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Journal of Human Nutrition and Dietetics

NUTRITIONAL SCIENCE
Salt (sodium chloride) content of retail samples of Nigerian
white bread: implications for the daily salt intake of
normotensive and hypertensive adults
B. C. Nwanguma & C. H. Okorie
University of Nigeria, Department of Biochemistry, Enugu State, Nigeria

Keywords Abstract
bread, hypertension, Nigeria, salt, sodium,
sodium chloride. Background: Bread has been identified as a major contributor to the exces-
sive salt (sodium chloride) intake of consumers in many countries, some of
Correspondence which have very high incidences of hypertension and related cardiovascular
B. C. Nwanguma, University of Nigeria, complications, such as stroke. This has prompted a global rise in interest in
Department of Biochemistry, Nsukka Campus,
the salt content of breads produced and consumed in many other countries.
Enugu State 410001, Nigeria.
Methods: The sodium contents of retail samples of 100 brands of Nigerian
Tel: +234-8063655062
E-mail: bennett.nwanguma@unn.edu.ng white bread were determined by photometry with a view to estimating the
relative contribution of bread to the recommended daily sodium intake of
How to cite this article both normotensive and hypertensive adults in the country.
Nwanguma B.C. & Okorie C.H. (2013) Salt Results: The salt content of the bread samples varied extensively, ranging
(sodium chloride) content of retail samples of from 0.51 g per 100 g (0.51%) to 1.8 g per 100 g (1.8%). The average salt
Nigerian white bread: implications for the daily content was 1.36 g per 100 g. Based on an estimated consumption of six
salt intake of normotensive and hypertensive
slices of bread (about 180 g) per meal of bread, this equates to a daily
adults. J Hum Nutr Diet. 26, 488–493
intake of between 0.99 g and 3.33 g of salt from bread alone. This repre-
doi:10.1111/jhn.12038
sents between 19.8% and 66.6% of the recommended daily allowance of 5 g
for normotensive adults, and between 24.75% and 83.25% of the recom-
mended daily allowance of 4 g for hypertensive adults.
Conclusions: The consumption of some brands of bread by normotensive
and hypertensive adults puts them at great risk of exceeding their recom-
mended daily allowance for salt. Thus, there is an urgent need to regulate
the amount of salt added to bread. In the interim, compelling bakers to
declare the salt content of their products on the packaging could help
consumers, especially hypertensive adults, avoid brands with a high salt
content.

Katan, 2004; WHO, 2008, 2011). Excessive salt intake has


Introduction
also been associated with increased risks of colon cancer
Salt (sodium chloride) is a major source of sodium in (Riboli & Norat, 2001; Hu et al., 2011), osteoporosis
human nutrition. Its intake in excess of physiological (Candarella et al., 2009) and kidney stones (Nouvenne
needs and above the recommended daily intake is a com- et al., 2010). Achieving population-wide reductions in salt
mon occurrence around the world (Elliot & Brown, intake is therefore an important public health priority in
2007), and is an important modifiable risk factor for many countries (Webster et al., 2011).
hypertension and related cardiovascular complications, Reducing the salt content of processed foods has been
such as stroke [World Health Organization (WHO), recognised as a feasible and more effective strategy for
2003; Yusuf et al., 2004], which presently account for a reducing daily salt intake than simply reducing the
very significant proportion of deaths as a result of non- amount of salt added during cooking or on the table
communicable diseases in many countries (Reddy & (WHO, 2007). This is based on the realisation that

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488 Journal of Human Nutrition and Dietetics ª 2013 The British Dietetic Association Ltd.
B. C. Nwanguma and C. H. Okorie Salt content of Nigerian white bread

