Nestlé's Salt Reduction Policy

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Nestlé's Salt Reduction Policy Meeting of the Institute of Medicine of the National Academies Identifying Strategies to Reduce Sodium Intake in the US Population Washington DC, March 30, 2009 Edward Fern PhD Corporate Nutrition, Nestlé, Vevey, Switzerland

Reducing Public Health-Sensitive Nutrients Nestlé Global Policies for Reducing the Level of Public Health-Sensitive Nutrients 2003 Trans Fatty Acids 2005 Sodium (Salt ) 2007 Sugar 2009 Saturated Fats

Sodium Reduction Nestlé is conscious of the health implications of excessive sodium intake and has been reducing the salt content of some of its products since 1998. However, since April 2005, there has been an official Nestlé policy in place for the entire product range throughout the world as part of the Company's commitment to Nutrition and Health The policy is intended to help consumers, both adults and children, to reduce their sodium intakes in line with public health recommendations - while carefully maintaining the organoleptic quality that consumers expect

Policy Based on SACN and IOM Recommendations Scientific Advisory Committee on Nutrition ( UK ) Institute of Medicine ( USA ) ( NaCl ) Salt 6.1 5.6 5.1 4.6 4.1 3.6 3.0 2.5 2.0 1.5 1.0 0.5 0 Sodium 2.4 2.2 2.0 1.8 1.6 1.4 1.2 1.0 0.8 0.6 0.4 0.2 0 1 2 3 5 SACN (UK) Reference Nutrient Intake 6 6 IOM ( USA ) Adequate Intake 0 5 10 15 Adult 5 SACN ( UK ) Target Average Salt Intake ( g / day ) IOM ( USA ) Tolerable Upper Intake Level ( UL ) WHO / FAO 2003 Recommendation Salt Intake for low incidence of essential hypertension Dahl LK, 2005 Age ( yrs )

Nestlé Policy Requirements The policy requires that all products with a sodium content greater than 100 mg / 100 kcal must reduce the sodium level by a total of : 25 % in 5 years - 10 % in the first two years - and the remaining 15 % over the next three... or until the level of 100 mg / 100 kcal has been reached Priorities The safety of food products will remain the most important deciding factor. Reduction in sodium content of products will only be made where there is no increase in the risk of food spoilage and/or growth of pathogenic microorganisms, or where other safety elements cannot be introduced to compensate for the lower salt level Emphasis for reduction of sodium will be given to food products that : - make a significant contribution to daily dietary sodium intake - are offered in fixed portion sizes ( discretionary element is small )

Priority Given to Major Dietary Products Food Component Food Items Major Portion of Meal High Discretionary Sodium / Energy Density Portion Size Lower Defined Priority Sauces Soups Breakfast Cereals Seasonings Meat Products Frozen Dishes

Stepwise Reduction Is Most Effective Strategy Sensory triangle test used to determine whether Sequence of Salt Reduction Strategy reductions can be perceived by consumers If successfully tested, scale-up from pilot plant to factory trials, then to full-scale manufacturing processes Procedure repeated after about 12-18 months Such a stepwise approach achieves an acceptable reduction over time that could not otherwise be achieved in one hit This suggests that people do adapt to less salt. What is not known is where the end point is - i.e. when consumers will not accept further reductions in salt

Global Reduction of Salt ( Sodium ) up to December 2008 In excess of 7,000 Metric Tons Equivalent to more than 15 million pounds of salt.

