Evidence map›Paper›PMID 40179102›Full record

ArticlePloS one2025

Monitoring sodium content in packaged foods sold in the Americas and compliance with the updated regional sodium reduction targets.

Yahan Yang, Nadia Flexner, Maria Victoria Tiscornia, Leila Guarnieri, Adriana Blanco-Metzler, Hilda Núñez-Rivas, Marlene Roselló-Araya, Paola Arévalo-Rodríguez, Maria Fernanda Kroker-Lobos, Francisco Diez-Canseco and 6 more

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Sodium content in packaged foods and beverages in Argentina in 2024 and policy implications.Revista panamericana de salud publica = Pan American journal of public health · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Yahan YangDepartment of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.ORCID 0000-0003-0464-0251
Nadia FlexnerDepartment of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Maria Victoria TiscorniaFundación Interamericana del Corazón Argentina, Buenos Aires, Argentina.
Leila GuarnieriFundación Interamericana del Corazón Argentina, Buenos Aires, Argentina.
Adriana Blanco-MetzlerCosta Rican Institute of Research and Education on Nutrition and Health (INCIENSA), Tres Ríos, Cartago, Costa Rica.
Hilda Núñez-RivasCosta Rican Institute of Research and Education on Nutrition and Health (INCIENSA), Tres Ríos, Cartago, Costa Rica.
Marlene Roselló-ArayaCosta Rican Institute of Research and Education on Nutrition and Health (INCIENSA), Tres Ríos, Cartago, Costa Rica.ORCID 0000-0002-7452-7679
Paola Arévalo-RodríguezINCAP Research Center for the Prevention of Chronic Diseases, Institute of Nutrition of Central America and Panama, Guatemala City, Guatemala, United States of America.
Maria Fernanda Kroker-LobosINCAP Research Center for the Prevention of Chronic Diseases, Institute of Nutrition of Central America and Panama, Guatemala City, Guatemala, United States of America.
Francisco Diez-CansecoCRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru.
Mayra Meza-HernándezCRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru.
Kiomi Yabiku-SotoCRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru.ORCID 0000-0001-9515-4587
Lorena Saavedra-GarciaCRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru.ORCID 0000-0003-1524-780X
Lorena AllemandiPan American Health Organization/World Health Organization, Washington, District of Columbia, United States of America.
Leo NederveenPan American Health Organization/World Health Organization, Washington, District of Columbia, United States of America.
Mary R L'AbbéDepartment of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.ORCID 0000-0001-7688-7558

Funding

Social determinants of cardiovascular disease risk over the life courseD43TW011971 · FIC · DREXEL UNIVERSITY · PI Ana Victoria Diez Roux, Brisa N Sanchez · 2021 to 2026
$1.6M
FIC NIH HHS D43 TW011971World Health Organization 001
6 · The paper itself

Abstract

backgroundSodium reduction is a cost-effective measure to prevent noncommunicable diseases. The World Health Organization (WHO) established a target of a 30% relative reduction in mean population intake of sodium by 2025. The Pan American Health Organization (PAHO) published sodium reduction targets (SRTs) for packaged foods in 2015, expanding and updating the targets in 2021 to help Member States with its efforts in reducing population sodium intake.

objectiveThis study examined the current sodium levels in packaged foods among five countries in the Americas and monitored cross-sectional and longitudinal compliance with the sodium targets from 2015 to 2022.

methodsFood labels were systematically collected from the main supermarkets in five countries in the Americas region in 2022. Sodium levels per 100g and per kcal for collected food labels in 16 PAHO categories and 75 subcategories were analyzed and compared against the updated SRTs. Further analysis of three countries that have longitudinal data for 2015-2016, 2017-2018 and 2022 was conducted to compare sodium per 100 g against the 2015 SRTs.

resultsA total of 25,569 food items were analyzed. Overall, 'processed meat and poultry' had the highest sodium levels, although there were large variations within categories. 47% and 45% of products met the sodium per 100g and per kcal 2022 SRTs, respectively. Peru had the highest compliance, whereas Panama had the lowest for both targets. Among Argentina, Costa Rica and Peru, the proportion of foods meeting the 2015 PAHO lower targets were 48, 53 and 61% for 2015-2016, 2017-2018 and 2022, respectively (p < 0.001).

conclusionsThis study showed that around half of the examined foods met their respective SRTs and there have been small improvements in compliance over time. Further efforts are required to reach the WHO's global sodium reduction goal by 2025, such as implementation of mandatory SRTs and front-of-pack labelling regulations.

Indexed as

Food LabelingFood PackagingSodium, DietaryAmericasCross-Sectional StudiesHumansNutrition PolicySodium, Dietary

Identifiers

PMID40179102
PMCPMC11967937

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.