Population based strategy for dietary salt intake reduction: Italian initiatives in the European framework

Nutrition, Metabolism and Cardiovascular Diseases

Volumn 22, Issue 3, 2012, Pages 161-166

  Strazzullo, P ^a   Cairella, G ^b   Campanozzi, A ^c   Carcea, M ^d   Galeone, D ^e   Galletti, F ^a   Giampaoli, S ^f   Iacoviello, L ^g   Scalfi, L ^h  

^a UNIVERSITY OF NAPLES FEDERICO II   (Italy)

^b IRCCS FONDAZIONE SANTA LUCIA   (Italy)

^c UNIVERSITY OF FOGGIA   (Italy)

^d ISTITUTO NAZIONALE DELLA NUTRIZIONE   (Italy)

^e MINISTRY OF HEALTH   (Italy)

^f ISTITUTO SUPERIORE DI SANITÀ   (Italy)

^g CATHOLIC UNIVERSITY   (Italy)

^h UNIVERSITY OF NAPLES FEDERICO II   (Italy)

Author keywords

Cardiovascular disease; Diet; Hypertension; Lifestyle; Prevention; Sodium

Indexed keywords

BREAD; CARDIOVASCULAR DISEASE; EVIDENCE BASED MEDICINE; FEEDING BEHAVIOR; FOOD INDUSTRY; HEALTH CARE POLICY; HEALTH EDUCATION; HUMAN; HYPERTENSION; ITALY; LEGAL ASPECT; PROGRAM DEVELOPMENT; PUBLIC HEALTH; SALT INTAKE; SHORT SURVEY; SODIUM RESTRICTION;

BREAD; CARDIOVASCULAR DISEASES; DIET, SODIUM-RESTRICTED; EVIDENCE-BASED MEDICINE; FOOD HABITS; FOOD INDUSTRY; HEALTH EDUCATION; HEALTH POLICY; HUMANS; HYPERTENSION; ITALY; NATIONAL HEALTH PROGRAMS; NUTRITION POLICY; PROGRAM DEVELOPMENT; SODIUM CHLORIDE, DIETARY;

EID: 84857868503     PISSN: 09394753     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.numecd.2011.10.004     Document Type: Short Survey

References (32)

