Less sodium in fast foods could cut heart disease risk for over-salted Kiwis

Publicly released:
New Zealand
Photo by Emmy Smith on Unsplash
Photo by Emmy Smith on Unsplash

Adults in NZ consume more than 1.5 times the recommended sodium limit daily, putting them at risk for high blood pressure and related diseases. Researchers say fast food is contributing because it isn't compulsory to label salt content, and manufacturer claims aren't lab tested. Analysing nutritional data published by fast food chains, they calculated it was possible to reduce NZers' average salt intake by about 35% through cutting sodium by certain amounts in different food categories, such as a reduction of 45% in fries and 4% in pies. They say a gradual reduction over several years might not be noticeable to consumers, and that it should also be mandatory for fast food manufacturers to give nutritional information.

Media release

From: University of Auckland

Super-sized risk of heart disease

New Zealand adults are eating, on average, far more salt daily than international recommendations; however, takeaways frequently do not display salt content.

New Zealanders over 15 years consume around 3,000mg of sodium per day, compared with the World Health Organization’s upper limit of 2,000mg (or one tsp of salt) per day.

Under the Food Standards Code, it is mandatory to provide nutrition information for packaged foods, but there are no such regulations for fast food, say public health researchers at the University of Auckland, Waipapa Taumata Rau in a new study.

Dietary sodium comes chiefly from salt. The researchers are calling for a national sodium-reduction strategy but say a key first step would be mandatory labelling of the sodium content in takeaway meals.

“A single serve of a burger or takeout sandwich with fries can easily provide more than the recommended daily upper limit for sodium [dietary salt] of 2,000mg,” says Associate Professor Helen Eyles from the School of Population Health in Waipapa Taumata Rau, University of Auckland.

In 2020, the average NZ household spent a third (29 percent) of its weekly food budget on restaurant meals and takeaways.

Of 28 major fast-food chains, with more than 20 outlets, reviewed in 2020, ten did not provide information on the sodium content of their products.

Of 5246 products checked, only one-third provided sodium data for consumers, according to the research just published in the Journal of Nutritional Science.

This is despite salt being a significant contributor to heart disease.

Excess sodium [salt] consumption leads to raised blood pressure, which in turn can lead to stroke, heart attack, and other types of heart disease, the leading causes of preventable mortality in New Zealand and globally.

New Zealand has committed to a 30 percent relative reduction in mean population sodium intake by 2025, as part of the WHO Global Action Plan for reducing non-communicable diseases, which it is unlikely to achieve.

The countries that are doing the best in sodium reduction have a national sodium reduction strategy and a multipronged approach –  it is not just about fast food but packaged food too, Eyles says.

In addition to setting benchmarks for processed foods a strategy would include a consumer awareness campaign, improved labelling of salt on foods, and monitoring of the food environment alongside population salt intake, says Shona Gomes whose masters research on target development informed the new paper.

Currently, New Zealand has only two voluntary strategies to reduce sodium in processed foods in place - targets for some categories of packaged foods (led by the Heart Foundation of New Zealand) and the Government-led Health Star Rating nutrition label.

Countries doing well have comprehensive benchmarks for packaged foods, and at least some sections of fast foods, such as for sodium on fries, and in burgers and pizzas.

“First of all, in New Zealand, we need to make it visible how much salt is in our fast foods,” Eyles says.

“We really need a national sodium reduction strategy implemented by the government, with one prong of that approach being to work with fast food manufacturers to reduce salt in their products.”

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Research Cambridge University Press, Web page
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conference:
Journal of Nutritional Science
Research:Paper
Organisation/s: University of Auckland, Pinnacles Midlands Health Network
Funder: This research was supported by the National Health and Medical Research Council funded Centre of Research Excellence Grant in Reducing Salt Intake using Food Policy Interventions (CRE # 3713185). H.E. is a Heart Foundation of New Zealand Senior Fellow (#1843).
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