2022 Volume 53 Issue 6 Pages 207-214
One cause of hypertension is excessive salt intake. Outside Japan, simplified front-of-package (FOP) labels are widely used as a means of discouraging excessive salt intake. In this survey, we examined FOP labels targeting Japanese hypertension patients. We also proposed and evaluated packaging promoting low-salt foods. A questionnaire survey of adult hypertensive outpatients was conducted between June 11 and December 7, 2018.
The responses of 100 patients were analyzed. Of these, 63% considered the simplified FOP label useful. Opinions were divided regarding nutrient-specific labels as one type of simplified FOP label, with 42% of participants selecting labels showing the percentages of guideline daily amount (GDA) with the addition of a text rating indicating values as low, medium, or high, and 46% selecting a text rating only. Comparison by age group showed that participants <70 years old selected percentages of GDA with a text rating, whereas those ≥70 years old selected a text rating only. A traffic lights type of color rating was considered necessary by 94% of participants. In a test involving a reversal of thinking, when low-salt foods were treated as regular products and normal-salt foods as salted products, 85% of participants selected the low-salt foods. These results suggest that package designs using a simplified FOP label may be effective for promoting low-salt foods. Positive results were also obtained for new package designs for low-salt foods. These measures may help Japanese hypertension patients better understand food labels and reduce salt intake, improve their diet, and mitigate their hypertension.