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Grantee Meeting Sodium Reduction Initiative September 16, 2009

. Excess sodium intake is a known risk factor for high blood pressure and CVD eventsAverage consumption in the US is far greater than recommended limitsThe majority of sodium consumed comes from processed and restaurant foodsPolicy and environmental changes are needed to quicken decreases in sodi

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Grantee Meeting Sodium Reduction Initiative September 16, 2009

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    1. Grantee Meeting Sodium Reduction Initiative September 16, 2009

    2. Excess sodium intake is a known risk factor for high blood pressure and CVD events Average consumption in the US is far greater than recommended limits The majority of sodium consumed comes from processed and restaurant foods Policy and environmental changes are needed to quicken decreases in sodium intake Why Sodium Reduction?

    3. 2005 Dietary Guideline recommendation: <2,300 mg/day “Specific Populations” recommended to consume ?1,500 mg/day: Hypertensive Black Middle or Older American “Specific Populations” = 70% of American adults Average intake: 3,466 mg/day Why Sodium Reduction?

    4. Sodium Chloride is the chemical name for salt 90% of the sodium we consume is in the form of salt Other food additives contain sodium Some amount of sodium is naturally occurring in foods Is it Salt or Sodium?

    5. Generally, higher salt consumption means higher blood pressure Sodium intake is related to: levels of blood pressure the incremental rise in blood pressure with age the prevalence of hypertension across populations Within the span of a few weeks, most people experience a reduction in blood pressure when salt intake is reduced Salt and High Blood Pressure

    6. Relative Amounts of Dietary Sodium in the American Diet

    7. Sample Food Label, U.S.

    8. CDC Actions to Lower Sodium Consumption Ongoing CDC Sodium Workgroup With representation from the DHDSP, DNPAO, DACH and the NCCDPHP Science – scientific statements, expanding the literature Surveillance Evaluation – frameworks, special projects Guidance to states – use of funding, evaluation, training

    9. CDC Actions to Lower Sodium Consumption Ongoing Sodium Workgroup Continued Communications Communications Planning Message Testing Building Awareness Partnerships (Building and expanding) Connecting different parts of CDC on this issue Coordination with other federal agencies Connecting with existing partnerships Expanding to new partnerships

    10. CDC Actions to Lower Sodium Consumption Sponsoring IOM study Lay the groundwork for action Release rollout/ communications Comment/testimony on sodium as GRAS, labeling Consultation with WHO and others Attend industry-sponsored meetings Co-sponsor meetings CSPI/ASTHO Sodium Reduction Meeting (2008) CDC/ASTHO National Stakeholder Meeting (2009) Public Health Law Symposium on Salt (2010)

    11. CDC Actions to Lower Sodium Consumption CDC/ASTHO National Stakeholder Meeting Lay the groundwork for action Assess the landscape Discuss big picture public health strategies Consider potential actions Discuss surveillance issues

    12. 2009 Congressional Mandate “A diet high in sodium is a major cause of heart disease and stroke. CDC is encouraged to work with major food manufacturers and chain restaurants to reduce sodium levels in their products. The agency is directed to submit to the Committees on Appropriations of the House of Representatives and the Senate an evaluation of its sodium-reduction activities by no later than 15 months after the enactment of this Act, and annually thereafter.”

    13. Potential Action Remove salt from GRAS list Establish federal policy (e.g., at least 50% reduction within 10 years) Procurement policies (federal, state, local, organizational) Improved nutrition panel labeling Front of package labeling Menu labeling

    14. For more information: Nicole Blair, Policy Team Lead nblair@cdc.gov 770-488-5363 Janelle Peralez, Sodium Initiative Lead jperalez@cdc.gov 770-488-8231

    15. Blood Pressure* as a CVD risk Overall ˝ of heart and stroke* Stroke 54%* Heart Failure 50%** Heart attack 25%** Kidney failure 20%** *Systolic blood pressure greater than 115 mmHg ** Hypertension Slide 7 shows the proportion of various different vascular diseases that are related to high blood pressure. Note that for some of them the risk is indicated for systolic blood pressure above 115 mm Hg, while for heart failure, heart attack and kidney failure the risk indicated on this slide is for the current definition of hypertension ( >140/90 mm Hg).Slide 7 shows the proportion of various different vascular diseases that are related to high blood pressure. Note that for some of them the risk is indicated for systolic blood pressure above 115 mm Hg, while for heart failure, heart attack and kidney failure the risk indicated on this slide is for the current definition of hypertension ( >140/90 mm Hg).

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