Salt Reduction in UK Breakfast Cereals Achieved the Food Standard Agency 2010 target in the UK by end of 2006 Sodium ( g / 100 g product ) 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 0 Curiously Cinnamon Honey Cheerios Force Cookie Crisp Multi-Grain Cheerios Clusters Golden Nuggets Shreddies Honey Shreddies Coco Shreddies Frosted Shreddies Nesquik Shredded Wheat Varieties < 0.03g Na + / 100g product 2004 2008 Mean 0.50 0.43 0.38 g / 100 g SD 0.15 0.11

Examples of Different English Breakfasts 170 kcal/serving Breakfast cereal with milk 12 g Sugars 3 g Fat 0.2g Sodium 2 Slices wholemeal toast + jam + butter 342 kcal/serving 19 g Sugars 17 g Fat 0.4g Sodium Cooked breakfast : 2 sausages 2 rashers of bacon 1 fried egg 2 slices wholemeal toast 690 kcal/serving 2 g Sugars 50 g Fat 1.8g Sodium

Reduction Strategies... Require the integration of FOUR, often opposing, points of view Consumer Expectation & Acceptance Scientific Justification Optimal Strategy Technical & Cost Implications Commercial Considerations including Communication

Reduction Strategies for Sodium / Salt Consumer Expectation & Acceptance Scientific Justification Optimal Strategy Technical & Cost Implications Commercial Considerations including Communication

Salt Intake Sources for Adults Switzerland 2004 Japan 2006 Salt Intake 10.6 g / day Salt Intake 10.8 g /day Unchanged since 1993 Reduced from 11.5 g / day in 2002 Cheese 11 % Bread 17 % Meat & Eggs 8 % Pastries & Snacks 8 % Soups 6 % Sauces 3 % Miso 14 % Fish 7.4 % Cereal & Bread 7.4 % Vegetables 6.9 % Meat 2.8 % Other 7.9 % Others 3 % 41 % 54 % Soy Sauce 23 % Salt 13 % Other 18 % Beer-Borst, S.et al, (2009) Eur. J. Clin. Nutr. 63, 155-164 Ministry: Health, Labor & Welfare National Nutrition Survey 2006

Front-of-Pack Communication Specific Label Descriptors Sodium Free < 5 mg per serving Very Low Sodium 35 mg or less per serving Low Sodium 140 mg or less per serving Reduced Sodium 25% less than previous Numeric Label Information Guideline Daily Amounts for Adults (GDA) * UK Continental Europe is currently discussing the use of GDAs * Adult GDAs are based on GDAs for women. GDAs are general guidelines and personal requirements vary depending on age, gender, weight and activity.

SUMMARY

The Matterhorn, Zermatt, Switzerland Edward Fern Fern C March 2009

The Matterhorn, Breuil Cervinia, Italy Edward Fern C March 2009

Working Philosophies Institute of Medicine of the National Academies " Knowing is not enough; we must apply. Willing is not enough; we must do." Goethe ( 1749-1832 ) Nestlé " Well done is better than well said." Benjamin Franklin ( 1706-1790 )

Back-up Slides SUMMARY

Specific Exemptions from the Policy All products that contain 100 mg of sodium per 100 kcal, or less - based on a target sodium intake of 6g salt / day and a daily energy intake of either 2000 kcal (women) or 2500 kcal (men) Infant nutrition products ( up to 3 years of age ) - since sodium levels are already strictly controlled by specific national or international regulations - e.g. Codex Alimentarius Bottled ( mineral ) waters, both still and sparkling - as most contain very little sodium (< 80 mg/l) or in many cases, food regulation does not allow reductions of components, including sodium Products specifically designed to contain lower levels of dietary energy than regular versions - i.e. 'light' or 'reduced-energy' products - to reflect greater need to reduce energy intake more than that of sodium.

Salt Functionality Salt increases the rate of formation of Maillard reaction products, necessary for formation of color and flavor. Moreau L, Bindzus W & Hill S (2009) Cereal Chem. 86, 232-238 Heating Time ( min ) 25.0 18.75 12.5 6.25 0 0 1.08 2.17 3.25 4.33 Salt Concentration (%)

Cost of Sodium Reduction Cost of new technologies or new ingredients Costs of having multiple recipes and, therefore, significant losses in production efficiency Commercial and technical resources associated with recipes changes - e.g. pilot plant trials, taste testing Packaging write off costs