FDA Urged to Require Sodium Reduction in Food Supply

Voluntary efforts by industry to reduce sodium levels in the food supply have failed, according to comments filed with the Food and Drug Administration last week by the nonprofit Center for Science in the Public Interest. On Friday CSPI urged the agency to create strong, but realistic, mandatory regulations to reduce sodium levels in restaurant and packaged foods. According to a recent survey commissioned by CSPI, the public sees the need to lower sodium. 71 percent of Americans indicated that the food industry had a responsibility to reduce the sodium content of their foods, and 58 percent support a government requirement to reduce the sodium in processed and restaurant foods.

"Overconsumption of sodium is one of the single greatest causes of hypertension and cardiovascular disease, and restaurant and packaged foods--not salt shakers--are far and away the largest contributors of sodium in the American diet," said CSPI deputy director of health promotion policy Julie Greenstein. "Unfortunately, the food industry has failed to significantly bring down sodium levels despite 40 years of governmental admonitions. It's time for the FDA to step in and require reasonable reductions."

The U.S. government's 2010 Dietary Guidelines for Americans recommends that people with hypertension, those who are middle-aged or older, and African Americans should consume no more than 1,500 milligrams of sodium per day. According to the Center for Disease Control, about 70 percent of adults fall into those categories, yet current average daily consumption is actually closer to 4,000 mg. Recently, the American Public Health Association passed a resolution that calls on FDA to begin regulating sodium in the food supply within one year and to establish a timetable for gradually reducing sodium in the food supply by 75 percent over 10 years. CSPI's filing notes that reducing sodium consumption would save billions of dollars in medical costs, and upwards of 150,000 lives annually.

Overwhelming evidence indicates that excess sodium levels pose significant health risks, but consumer education efforts are poorly funded and ineffective, according to CSPI, making efforts to reform dietary habits of Americans difficult. A recent survey indicates that 59 percent of Americans are "not concerned" about their sodium intake. As a result, an Institute of Medicine committee recommended mandatory regulations limiting sodium levels to improve public health and decrease healthcare costs.

Many frozen dinners and canned foods contain high amounts of sodium. Boston Market frozen Meatloaf with Mashed Potatoes and Gravy has 1,460 mg of sodium per serving (about one day's worth). Marie Callender's frozen Creamy Chicken and Shrimp Parmesan has 1,200 mg of sodium (almost a day's worth). One of the worst restaurant offenders is Applebee's Provolone-Stuffed Meatballs with Fettuccine, which has 3,700 mg of sodium (more than two days' worth). Denny's Spicy Buffalo Chicken Melt has 3,760 mg of sodium (two and a half days' worth).