This study was conducted to identify the sodium content in processed food and determine the proportion of products that meet the World Health Organization (WHO) global sodium benchmark criteria. Spesific concern was placed for sodium content in instant noodles. A comparative analysis was conducted to determine the relevance between the WHO and Indonesian Food and Drug Authority (Indonesian FDA) benchmarks in limiting sodium in instant noodles. Data on sodium levels (mg/100 g) of processed food was obtained from the register in the Indonesian FDA, Directorate of Processed Food Registration for 2019 to 2020. There were 3,850 products, consisting of 3,036 Local Products (LP) and 814 Imported Products (IP). These products were grouped into seven food categories and 18 types of food. The highest sodium content was found in chili sauce at 2,254,06 mg/100 g, and the lowest was in wafers at 218.64 mg/100 g. Overall, 2,538 of all products (66.56%) did not meet the sodium criteria based on the WHO benchmark. While for instant noodles, only 14.2% of the products met the sodium criteria based on the Indonesian FDA regulations and only 7.4% comply to the WHO sodium benchmark. The Cohen’s Kappa test showed a strong agreement (K=0.650; 95% CI; p=0.00, strong) between the two regulations in limiting sodium levels in instant noodles. This study provides an overview of sodium levels in processed food in Indonesia. The sodium content in most products including instant noodles, as one of the most frequently consumed products, are still above the recommended value. Therefore, it is necessary to develop sodium benchmarkof wider range of food categories in national level that might contribute to sodium intake, as well as for instant noodles. In order to achieve this goal, involvement of multi stakeholder among government, food industry and expert are also needed to deliver effective policies regarding sodium intake concerns.
Ahuja JKC, Li Y, Haytowitz DB, Bahadur R, Pehrsson PR, Cogswell ME. 2019. Assessing changes in sodium Ccontent of selected popular commercially processed and restaurant foods: Results from the USDA: CDC sentinel foods surveillance program. Nutrients (11):1754. https://doi.org/10.3390/nu11081754
Amarra S, Khor GL. 2015. Sodium Consumption in Southeast Asia: An Updated Review of Intake Levels and Dietary Sources in Six Countries. Dalam Bendich, Deckebaum RJ. Preventive Nutrition, Nutrition and Health, 5th Eds. Chapter 36 (Pages 781). Switzerland (CH): Springer International Publishing.
Atmarita A, Jahari AB, Sudikno S, Soekatri M. 2017. Asupan gula, garam, dan lemak di Indonesia: Analisis survei konsumsi makanan individu (SKMI) 2014. Gizi Indonesia 39(1):1−14. https://doi.org/10.36457/gizindo.v39i1.201
Bonsmann SSG, Robinson M, Wollgast J, Caldeira S. 2019. The ineligibility of food products from across the EU for marketing to children according to two EU-level nutrient profile models. Plos One 14(10): e0213512. https://doi.org/10.1371/journal.pone.0213512
De LC, De T. 2019. Healthy Food for Healthy Life. J Glob Biosci 8(9):6453−6468
Grillo A, Salvi L, Coruzzi P, Salvi P, Parati G. 2019. Sodium intake and hypertension. Nutrients 11(9):1970. https://doi.org/10.3390/nu11091970
[HPB] Health Promotion Board. 2020. Healthier Choice Symbol Nutrient Guidelines. Singapore (SG): HPB Singapore.
Haron H, Hiew I, Shahar S, Michael V, Ambak R. 2020. A Survey on salt content labeling of the processed food available in Malaysia. Int J Environ Res Public Health 17(7):2469.https://doi.org/10.3390/ijerph17072469
[Indonesian FDA] Indonesian Food and Drug Authority. 2019. Peraturan Kepala Badan POM No. 22 Tahun 2019 tentang Informasi Nilai Gizi. Jakarta (ID): Indonesian FDA.
