Abstract
Background: In recent decades, a decrease of sodium chloride (NaCl) salt in diets such as
breads has raised public attention for control of non-communicable diseases (NCDs) in developed
and developing countries. Bread is an important food in public diets in Iran as well as many other
countries.
Aim: The aim of this study was to assess salt (NaCl) content of the Iranian traditional breads and to
estimate daily salt intake through consumption of these foodstuffs. The study was carried out in five
major cities of Iran in 2016.
Methods: In total, 237 traditional bread samples (including Sangak, Taftoon, Lavash and Barbari)
were collected and the sample NaCl content was assessed using published methods by the International
Organization for Standardization (ISO) and Association of Official Analytical Chemists
(AOAC). Values were compared to Iranian standard limit values.
Results: Salt content of the traditional breads ranged from 0.03 g to 2.99 g per 100 g of dry weight
(D.W.). Overall, 49.2% of the traditional bread samples in Tehran and 47.2% of the traditional bread
samples in other cities exceeded the standard limit. Since 93.8% of Sangak breads from Tehran met
the salt limit criteria of national standards, this traditional bread includes a more favorable nutritional
status compared to that other breads do.
Conclusion: Awareness of salt level in breads and monitoring salt use in bakeries can help update
food policies and improve public lifestyle. A decrease in the ratio of salt is recommended as the major
nutritional intervention for the prevention and control of NCDs.
Keywords:
Bread, dietary intake, Iran, non-communicable diseases, salt, dietary patterns.
Graphical Abstract
[14]
Hansen MM. Public health: promoting the health of populations and communities. Policy and Politics in Nursing and Health Care E-Book 2015; 24: 252.
[16]
2015-2020 Dietary Guidelines for Americans. Washington, DC: USDA 2015.
[26]
Institute of Standards and Industrial Research of Iran Traditional Breads Specifications and Test Methods 2017.
[27]
World Health Organization A Comprehensive Global Monitoring Framework Including Indicators and a Set of Voluntary Global Targets for the Prevention and Control of Noncommunicable Diseases. Geneva: World Health Organization 2012.
[29]
Fahimi S, Pharoah P. Reducing salt intake in Iran: priorities and challenges Archives of Iranian Medicine 2012; 15(2): 110-2.
[32]
Kimiagar M. National Comprehensive Study on Household Food Consumption Pattern and Nutritional Status IR Iran Tehran. National Nutrition and Food Technology Research Institute, Center of Agricultural Economic Studies and Planning 1996.
[33]
Cochran WG. Sampling Techniques. 3rd ed. New York: John Wiley and Sons 1977.
[34]
ISO 712, P N E N Cereals and cereal products-Determination of moisture content-Reference method. 2009.
[35]
Cunniff P. Official Methods of Analysis of AOAC International Association of Official Analytical Chemists 1996. Report No. 0935584544
[36]
Abdollahi M, Mohammadi-Nasrabadi F, Houshiarrad A, Ghaffarpur M, Ghodsi D, Kalantari N. Socio-economic differences in dietary intakes: The comprehensive study on household food consumption patterns and nutritional status of IR Iran. Nutr Food Sci Res 2014; 1(1): 19-26.
[37]
Rahmani MKA, Allahverdian S, Hedayati M. Comparison of dietary iodine intake and urinary excretion in urban and rural households of Ilam in 2000. Majallah-i Ghudad-i Darun/Riz va Mitabulism-i Iran 2000; 2(1): 31-7.
[39]
Sadeghzadeh V, Ghasemi I, Kelachayeh SSR, Naserian J. Effects of a lifestyle-change program on cardiac risk factors after angioplasty. Int Res J Appl Basic Sci 2013; 1: 234-8.
[40]
Motlagh Z, Mazloomy S, Mozaffari Khosravi H, Morowati-sharifabad M, Askarshahi M. Salt intake among women referring to medical health centers, Yazd, Iran, 2011. J Shahid Sadoughi Univ of Medical Sciences 2011; 19(4): 550-60.
[45]
Rafiei M, Boshtam M, Sarraf-Zadegan N, Seirafian S. The relation between salt intake and blood pressure among Iranians. Kuwait Med J 2008; 40(3): 191-5.
[46]
Zibaeinezhad MJ, Houshangi M, Abtahi F, Heydari ST. A study of salt (sodium chloride) content in different bread consumed in Shiraz City in Spring/Summer 2009. Iranian Cardiovascular Research Journal 2010; 4(1): 17-21.
[59]
Salovaara H. Sensory limitations to replacement of sodium with potassium and magnesium in bread. Cereal Chem 1982; 59: 427-30.