Jessica Lee Levings, MS, RD, LD Policy Analyst and Federal Contractor

Division for Heart Disease and Stroke Prevention

Centers for Disease Control and Prevention

From Cart to Heart: Potential Resources for Supermarket Dietitians

Oldways Supermarket Dietitian Symposium

March 23, 2015

National Center for Chronic Disease Prevention and Health Promotion

Division for Heart Disease and Stroke Prevention

CDC’S SODIUM REDUCTION INITIATIVE

CDC’s Sodium Reduction Initiative

  Supporting and evaluating ongoing initiatives to reduce sodium

  Providing technical assistance to the public health community

  Expanding the scientific literature related to sodium reduction

  Collaborating with stakeholders

  Educating the public

  10 Sites

  Program outcomes:   Increased availability and accessiblity of lower sodium food

products

  Increased purchase and/or selection of lower sodium food products   Reduced sodium intake

  Broome County Grocery Store Initiative:   http://journals.lww.com/jphmp/Fulltext/2014/01001/

Working_With_Grocers_to_Reduce_Dietary_Sodium__.10.aspx

Sodium Reduction in Communities Program

Million Hearts®

  US Department of Health and Human Services initiative, co-led by:   Centers for Disease Control and Prevention (CDC)

  Centers for Medicare & Medicaid Services (CMS)

  Partners across federal and state agencies and private organizations

5

Goal: Prevent 1 million heart attacks and strokes by 2017

Key Components of Million Hearts®

Excelling in the ABCS Optimizing care

Focus on the ABCS

Health tools and technology

Innovations in care delivery

Keeping Us Healthy Changing the environment

TRANS FAT

Minority Health

Consumer Awareness

  Consumer awareness can drive action aimed at sodium reduction

  DHDSP continues to   Develop additional survey questions and analyze existing

data to better determine consumer knowledge, attitudes, and behaviors related to sodium reduction

  Develop and disseminate consumer oriented materials related to sodium reduction

  Expand the research base related to sodium intake and health

  Engage the food industry

  Host the Healthy Eating and Lifestyle Resource Center

Resources may be found at www.cdc.gov/salt

http://recipes.millionhearts.hhs.gov/

Sodium Survey Questions

  BRFSS sodium-related questions in 2012 SpringStyles survey   Online, consumer market panel survey

  ~6700 participants

  National convenience sample

  26 states, Washington DC, and Puerto Rico, included the module

  Study Objectives   Who is taking action to reduce sodium intake?

  Who is receiving health professional advice to reduce sodium?   What is the association between receiving advice and taking

action?

Summary of Results

  53% are taking action to reduce sodium

  23% report receiving advice to reduce sodium

  More likely to take action and receive advice:   Older persons   Hispanics

  Non-Hispanic blacks

  Persons with HTN or a history of CVD

  Significant, positive association between receiving advice and taking action to reduce sodium intake

Barriers to Sodium Reduction – Results from Bell Institute Poll: “What is your biggest barrier

to helping your patients/clients reduce their sodium intake?”

  31%: recommend sodium reduction to all of their patients/clients and do not have any barriers

  25%: patients don’t understand or use the Nutrition Facts panel

  20%: sodium is in so many foods, it is difficult to know where to start counseling patients

  16%: lack of resources/tools to share with patients

  7%: lack of time during visits

  1%: don’t think sodium reduction is important

Working with Supermarket Dietitians

  Retail is uniquely poised to integrate health and wellness into its large and loyal consumer base

  Engaging with health professionals in the retail sector could help bridge purchase intent and purchase behavior related to lower sodium products

  CDC is considering resources that could help advance our areas of work

For more information please contact Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA 30333 Telephone, 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348 E-mail: cdcinfo@cdc.gov Web: www.cdc.gov

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Thank You

For more information www.cdc.gov/salt

JLevings@cdc.gov

National Center for Chronic Disease Prevention and Health Promotion

Division for Heart Disease and Stroke Prevention