Kamis Z, Yaakub R, Ong SK, Kassim N. 2015. Sodium content of processed foods in Brunei Darussalam. J Health Res 29(3):153−164. https://he01.tci-thaijo.org/index.php/jhealthres/article/view/97164
Kloss L, Meyer JD, Graeve L, Vetter W. 2015. Sodium intake and its reduction by food reformulation in the European Union - A review. NFS Journal 1:9−19. https://doi.org/10.1016/j.nfs.2015.03.001
Labonté MÈ, Poon T, Mulligan C, Bernstein JT, Franco-Arellano B, L'Abbé MR. 2017. Comparison of global nutrient profiling systems for restricting the commercial marketing of foods and beverages of low nutritional quality to children in Canada. Am J Clin Nutr 106(6):1471−1481. https://doi.org/10.3945/ajcn.117.161356
Lehmann U, Charles VR, Vlassopoulos A, Masset G, Spieldenner J. 2017. Nutrient profiling as a tool to respond to public health needs Nutrient profiling for product reformulation: Public health impact and benefits for the consumer. Proc Nutr Soc 76(3):255−264. https://doi.org/10.1017/S0029665117000301
Mauludyani AVR, Nasution Z, Aries M, Rimbawan, Egayanti Y. 2021. Knowledge on nutrition labels for processed food: Effect on purchase decision among Indonesian consumers. J Gizi Pangan 16(1):47−56. https://doi.org/10.25182/jgp.2021.16.1.47-56
[MoH RI] Ministry of Health Republic of Indonesia. 2013. Riset Kesehatan Dasar. Jakarta (ID): MoH RI.
[MoH RI] Ministry of Health Republic of Indonesia. 2018a. Riset Kesehatan Dasar. Jakarta (ID): MoH RI.
[MoH RI] Ministry of Health Republic of Indonesia. 2018b. Pentingnya Pencantuman Informasi Kadar GGL dan Pesan Kesehatan pada Pangan Olahan dan Pangan Siap Saji. Kompilasi Policy Brief Hasil Litbangkes 2017 Eds. Ketiga. Jakarta (ID): MoH RI.
Nieto C, Tolentino-Mayo L, Medina C, Monterrubio-Flores E, Denova-Gutiérrez E, Barquera S. 2018. Sodium content of processed foods available in the Mexican market. Nutrients 10(12):2008. https://doi.org/10.3390/nu10122008
Pivk Kupirovič U, Hristov H, Hribar M, Lavriša Ž, Pravst I. 2020. Facilitating consumers choice of healthier foods: A comparison of different front-of-package labelling schemes using Slovenian food supply database. Foods 9(4):399. https://doi.org/10.3390/foods9040399
Poon T, Labonté MÈ, Mulligan C, Ahmed M, Dickinson KM, L'Abbe MR. 2018. Comparison of nutrient profiling models for assessing the nutritional quality of foods: A validation study. Br J Nutr 120(5):567−582. https://doi.org/10.1017/S0007114518001575
Prihatini S, Julianti ED, Hermina H. 2016. Kontribusi bahan makanan terhadap konsumsi natrium pada anak usia 6−18 tahun di Indonesia. Penelitian Gizi dan Makanan 39(1):55−63. https://doi.org/10.22435/pgm.v39i1.5973.55-63
Rahman SA. 2020. Biostatistik Deskriptif. D.I Yogyakarta (IN): Penerbit Samudra Biru (Anggota IKAPI).
Rosewarne E, Huang L, Farrand C, Coyle D, Pettigrew S, Jones A, Moore M, Webster J. 2020. Assessing the healthy food partnership's proposed nutrient reformulation targets for foods and beverages in Australia. Nutrients 12(5):1346. https://doi.org/10.3390/nu12051346
Shahar S, You YX, Zainuddin NS, Michael V, Ambak R, Haron H, He FJ, MacGregor GA. 2019. Sodium content in sauces-a major contributor of sodium intake in Malaysia: A cross-sectional survey. BMJ Open 9(5):e025068. https://doi.org/10.1136/bmjopen-2018-025068
Setyowati D, Andarwulan N, Giriwono PE. 2018. Processed and ultraprocessed food consumption pattern in the Jakarta individual food consumption survey 2014. Asia Pac J Clin Nutr 27(4):840−847. https://doi.org/10.6133/apjcn.062017.01
Tan CH, Chow ZY, Ching SM, Devaraj NK, He FJ, MacGregor GA, Chia C. 2019. Salt content of instant noodles in Malaysia: A cross-sectional study. BMJ Open 9(7):e024702. https://doi.org/10.1136/bmjopen-2018-024702corr1
[WHO] World Health Organization. 2018. Using Dietary Intake Modelling to Achieve Population Salt Reduction - A Guide to Developing a Country-Specific Salt Reduction Mode. Copenhagen (DK): WHO Regional Office for Europe.
[WHO] World Health Organization. 2021. WHO Global Sodium Benchmarks for Different Food Categories. Geneva (CH): WHO.
Zhang L, Zhao F, Zhang P, Gao J, Liu C, He FJ, Lin CP. 2015. A pilot study to validate a standardized one-week salt estimation method evaluating salt intake and its sources for family members in China. Nutrients 7(2):751−763. https://doi.org/10.3390/nu7020751