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. 2020 Aug 8;22(8):1355–1370. doi: 10.1111/jch.13937

TABLE 3.

Characteristics of included salt level in food studies undertaken between January 2009 and November 2019 (n = 11)

Author, year, and design Country Type of food assessed Source of sodium information Summary result

Al Jawaldeh et al 30

Cross‐sectional study

Egypt

Tunisia

Baladi refined bread (Ayash) and Baladi ordinary (Ayash) in Egypt and French bread in Tunisia Chemical analysis
  • Mean (SD) salt and sodium content in bread for all countries was 7.63 (SD 3.12) and 3.0 (SD 1.23) g/kg, respectively, with a mean salt content of bread of 4.57 g/kg, contributing 1.4 g of salt intake daily.

  • Mean salt content of baladi refined and baladi ordinary bread in Egypt was 4.02 and 5.11 g/kg, respectively, which contributed to 1.2 and 1.5 g of salt intake daily.

  • The salt content of French bread in Tunisia was 12.41 g/kg, contributing 3.7 g of salt intake daily.

El‐Kardi et al 37

Cross‐sectional study

Morocco Tuna sandwich, merguez sandwich, minced meat sandwich, eggs sandwich, shawarma, and pizza Chemical analysis Mean sodium content in the various types of fast foods showed values ranging from 0.25 g/100 g in minced meat sandwiches to 0.44 g/100 g in pizzas. Regarding salt content per individual serving, pizzas had the highest average salt content (2.93 g/serving), while the minced meat sandwiches had the lowest average amount (1.42 g/serving)

Feeley et al 51

Longitudinal birth cohort study

South Africa Consumed foods Interviewer‐assisted questionnaires on dietary practices Mean sodium content from purchased food items was estimated 4803 mg/wk for males and 4761 mg/wk for females, respectively (P > .05). Fast foods contributed the greatest amount to sodium (52.5%), followed by salty snacks (31.2%), confectionery (12.7%), and sweetened beverages (3.6%)

Jafri et al 38

Cross‐sectional study

Morocco Commercial white bread Chemical analysis Mean (SD) added salt during preparation of regular white bread was 17.37 (4.23) g/kg, which is the equivalent of a daily intake of 8‐9 g of salt through bread alone

Morakinyo et al 43

Cross‐sectional study

Nigeria Commonly consumed local foods in Nigeria Chemical analysis Mean (SD) sodium content expressed as mg/100 g dry weight in Nigerian local foods ranged from 5.0 (0.20) in Yam and Egg to 21.6 (0.2) in Eba & Okro

Nwanguma et al 44

Cross‐sectional study

Nigeria Retail samples of white bread made from wheat flour Chemical analysis Mean salt content of bread samples expressed as g/100 g dry weight was 1.36. The contribution of bread to the recommended daily intake of salt varies from 0.99 to 3.33 g

Peters et al 52

Cross‐sectional study

South Africa Processefd foods Nutrition information panel (NIP)
  • The food groups with the highest median sodium level were snack foods (746 mg/100 g), followed by meat and meat products (734 mg/100 g), and sauces and spreads (673 mg/100 g).

  • Food categories with the lowest sodium levels included several cereal products (eg, pasta, maize, rice, couscous; all <10 mg/100 g) and dairy products, excluding cheeses (all <100 mg/100 g).

  • The median sodium level of foods targeted by the sodium legislation ranged from 171 mg/100 g for breakfast cereals and porridges to 4782 mg/100 g for dry soup powders.

Queiroz et al 39

Cross‐sectional study

Mozambique Adult workers of the Maputo Central Hospital 24‐h dietary recall Discretionary sodium contributed 60.1% of total dietary sodium intake, followed by sodium from processed foods (29.0%) and naturally occurring sodium (10.9%). Besides the use of salt added at the table (35% of the participants) and during cooking (96% of the participants), using stock powder when cooking or adding it to prepared food and salads was shown to be frequent in the present sample of the Mozambican population (70% of the participants)

Silva et al 40

Cross‐sectional study

Mozambique White bread Chemical analysis Mean sodium content of bread available for purchase in the most commonly frequented bakeries and markets in Maputo was 450 mg/100 g

Spearing et al 53

Cross‐sectional study

South Africa Meat‐based, starch‐based, and legume/vegetable‐based meals 24‐h dietary recalls Mean sodium content of all 16 dishes ranged from 88 mg in “stifpap” to 679 mg per 100 g in “fried spinach.”

Swanepoel et al 54

Cross‐sectional study

South Africa

13 food categories

  • Bread

  • Raw‐processed meat sausages

  • Processed meat—uncured

  • Processed meat—cured

  • All fat and butter spreads

  • All breakfast cereals

  • Savory snacks, excluding salt‐and‐vinegar flavored

  • Flavored ready‐to‐eat savory snack and potato crisp, salt‐and‐vinegar only

  • Dry savory powders with dry instant noodles to be mixed with a liquid

  • Flavored potato crisp, excluding salt‐and‐vinegar

  • Stock cubes/powder/granules/emulsions/pastes/jellies

  • Dry gravy powders and dry instant savory sauces

  • Dry soup powder (not instant type)

Chemical analysis The majority of the food products tested comply with the targets for 2016 (72%) and almost half of the products with the 2019 targets (42%). The highest variation was observed in the “all fat and butter spread” (20%) category, as well as the “raw‐processed meat sausages” (32%). All of the food categories, except for “flavored potato crisp, excluding salt‐and‐vinegar” and “flavored ready‐to‐eat savory snack and potato crisp, salt‐and‐vinegar only,” complied with the 2016 target