The Sodium Content of Processed Foods in South Africa during the Introduction of Mandatory Sodium Limits. 2017

Sanne A E Peters, and Elizabeth Dunford, and Lisa J Ware, and Teresa Harris, and Adele Walker, and Mariaan Wicks, and Tertia van Zyl, and Bianca Swanepoel, and Karen E Charlton, and Mark Woodward, and Jacqui Webster, and Bruce Neal
The George Institute for Global Health, University of Oxford, Oxford OX1 3QX, UK. sanne.peters@georgeinstitute.ox.ac.uk.

BACKGROUND In June 2016, the Republic of South Africa introduced legislation for mandatory limits for the upper sodium content permitted in a wide range of processed foods. We assessed the sodium levels of packaged foods in South Africa during the one-year period leading up to the mandatory implementation date of the legislation. METHODS Data on the nutritional composition of packaged foods was obtained from nutrition information panels on food labels through both in-store surveys and crowdsourcing by users of the HealthyFood Switch mobile phone app between June 2015 and August 2016. Summary sodium levels were calculated for 15 food categories, including the 13 categories covered by the sodium legislation. The percentage of foods that met the government's 2016 sodium limits was also calculated. RESULTS 11,065 processed food items were included in the analyses; 1851 of these were subject to the sodium legislation. Overall, 67% of targeted foods had a sodium level at or below the legislated limit. Categories with the lowest percentage of foods that met legislated limits were bread (27%), potato crisps (41%), salt and vinegar flavoured snacks (42%), and raw processed sausages (45%). About half (49%) of targeted foods not meeting the legislated limits were less than 25% above the maximum sodium level. CONCLUSIONS Sodium levels in two-thirds of foods covered by the South African sodium legislation were at or below the permitted upper levels at the mandatory implementation date of the legislation and many more were close to the limit. The South African food industry has an excellent opportunity to rapidly meet the legislated requirements.

UI MeSH Term Description Entries
D001939 Bread Baked food product made of flour or meal that is moistened, kneaded, and sometimes fermented. A major food since prehistoric times, it has been made in various forms using a variety of ingredients and methods. Breads
D005504 Food Analysis Measurement and evaluation of the components of substances to be taken as FOOD. Analysis, Food,Analyses, Food,Food Analyses
D005515 Food Labeling Use of written, printed, or graphic materials upon or accompanying a food or its container or wrapper. The concept includes ingredients, NUTRITIONAL VALUE, directions, warnings, and other relevant information. Labeling, Food,Nutrition Labeling,Product Labeling, Food,Food Labelling,Food Product Labeling,Labeling, Food Product,Labeling, Nutrition,Labelling, Food
D012982 Sodium, Dietary Sodium or sodium compounds used in foods or as a food. The most frequently used compounds are sodium chloride or sodium glutamate. Dietary Sodium
D013019 South Africa A republic in southern Africa, the southernmost part of Africa. It has three capitals: Pretoria (administrative), Cape Town (legislative), and Bloemfontein (judicial). Officially the Republic of South Africa since 1960, it was called the Union of South Africa 1910-1960. Republic of South Africa,Union of South Africa
D062410 Snacks Foods eaten between MEALTIMES. Snacking,Snacktime,Snack Food,Food, Snack,Foods, Snack,Snack,Snack Foods,Snacktimes
D019649 Food Industry The industry concerned with processing, preparing, preserving, distributing, and serving of foods and beverages. Food Industries,Industries, Food,Industry, Food
D064167 Recommended Dietary Allowances The amounts of various substances in the diet recommended by governmental guidelines as needed to sustain healthy life. Recommended Daily Allowances,Daily Recommended Allowance,Daily Recommended Intake,Dietary Reference Intake,Recommended Daily Allowance,Recommended Daily Intake,Recommended Dietary Allowance,Reference Daily Intake,Allowance, Daily Recommended,Allowance, Recommended Daily,Allowance, Recommended Dietary,Allowances, Daily Recommended,Allowances, Recommended Daily,Allowances, Recommended Dietary,Daily Allowance, Recommended,Daily Allowances, Recommended,Daily Intake, Recommended,Daily Intake, Reference,Daily Intakes, Recommended,Daily Intakes, Reference,Daily Recommended Allowances,Daily Recommended Intakes,Dietary Allowance, Recommended,Dietary Allowances, Recommended,Dietary Reference Intakes,Intake, Daily Recommended,Intake, Dietary Reference,Intake, Recommended Daily,Intake, Reference Daily,Intakes, Daily Recommended,Intakes, Dietary Reference,Intakes, Recommended Daily,Intakes, Reference Daily,Recommended Allowance, Daily,Recommended Allowances, Daily,Recommended Daily Intakes,Recommended Intake, Daily,Recommended Intakes, Daily,Reference Daily Intakes,Reference Intake, Dietary,Reference Intakes, Dietary

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