processed foods are major contributors to the daily salt Services (HHS) & the US Department of Agriculture
intake of populations, with processed meat, bread and (USDA), 2005; Cotugna & Wolpert, 2011].
bakery products, dairy and cereal products often listed The present study aimed to determine the salt content
amongst the top five saltiest processed foods. (Webster of retail samples of white bread available in Nigeria, com-
et al., 2010; Ni Mhurchu et al., 2011; Woodward et al., prising a country of approximately 160 million people,
2012). Unfortunatley, consumers are often unaware of the where bread is a very popular food item on the breakfast
salt content of some of these processed foods that they menu. The results obtained from the study would help
consume regularly. This so-called ‘hidden salt’ has been predict the contribution of bread to the recommended
reported to contribute up to 95% of the salt intake of daily salt intake of Nigerians, which, at 9.6 g per day
some people, especially in countries where processed (Sanusi et al., 2011), far exceeds the average recom-
foods are widely consumed (Anderson et al., 2010). mended daily allowance (RDA) of less than 5.0 g per day
The unexpected inclusion in the list of very salty pro- (WHO, 2011). Further justification for the study comes
cessed foods is bread, a widely consumed food, whose from recent reports of relatively higher prevalence of
salt concentration is often not obvious from the taste. hypertension in South-Eastern Nigeria, where the present
Thus, unknown to many bread eaters, the concentration study was conducted (Ahaneku et al., 2011).
of salt found in bread often exceeds the recommended
benchmark. In a recent study of the sodium content of
Materials and methods
processed foods in UK, Ni Mhurchu et al. (2011)
reported sodium concentrations of up to 1200 mg per Collection and identification
100 g (equivalent to 3.0 g of salt per 100 g of bread) in Retail samples of 100 brands of white bread made from
some brands of bread. Thus, because of their popularity wheat flour, representing the major brands regularly sup-
with both children and adults, bread and other bakery plied to selected retail outlets were purchased from 10
products have been reported to contribute up to one- standard retail outlets in Nsukka and Enugu towns, both
quarter of the dietary salt intake in some countries in Enugu State in South-Eastern Nigeria, were used for
(Grimes et al., 2008, 2011; Ni Mhurchu et al., 2011; the present study. All samples were bought fresh within
Villani et al., 2012; Woodward et al., 2012). This realisa- 24 h of supply by the bakeries, and the salt content of
tion has now prompted many developed countries to each sample was determined within 24 h of purchase.
identify bread as an important target for population-wide Samples were assigned code sample numbers that identi-
salt reduction programmes (Girgis et al., 2003; WHO, fied both the brand and the retail point of purchase.
2010; Ferrante et al., 2011; Legowski & Legetic, 2011). A
salt concentration of 1.1 g per 100 g of bread (equivalent
Preparation of bread samples
to 440 mg of sodium per 100 g of bread) is the recom-
mended limit in Australia and New Zealand, whereas the The labelled bread samples were first dried in an oven set
Food Standards Agency of the UK recently set an even at a temperature of 60 °C for 24 h. Thereafter, test por-
lower salt limit of 1.0 g per 100 g of bread (the equiva- tions were subjected to dry digestion (ashing) using 25%
lent of 400 mg of sodium per 100 g of bread) as target HNO3 at a temperature of 450 °C.
for bakers to meet by August 2012 (Food Standards
Agency, 2011). Bread is now regularly included in the list
Determination of sodium
of salty processed foods in many countries (Webster
et al., 2010; Ni Mhurchu et al., 2011), and is extensively The sodium content of the ashed samples was determined
consumed as a snack or a formal meal in Nigeria (Emeje by flame photometry (Castenheira et al., 2009). The
et al., 2010). However, the subject of excessive salt con- sodium chloride equivalent was obtained by multiplying
tent of bread and its relative contribution to the daily salt the sodium concentration by 2.5. Estimates of salt intake
intake of consumers is yet to be recognised and given from bread were obtained by calculating the mean salt
appropriate attention as a public health issue in many content per slice of bread, and determining the average
countries, including Nigeria, despite reports of rising number of slices eaten by Nigerian adults per meal and,
incidences of hypertension and related cardiovascular thus, overall salt intake from bread.
complications. Consequently, bread eaters in Nigeria,
including those on prescribed low-salt diets, may inadver-
Results
tently continue to exceed the recommended daily salt
intake, which has been set at less than 5 g and 4 g for The results of the survey on the salt content of retail sam-
normotensive and hypertensive adults, respectively ples of bread are shown in Fig. 1. The lowest concentra-
[WHO, 2003; US Department of Health & Human tion of salt observed was 0.51 g per 100 g (equivalent of

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Journal of Human Nutrition and Dietetics ª 2013 The British Dietetic Association Ltd. 489
Salt content of Nigerian white bread B. C. Nwanguma and C. H. Okorie

mined average consumption of six slices of bread, with


each slice weighing 30 g. The estimated average intake
from the samples analysed range from 0.99 g from the
consumption of the samples in salt band A to 3.33 g
from the consumption of samples in salt band N.

