Salt Reduction Initiatives around the World - A Systematic Review of Progress towards the Global Target.

<h4>Objective</h4>To quantify progress with the initiation of salt reduction strategies around the world in the context of the global target to reduce population salt intake by 30% by 2025.<h4>Methods</h4>A systematic review of the published and grey literature was supplement...

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Main Authors: Kathy Trieu, Bruce Neal, Corinna Hawkes, Elizabeth Dunford, Norm Campbell, Rodrigo Rodriguez-Fernandez, Branka Legetic, Lindsay McLaren, Amanda Barberio, Jacqui Webster
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0130247&type=printable
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author Kathy Trieu
Bruce Neal
Corinna Hawkes
Elizabeth Dunford
Norm Campbell
Rodrigo Rodriguez-Fernandez
Branka Legetic
Lindsay McLaren
Amanda Barberio
Jacqui Webster
author_facet Kathy Trieu
Bruce Neal
Corinna Hawkes
Elizabeth Dunford
Norm Campbell
Rodrigo Rodriguez-Fernandez
Branka Legetic
Lindsay McLaren
Amanda Barberio
Jacqui Webster
author_sort Kathy Trieu
collection DOAJ
description <h4>Objective</h4>To quantify progress with the initiation of salt reduction strategies around the world in the context of the global target to reduce population salt intake by 30% by 2025.<h4>Methods</h4>A systematic review of the published and grey literature was supplemented by questionnaires sent to country program leaders. Core characteristics of strategies were extracted and categorised according to a pre-defined framework.<h4>Results</h4>A total of 75 countries now have a national salt reduction strategy, more than double the number reported in a similar review done in 2010. The majority of programs are multifaceted and include industry engagement to reformulate products (n = 61), establishment of sodium content targets for foods (39), consumer education (71), front-of-pack labelling schemes (31), taxation on high-salt foods (3) and interventions in public institutions (54). Legislative action related to salt reduction such as mandatory targets, front of pack labelling, food procurement policies and taxation have been implemented in 33 countries. 12 countries have reported reductions in population salt intake, 19 reduced salt content in foods and 6 improvements in consumer knowledge, attitudes or behaviours relating to salt.<h4>Conclusion</h4>The large and increasing number of countries with salt reduction strategies in place is encouraging although activity remains limited in low- and middle-income regions. The absence of a consistent approach to implementation highlights uncertainty about the elements most important to success. Rigorous evaluation of ongoing programs and initiation of salt reduction programs, particularly in low- and middle- income countries, will be vital to achieving the targeted 30% reduction in salt intake.
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spelling doaj-art-9f0eb01954394394a071e41b79ae3c1e2025-08-20T02:37:05ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01107e013024710.1371/journal.pone.0130247Salt Reduction Initiatives around the World - A Systematic Review of Progress towards the Global Target.Kathy TrieuBruce NealCorinna HawkesElizabeth DunfordNorm CampbellRodrigo Rodriguez-FernandezBranka LegeticLindsay McLarenAmanda BarberioJacqui Webster<h4>Objective</h4>To quantify progress with the initiation of salt reduction strategies around the world in the context of the global target to reduce population salt intake by 30% by 2025.<h4>Methods</h4>A systematic review of the published and grey literature was supplemented by questionnaires sent to country program leaders. Core characteristics of strategies were extracted and categorised according to a pre-defined framework.<h4>Results</h4>A total of 75 countries now have a national salt reduction strategy, more than double the number reported in a similar review done in 2010. The majority of programs are multifaceted and include industry engagement to reformulate products (n = 61), establishment of sodium content targets for foods (39), consumer education (71), front-of-pack labelling schemes (31), taxation on high-salt foods (3) and interventions in public institutions (54). Legislative action related to salt reduction such as mandatory targets, front of pack labelling, food procurement policies and taxation have been implemented in 33 countries. 12 countries have reported reductions in population salt intake, 19 reduced salt content in foods and 6 improvements in consumer knowledge, attitudes or behaviours relating to salt.<h4>Conclusion</h4>The large and increasing number of countries with salt reduction strategies in place is encouraging although activity remains limited in low- and middle-income regions. The absence of a consistent approach to implementation highlights uncertainty about the elements most important to success. Rigorous evaluation of ongoing programs and initiation of salt reduction programs, particularly in low- and middle- income countries, will be vital to achieving the targeted 30% reduction in salt intake.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0130247&type=printable
spellingShingle Kathy Trieu
Bruce Neal
Corinna Hawkes
Elizabeth Dunford
Norm Campbell
Rodrigo Rodriguez-Fernandez
Branka Legetic
Lindsay McLaren
Amanda Barberio
Jacqui Webster
Salt Reduction Initiatives around the World - A Systematic Review of Progress towards the Global Target.
PLoS ONE
title Salt Reduction Initiatives around the World - A Systematic Review of Progress towards the Global Target.
title_full Salt Reduction Initiatives around the World - A Systematic Review of Progress towards the Global Target.
title_fullStr Salt Reduction Initiatives around the World - A Systematic Review of Progress towards the Global Target.
title_full_unstemmed Salt Reduction Initiatives around the World - A Systematic Review of Progress towards the Global Target.
title_short Salt Reduction Initiatives around the World - A Systematic Review of Progress towards the Global Target.
title_sort salt reduction initiatives around the world a systematic review of progress towards the global target
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0130247&type=printable
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