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Less salt in bread: a cost-effective way to reduce New
Zealand population blood pressure levels
Dietary sodium is an important modifiable determinant of
blood pressure,1 and recent estimates suggest
almost two thirds of the burden of stroke and half that of ischaemic heart
disease are associated with non-optimal blood pressure
levels.2 Since blood pressure is so strongly
related to cardiovascular disease (CVD), reductions of only a few mmHg could
avert many deaths, if such reductions were population wide. Reducing dietary
sodium intakes has particular relevance to New Zealand as surveys suggest that
daily sodium intakes in this country are approximately 150 mmol (9 g
salt)/day3 – considerably higher than the
current recommended daily intake of less than 80 mmol (5g
salt).4
About 75% of our sodium intake is non-discretionary, coming
from salt added to food during manufacturing and
processing,5 and bread is the leading source of
sodium in the New Zealand diet (26% of all dietary
sodium).3 The usual sodium content of white
sliced bread is approximately 666 mg/100 g,6
which is considerably higher than the National Heart Foundation ‘Pick the
Tick’ target of 450 mg/100 g. One deterrent to meeting this target is
concern that reductions in salt content may compromise the taste of bread and
lead to reductions in sales. In order to determine if small reductions are
detectable by the average consumer we carried out a study to examine taste
discrimination between breads with standard and reduced salt content.
Three formulations of white sliced bread were produced. One
contained the standard salt content (~550 mg), one had the salt content reduced
by 5% (~530 mg), and the other had the salt content reduced by 10% (~490 mg). On
arrival at the study site (Massey University Sensory Laboratory), the
identification on each loaf was replaced by a three-digit code. The study
population was a consumer panel made up of 60 volunteers (31 males, 28 females,
1 unknown) aged between 20 and 60 years who normally consumed white bread. This
sample size gave 82% power to detect a significant difference between
samples.7
Triangle taste tests were carried out in which the volunteer
was provided with two identical samples and one different sample and asked to
identify the odd sample. Half of the volunteers completed the test tasting the
5% reduced salt sample first and the 10% reduced salt sample second, while half
tasted the 10% reduced salt sample first and the 5% reduced salt sample second.
The samples within the test were presented in one of six random orders of
presentation.
Seventeen of the 60 volunteers (28%) correctly identified
the 5% reduced salt sample while 22 (37%) correctly identified the 10% reduced
salt sample. Comparison to table values of the minimum number of agreeing
judgements necessary to establish significance indicated that these proportions
were not large enough to conclude that there was a significant difference
between products (p >0.05).7
In conclusion, reductions of up to 10% in the salt content
of white bread are feasible without a detectable change in taste. This is in
keeping with other studies in New Zealand8 and
Australia.9 With the widespread support of the
food industry successive small reductions could be performed annually, leading
to a significant reduction in population salt intake without any noticeable
effect on taste. This could be one of the most cost-effective ways to reduce
CVD.10
We gratefully acknowledge the assistance of Goodman Fielder
(NZ) Ltd in producing the test bread formulations used in this study.
Cliona Ni Mhurchu
Leanne Young
Carlene Lawes
John Brooks
Carol Pound
Lisa Duizer
Anthony Rodgers
Clinical Trials Research Unit University of Auckland References:
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