Text features the National Salt and Sugar Reduction Initiative logo

National Salt and Sugar Reduction Initiative (NSSRI)

Diet-related diseases are among the leading causes of death in the United States. The typical American diet is high in sodium and added sugars, which can negatively impact health. In the United States, 70% of adults are overweight or obese, and about one-third of adults have high blood pressure. These conditions increase the risk for preventable illness, such as diabetes, heart disease stroke and some cancers.

The National Salt and Sugar Reduction Initiative (NSSRI), an expansion of the National Salt Reduction Initiative, is a partnership of organizations and health authorities from across the country (PDF), convened by the NYC Health Department. The initiative sets voluntary reduction targets for sugar and salt and asks food and beverage companies to commit to meeting them. The NSSRI released preliminary sugar categories and targets for technical comment in 2018.

The NSSRI has set preliminary sugar reduction targets that are gradual, achievable, substantive and measurable. The preliminary targets (PDF), are now open to comment from the food and beverage industry. For questions about the categories and targets, or to join our distribution list, email sugar@health.nyc.gov. After considering feedback from industry, the NSSRI will release revised targets in 2019.

The initial phase of this effort, the National Salt Reduction Initiative, tracked nation-wide progress of sodium reduction in packaged and restaurant foods. Between 2009 and 2014, there was a 6.8% reduction in sodium levels in the U.S. food supply.

In June 2016, the FDA announced draft voluntary sodium reduction targets. These targets were partially informed by our initiative, as well as by similar initiatives in Canada, the U. K. and other countries.

The following companies have committed to reduce salt in their products according to our target levels:

  • Au Bon Pain
  • Bertucci's Italian Restaurant
  • Black Bear European Style Deli
  • Boar's Head Provisions Co.
  • Butterball
  • Campbell Soup Company
  • Delhaize America
  • Dietz & Watson
  • FreshDirect
  • Furmano's
  • Goya Foods
  • Hain Celestial
  • Heinz
  • Hostess
  • Ken's Foods
  • Kraft Foods / Mondēlez International
  • LiDestri Foods / Francesco Rinaldi
  • Mars Food US
  • McCain Foods
  • Premio
  • Red Gold, Inc.
  • Snyder's-Lance, Inc.
  • Starbucks Coffee Company
  • Subway®
  • Target Corporation
  • Unilever
  • Uno Chicago Grill
  • White Rose

To learn more about our salt reduction targets, email salt@health.nyc.gov.

Process Papers

  • Angell SY, Farley TA. Can we finally make progress on sodium intake?. Am J Public Health. 2012;102(9):1625-7. doi: 10.2105/AJPH.2012.300722
  • Angell SY. Emerging Opportunities for Monitoring the Nutritional Content of Processed Foods. Am J Clinical Nutrition. 2010: 91: 298-9. doi: https://doi.org/10.3945/ajcn.116.145623
  • Institute of Medicine (US) Committee on Strategies to Reduce Sodium Intake; Henney JE, Taylor CL, Boon CS, editors. Appendix G, National Salt Reduction Initiative Coordinated by the New York City Health Department. In: Strategies to Reduce Sodium Intake in the United States. Washington, DC: National Academies Press. 2010; 443–451. Available from: https://www.ncbi.nlm.nih.gov/books/NBK50950/

Food Supply Analysis

  • Curtis CJ, Clapp J, Niederman SA, Ng SW, Angell SY. US Food Industry Progress during the National Salt Reduction Initiative: 2009-2014. Am J Public Health. 2016:106(10): 1815-1819. doi: 10.2105/AJPH.2016.303397
  • Curtis CJ, Niederman SA, Kansagra SM. Availability of Potassium on the Nutrition Facts Panel of US Packaged Foods. JAMA Intern Med. 2013;173(9):828–829. doi: 10.1001/jamainternmed.2013.3807
  • Clapp J, Curtis CJ, Middleton AE, Goldstein GP. (2014). Prevalence of Partially Hydrogenated Oils in US Packaged Foods 2012. Prev Chron Dis. 2012:11(145):1-3. doi: http://dx.doi.org/10.5888/pcd11.140161
  • Clapp JE, Niederman SA, Leonard E, Curtis CJ. Changes in Serving Size, Calories, and Sodium Content in Processed Foods From 2009 to 2015. Prev Chronic Dis. 2018;15:E33. doi: 10.5888/pcd15.170265

Intake Analysis

  • Cogswell ME, Patel SM, Yuan K, Gillespie C, Juan W, Curtis CJ, Vigneault M, Clapp J, Roach P, Moshfegh A, Ahuja J, Pehrsson P, Brookmire L, Merritt R. Modeled Changes in US Sodium Intake from Reducing Sodium Concentrations of Commercially Processed and Prepared Foods to Meet Voluntary Standards Established in North America: NHANES. Am J Clinical Nutrition. 2017;106(2):530-540. doi: https://doi.org/10.3945/ajcn.116.145623
  • Angell SY, Yi S, Eisenhower D, Kerker BD, Curtis CJ, Bartley K, Silver LD, Farley TA. Sodium Intake in a Cross-Sectional, Representative Sample of New York City Adults. Am J Pub Health. 2014:104(12): 2409-2416. doi: 10.2105/AJPH.2013.301542

More Information