Discussion
The salt content of bread is fast becoming an important
parameter for assessing the quality and safety of bread,
especially in countries such as the UK where upper limits
have been set for the amount of salt to be allowed in
bread (Food Standards Agency, 2011)
The salt content of the retail samples of white bread
Figure 1 Scatterplot of the salt content of retail samples of bread
(g per 100 g). analysed in the present study varied rather widely (Fig. 1),
ranging from as low as 0.51 g per 100 g (sodium equiva-
204 mg of sodium per 100 g of bread), whereas the high- lent = 204 mg per 100 g) to as high as 1.8 g per 100 g
est concentration was 1.8 g per 100 g (equivalent of (sodium equivalent = 720 mg per 100 g). Only 57% of
700 mg of sodium per 100 g of bread). The average salt the bread samples analysed fell below the limit of 1.0 g
concentration of the brands investigated was 1.36 g per per 100 g set recently by the Food Standards Agency.
100 g. This is equivalent to an average sodium concentra- Concentrations of salt comparable to the ones observed
tion of 0.544 g per 100 g of bread. Based on these values, in the present study have been reported in other
the brands were classified into 14 salt bands, ‘A’ to ‘N’, countries (Grimes et al., 2008). In addition, Ferrante
differing by 0.1 g of salt. et al. (2011) recently reported a much higher average salt
Only 57% of the breads sampled had salt contents concentration of 2.0 g per 100 g in breads consumed in
equal to or below the upper limit of 1.1 mg per 100 g Argentina, whereas Castanheira et al. (2009) also reported
recommended in many countries. The estimated salt values of up to 1.8 g per 100 g in Portuguese bread.
intakes from bread samples in the different salt bands are Although such high levels of salt are more likely to be
shown in Table 1. The calculations are based on predeter- found in countries with no legislation limiting the

Table 1 The estimated salt content of bread and contribution to recommended daily intakes of normotensive and hypertensive adults

Percentage of Percentage of
Range of salt in Median salt content Average salt content Salt intake per salt RDA for salt RDA for
100 g of of breads in each per slice of bread meal of six normotensive hypertensive
Salt band bread (g) n band (g per 100 g) weighing 30 g (g)* slices (g) adults (%)† adults (%)‡

A 0.51–0.60 5 0.55 0.17 0.99 19.8 24.75


B 0.61–0.70 8 0.65 0.20 1.17 23.4 29.25
C 0.71–0.80 9 0.75 0.23 1.35 27.0 33.75
D 0.81–0.90 10 0.85 0.26 1.53 30.6 38.25
E 0.91–1.0 11 0.95 0.29 1.71 34.2 42.75
F 1.01–1.1 10 1.05 0.32 1.89 37.8 47.25
G 1.11–1.2 6 1.15 0.35 2.07 41.4 51.75
H 1.21–1.3 8 1.25 0.38 2.25 45.0 56.25
I 1.31–1.4 13 1.35 0.41 2.43 48.6 60.75
J 1.41–1.5 10 1.45 0.44 2.61 52.2 65.25
K 1.51–1.6 6 1.55 0.47 2.79 55.8 69.75
L 1.61–1.7 1 1.65 0.50 2.97 59.4 74.25
M 1.71–1.8 2 1.75 0.53 3.15 63.0 78.75
N 1.81–1.9 1 1.85 0.56 3.33 66.6 83.25

*Based on the median salt concentration in each salt band.



Based on a RDA of 5 g per day for normotensive adults.

Based on a RDA of 4 g per day for hypertensive adults [US Department of Health & Human Services (HHS) & the US Department of Agriculture
(USDA), 2005; Cotugna & Wolpert, 2011].
RDA, recommended daily allowance.

ª 2013 The Authors


490 Journal of Human Nutrition and Dietetics ª 2013 The British Dietetic Association Ltd.
B. C. Nwanguma and C. H. Okorie Salt content of Nigerian white bread

