salt distribution for better perception.
However, global progress in reducing sodium intake is slow and multidisciplinary approaches involving health professionals are needed to effectively address this health challenge.
The Canadian government has taken initiatives to control excessive sodium intake, including voluntary reduction targets and front-of-pack labeling requirements. Nevertheless, these efforts have shown mixed success, suggesting that more than just voluntary measures may be needed and require more comprehensive interventions.
Possible solutions include reducing sodium content in processed foods through policy measures and improving individuals' ability to manage sodium intake, particularly through the guidance of health professionals such as nutritionists.
Nutritional interventions
Processed foods, particularly packaged or prepared products, contribute significantly to sodium intake in the diet, with staples such as processed meats, cheeses and breads being the main sources.
Studies suggest that reducing salt content in bread doesn't necessarily have an impact on sales. This suggests the possibility of sodium reduction without affecting consumer acceptance, consistent with efforts to combat excessive sodium intake.
The DASH (Dietary Approaches to Stop Hypertension) diet, recommended for hypertensive patients, emphasizes potassium-rich foods while limiting sodium and saturated fat intake. Clinical studies consistently demonstrate its effectiveness in lowering blood pressure, even in people with type 2 diabetes.
Despite challenges such as high sodium preference in certain populations, implementation of the DASH diet through counseling and support strategies can help reduce sodium and treat hypertension.
By raising awareness of the use of salt-free spices, herbs and spices, individuals can improve the taste of foods without having to add salt, potentially reducing sodium intake while maintaining taste satisfaction.
Clinical studies suggest that replacing salt with low-sodium salt substitutes (LSSS) may reduce sodium intake and slightly reduce blood pressure and cardiovascular risk. Still, there are concerns about possible side effects, particularly in high-risk groups, including people with chronic kidney disease.
Research highlights the role of gut microbiota in cardiometabolic health, with studies supporting benefitsLactobacillus rhamnosusprobiotic supplement for body composition and cardiometabolic markers.
Recent evidence suggests a link between gut microbiota depletion, high sodium intake, and blood pressure regulation and holds promise for microbiota-targeted interventions to improve sodium homeostasis.
Digital platforms such as social media and e-brochures have effectively supported a salt reduction initiative in the UAE, with social media groups recording the most significant decline in salt consumption.
Smartphone apps offer potential for adherence to the DASH diet, but their clinical effectiveness remains uncertain, highlighting the need for further research and app improvement to maximize their public health impact.
Mindful eating practices, such as those implemented in the Mindfulness-Based Blood Pressure Lowering Program, may improve adherence to low-sodium diets by promoting awareness of food choices.
Improving emotional regulation may also curb consumption of high-sodium comfort foods.
Integrating these dietary strategies into interventions can effectively reduce sodium intake and complement population-based approaches such as salt reduction guidelines and improving food labeling practices.
Physical fitness and activity
Current evidence suggests a complex interplay between body composition, aerobic fitness and sodium intake, particularly in women. Interaction effects showed a less favorable body composition profile in women with high sodium intake and low fitness levels.
Mediation analysis showed that both aerobic fitness and sodium intake mediated the association between physical fitness and genetic risk of obesity.
Additionally, maintaining regular physical activity may mitigate the deleterious effects of high sodium intake, possibly through mechanisms such as loss of sodium in sweat and reduced salt sensitivity.
These findings advocate promoting physical activity alongside dietary sodium reduction strategies to achieve optimal sodium balance and metabolic health. Further research is needed to elucidate the underlying mechanisms.
Conclusions
In conclusion, the crucial role of sodium in the body's homeostasis requires careful management to avoid cardiometabolic problems. While progress has been made in reducing sodium levels in processed foods, achieving optimal balance requires a variety of measures.
This includes nutritional advice, lifestyle changes such as increased physical activity, and possible microbiota changes to promote sodium balance and overall health.
Sources:
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Tremblay, A., Gagné, M., Pérusse, L., Fortier, C., Provencher, V., Corcuff, R., Pomerleau, S., Foti, N., Drapeau, V. (2024) Sodium and human health: what can be done to improve sodium balance beyond food processing?Nutrients.doi: https://doi.org/10.3390/nu16081199. https://www.mdpi.com/2072-6643/16/8/1199