Salt: a narrative review and local policy initiatives in Israel.

Rebecca Goldsmith, Ronit Endevelt, Sigal Eilat-Adar, Assaf Buch, Lesley Nitsan, Moran Blaychfeld-Magnazi

Journal: Journal of public health policy 2024;45(1):30-42

PMID: 38158452

Abstract

High salt intake is a well-known risk factor for cardiovascular disease (CVD). Some recent prospective studies have challenged the salt-CVD link. We conducted a narrative review based on a systematic search and provided a national policy update. We reviewed 14 observational prospective studies in healthy adults, reporting the association between sodium intake and excretion or reduction and CVD incidence. Validated by cohort studies, recommended sodium consumption levels (< 1.5-2 gram per day) are still relevant for the prevention of CVD in adults. We discussed the findings and policy initiatives implemented in Israel. Such initiatives included voluntary and mandatory food labeling, and culturally tailored educational programs. The Ministry of Health in Israel initiated a salt reduction policy in recent years-aimed for the future of the industry as well as the population.

© 2023. The Author(s), under exclusive licence to Springer Nature Limited.

Address: Levinsky-Wingate Academic College, Wingate Campus, 4290200, Netanya, Israel. [email protected].; School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. [email protected].; Department of Nutritional Sciences, School of Health Sciences, Ariel University, Ariel, Israel.; The Institute of Endocrinology, Metabolism and Hypertension, Tel Aviv-Sourasky Medical Center, Tel Aviv, Israel.; Nutrition Division, Ministry of Health, Jerusalem, Israel.; School of Public Health, University of Haifa, Haifa, Israel.
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