Mattes · Journal of the American College of Nutrition 1991 · cross-sectional dietary intake study · n=62

Relative contributions of dietary sodium sources.

Cited 604 times in the scientific literature.

Level 4 - case-series / case-control

Cross-sectional observational study quantifying dietary intake sources without comparison groups.

PubMed 1910064 · doi:10.1080/07315724.1991.10718167 · record verified 2026-08-29

What was done

Researchers quantified the relative contributions of dietary sodium sources (inherent food-borne, processing-added, table, cooking, and water) in 62 adults who regularly used discretionary salt. Intake was estimated using 7-day dietary records, potable water collections, and pre-weighed salt shakers.

What was found

Sodium added during food processing accounted for 77% of total intake, while 11.6% came from sodium inherent to food. Discretionary additions contributed 6.2% from table salt and 5.1% from cooking salt, and drinking water was a trivial source.

Why it matters

Because the vast majority of dietary sodium comes from processed foods rather than discretionary additions, public health interventions targeting table and cooking salt alone cannot achieve meaningful reductions in population-level sodium intake.

Limits

The sample size was small (62 participants) and selected specifically for regular discretionary salt use, likely overestimating table and cooking salt proportions relative to the general population. Intake assessment relied on 7-day food records and self-managed salt shakers, which are susceptible to reporting and measurement inaccuracies.

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