1. Whelton P.K., He J., Gail T. Lifestyle modifications for the prevention and treatment of hypertension 2003, Marcel Dekker, Basel, New York.
2. Whelton P.K., Appel L.J., Espeland M.A., Applegate W.B., Ettinger W.H., Kostis J.B. Sodium reduction and weight loss in the treatment of hypertension in the older persons: a randomized controlled trial of nonpharmacologic interventions in the elderly (TONE). JAMA 1998, 279(11):839-846.
3. Appel L.J., Moore T.J., Obarzanek E., Vollmer W.M., Svetkey L.P., Sacks F.M. A clinical trial of the effects of dietary patterns on blood pressure. N Engl J Med 1997, 336(16):1117-1124.
4. Svetkey L.P., Sacks F.M., Obarzanek E., Vollmer W.M., Appel L.J., Lin P.H. The DASH diet, sodium intake and blood pressure trial (DASH-sodium): rationale and design. DASH-Sodium Collaborative Research Group. J Am Diet Assoc 1999, 99(8 Suppl.):S96-104.
5. WHO Reducing salt intake in populations 2007, Report of a WHO forum and technical meeting, 5-7 October 2006, WHO, Paris.
6. Appel L.J., Frohlich E.D., Hall J.E., Pearson T.A., Sacco R.L., Seals D.R., et al. The importance of population-wide sodium reduction as a means to prevent cardiovascular disease and stroke: a call to action from the American Heart Association. Circulation 2011, 123:1138-1143.
7. Strazzullo P., D'Elia L., Kandala N.-B., Cappuccio F.P. Salt intake, stroke, and cardiovascular disease: meta-analysis of prospective studies. Br Med J 2009, 339:b4567.
8. Beaglehole R., Bonita R., Horton R., Adams C., Alleyne G., Asaria P., et al. Priority actions for the non-communicable disease crisis. Lancet 2011, 377:1438-1447.
9. He F.J., Macgregor G.A. A comprehensive review on salt and health and current experience of worldwide salt reduction programmes. J Hum Hypertens 2009, 23:363-384.
10. WHO The world health report 2002. Reducing risks, promoting healthy life Available at:. http://www.who.int/whr/2002/en/.
11. Law M.R., Morris J.K., Wald N.J. Use of blood pressure lowering drugs in the prevention of cardiovascular disease: meta-analysis of 147 randomised trials in the context of expectations from prospective epidemiological studies. Br Med J 2009, 338:b1665.
12. Cappuccio F.P., MacGregor G.A. Dietary salt restriction: benefits for cardiovascular disease and beyond. Curr Opin Nephrol Hypertens 1997, 6:477-482.
13. Strazzullo P., Galletti F. Genetics of salt-sensitive hypertension. Curr Hypertens Rep 2007, 9:25-32.
14. Cordain L., Eaton S.B., Miller J.B., Mann N., Hill K. The paradoxical nature of huntergatherer diets: meat-based, yet non-atherogenic. Eur J Clin Nutr 2002, 56(Suppl. 1):S42-S52.
15. Eaton S.B., Konner M. Paleolithic nutrition. A consideration of its nature and current implications. N Engl J Med 1985, 312:283-289.
16. Leclercq C., Ferro-Luzzi A. Total and domestic consumption of salt and their determinants in three regions of Italy. Eur J Clin Nutr 1991, 45:151-159.
17. Man C.M.D. Technological functions of salt in food products. Reducing salt in foods: practical strategies 2007, (chapter 8), CRC Press, Woodhead Publishing Limited, Cambridge, England. D. Kilcast, F. Angus (Eds.).
18. Malik V.S., Schulze M.B., Hu F.B. Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr 2006, 84:274-288.
19. Teow B.H., Nicolantonio R.D., Morgan T.O. Sodium chloride preference and recognition threshold in normotensive subjects on high and low salt diet. Clin Exp Hypertens 1985, 7:1681-1695.
20. Forte J.G., Miguel J.M., Miguel M.J., de Padua F., Rose G. Salt and blood pressure: a community trial. J Hum Hypertens 1989, 3:179-184.
21. Puska P., Pirjo P., Ulla U. Influencing public nutrition for non-communicable disease prevention: from community intervention to national programme-experiences from Finland. Public Health Nutr 2002, 5:245-251.
22. World Health Organization Diet, nutrition and the prevention of chronic diseases 2003, Report of a Joint WHO/FAO Expert Consultation, World Health Organization, Geneva, WHO Technical Report Series, No. 916.
23. WHO Regional Office for Europe Nutrition and food security. Action networks Available at:. http://test.cp.euro.who.int/eprise/main/WHO/Progs/NUT/ActionPlan/20080516_1.
24. Consensus Action on Salt and Health. Available at: [accessed 01.04.08]. http://www.actiononsalt.org.uk/home/aims.htm.
25. MacGregor G.A., Sever P.S. Salt-overwhelming evidence but still no action: can a consensus be reached with the food industry? CASH (Consensus Action on Salt and Hypertension). Br Med J 1996, 312:1287-1289.
26. Scientific Advisory Committee on Nutrition, Salt and health The Stationery Office Available at:, [accessed 07.08.08]. http://www.sacn.gov.uk/pdfs/sacnsaltfinal.pdf.
27. Food Standards Agency Dietary sodium levels surveys. Tuesday 22 July 2008 Available at:, [accessed 04.08.08]. http://www.food.gov.uk/science/dietarysurveys/urinary.
28. World Action on Salt and Health Press release - medical experts launch global campaign against salt to prevent over 2.5 million deaths worldwide each year Available at:, [accessed 29.04.08]. http://www.worldactiononsalt.com/media/Media_coverage/Archive_Wash_Launch.htm.
29. Pietinen P., Valsta L.M., Hirvonen T., Sinkko H. Labelling the salt content in foods: a useful tool in reducing sodium intake in Finland. Public Health Nutr 2008, 11:335-340.
30. Laatikainen T., Pietinen P., Valsta L., Sundvall L., Reinivuo H., Tuomilehto J. Sodium in the Finnish diet: 20-year trends in urinary sodium excretion among the adult population. Eur J Clin Nutr 2006, 60:965-970.
31. Karppanen H., Mervaala E. Sodium intake and hypertension. Prog Cardiovasc Dis 2006, 49:59-75.
32. Guidelines for a healthy diet 2006 The Health Council of the Netherlands (Gezondheidsraad) Available at:, [accessed 27.03.07]. http://www.gr.nl/samenvatting.php%3fID%3d1481.