amount of salt added to bread, comparable levels of salt parameters may not be affected drastically. For example,
could also be present in breads sold in countries such as Lynch et al. (2009) observed a decrease in the resistance
the UK and Australia where compliance with recom- of dough to extension but observed that no changes on
mended salt limits is voluntary (Dunford et al., 2011; Ni the structural properties of the bread occurred when the
Mhurchu et al., 2011). This is because, in the absence of salt concentration of dough was reduced from 1.2% to
mandatory legislations, bakers would prefer to add as 0.6% and 0.3%. In addition, the fact that the salt content
much salt as they consider necessary to achieve the dough of 57% of the bread samples analysed in the present study
of desired quality and, more importantly, satisfy the taste fell within the recommended limit implies that it is possi-
preferences of consumers. ble to produce bread with much lower concentrations.
Based on the concentration of salt present in the analy- The possibility of partially replacing sodium chloride
sed samples, the contribution of bread to the recom- with salts of potassium, magnesium and calcium, which
mended daily intake of salt varies from 0.99 g (for bread do not pose similar health risks as NaCl, as well as the
containing about 0.55 g of salt per 100 g of bread) to use of technology to enhance saltiness at the same time as
3.33 g (for bread containing 1.85 g of salt per 100 g of reducing the actual salt content of bread, has also been
bread). These values translate to 19.8% and 66.6% of the suggested (Charlton et al., 2007; Noort et al., 2010,
new salt RDA of 5 g per day for normotensive adults, 2011). This currently constitutes an important aspect of
respectively (Table 1). Similarly, these quantities of salt on-going research on the subject of salt reduction in
would amount to between 24.75% and 83.25% of the bread (Kaur et al., 2011).
RDA of salt for hypertensive adults, respectively. Even Considering the popularity of bread in Nigeria, and the
when the widely recommended concentration of 1.1 g of risk of exceeding the recommended daily intake for salt
salt per 100 g of bread is achieved, the salt consumption through the consumption of brands of bread with high
from six slices of bread weighing 30 g each would be salt content, a reduction in the salt content of bread
approximately 2 g. This equates to approximately 50% of would bring about the desired reduction in the the salt
the daily salt intake of 4 g recommended for hypertensive consumption of Nigerians. For any such salt-reduction
adults or adults aged >51 years. programme to succeed, compliance must be enforced in
Although the salt content of some brands of bread fell addition to compelling bread manufacturers to declare
well within the limit of 1.0 g per 100 g (in the UK) or the salt content of their products (Pietinen et al., 2007).
1.1 g per 100 g (in Australia), there is an urgent need to There will be need also to increase the awareness of peo-
reduce the amount of salt added to some of the brands. ple on the presence of ‘hidden salt’ in many processed
The approach currently advocated is a stepwise or foods, as well as the potential health benefits of reduced
gradual reduction, so that consumers who may already be salt intake (Ireland et al., 2010).
used to current salt levels in bread are not put off by the Because bread is easily the most widely consumed pro-
sudden change in taste or saltiness that would result from cessed food in Nigeria, producing breads with low salt
a drastic drop (Girgis et al., 2003; Henney et al., 2010). content would translate into a significant reduction in
Some countries, notably the UK and Australia, have population-wide consumption of salt (Cobiac et al., 2010;
already achieved significant reductions in the salt content He & Macgregor, 2010; He et al., 2010). Hopefully, this
of bread by this approach. Recent studies on the con- would result in a reduction of the incidence of hyperten-
sumer acceptance of low-salt bread have also demon- sion and related cardiovascular complications currently
strated that such gradual reductions can be accomplished associated with the consumption of salt in excess of the rec-
over a short period, while largely retaining consumer ommended daily amounts for the different population
acceptance (Girgis et al., 2003; Bolhuis et al., 2011; Ferr- groups.
ante et al., 2011). As expected, the implications of such
reductions on the nonsensory properties of bread have
also been the subject of on-going investigation. The salt Conflict of interest, source of funding and
added to dough serves essentially to control the fermenta- authorship
tion action of yeast, to strengthen the dough and to pro- The authors declare that there are no conflicts of interest.
vide a uniform texture in the finished bread (Lynch et al., No specific funding was received from any funding
2009). In addition, salt serves as a preservative against organization towards the conduct of the studies.
microbial growth (Samapundo et al., 2010). These make
BCN and CHO contributed fully to the final design and
salt almost an indispensable ingredient in baking. Results
experimentation.
from studies already conducted on the possible conse-
Both authors critically reviewed the manuscript and
quences of such reductions on some of the desirable qual-
approved the final version submitted for publication.
ities of dough and bread demonstrate that these

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Journal of Human Nutrition and Dietetics ª 2013 The British Dietetic Association Ltd. 491
Salt content of Nigerian white bread B. C. Nwanguma and C. H. Okorie

Australian food products. Int. J. Food Sci. Technol. 43,


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Journal of Human Nutrition and Dietetics ª 2013 The British Dietetic Association Ltd. 493

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