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CORRECTION

Open Access

Correction to: The impact of food

reformulation on nutrient intakes and

health, a systematic review of modelling

studies

Carlo Federici

1*

, Patrick Detzel

2

, Francesco Petracca

1

, Livia Dainelli

2

and Giovanni Fattore

1,3

Correction to: BMC Nutr (2019) 5:2

https://doi.org/10.1186/s40795-018-0263-6

Following publication of the original article [

1

], the

authors reported an error in Table

1

. The rows and

columns do not align correctly. The correct table can be

found below.

The publishers apologise for this error. The original

article [

1

] has been updated.

Author details

1CeRGAS (Centre for Research on Health and Social Care Management), SDA

Bocconi School of Management, Milan, Italy.2Nestlé Research Center, Nestec SA, Lausanne, Switzerland.3Department of Policy Analysis and Public Management, Bocconi University, Milan, Italy.

Received: 11 January 2019 Accepted: 11 January 2019

Reference

1. Federici C, et al. The impact of food reformulation on nutrient intakes and health, a systematic review of modelling studies. BMC Nutr. 2019;5:2

https://doi.org/10.1186/s40795-018-0263-6.

* Correspondence:[email protected]

1CeRGAS (Centre for Research on Health and Social Care Management), SDA

Bocconi School of Management, Milan, Italy

Full list of author information is available at the end of the article

© The Author(s). 2019Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0

(2)

Table

1

Interventions

targeting

sodium

consumption

Autho

r

(ye

ar)

Stud

y

Charac

teristics

Stud

y

Out

comes

Mod

el

type

Ti

me

hor

izon

Tar

get

food

s

Type

of

interve

ntion(s

)

Volunt

ary

or

mand

atory

Re

duction

in

intake

Redu

ction

in

blood

press

ure

(BP)

Life

years

gai

ned

and

red

uction

in

the

inc

idenc

e

of

heal

th

out

comes

Resu

lts

on

QOL

measu

res

Cogs

well

et

al.

(2017

)

[29]

Mat

hemat

ical/

Stat

istical

Not mod

elle

d

All

proc

essed

food

28%

in

Na

cont

ent

(Heal

th

Canad

a

Be

nchmark

s)

Mandatory

0.

61

Na

g/day

(22%,

U

I=

0.59

0.63)

––

Choi

et

al.

(2016

)

[30]

Mi

cro-sim

ulation

10

y

All

proc

essed

foods

Prod

uct

refo

rmulated

to

meet

produ

ct-spe

cific

NSRI

criteria

exte

nde

d

to

all

food

produ

cers

in

the

US

Mandatory

0.

365

(SE

=

0.9)

Na

g/day

(10.9

%)

Hyp

ertension

:

0.97%

All

AM

I:

2.59%

All

st

rokes:

2.67%

Fatal

AMI:

0.36

%

Fatal

Strokes

:

0.23%

Food

an

d

Drink

Indust

ry

Ireland

(2016

)

[26]

Mat

hemat

ical/

Stat

istical

Not mod

elle

d

10

Food

macro

categories

Re

formulation

based

on

actual

FDII

vo

luntary

progr

amme

Mandatory exten

sion

of

existing progr

amme

0.

57

Na

g/day

(17.

8%)

in

adu

lts

––

Volunt

ary

0.

06

Na

g/day

(2.3

%)

in

adults

––

Leroy

et

al.

(2016

)

[32]

Ep

idem

iological

1y

F&V

,

bread,

me

at,

fish,

sandwiche

s,

sauces

Stro

ng

refo

rmulation

bas

ed

on

the

Cho

ices

Prog

ram

me

criteria

Mandatory

12

.7%

daily

Na

inta

ke

Fatal

CVD/S

trokes

de

aths

ave

rted:

422

Canc

e

de

aths

ave

rted:

187

Mi

ld

reform

ulation

bas

ed

on

the

Cho

ices

Prog

ram

me

criteria

Mandatory

9.

3%

dai

ly

Na

inta

ke

CVD

/Stroke

s

an

d

Canc

er

de

aths

ave

rted:

2408

(3.7%

)

-due

to

tot

al

red

uction

s

in

Na,

SFA

and

sugar

cons

um

ption

com

bined

Masset

et

al.

(2016

)

[25]

Mat

hemat

ical/

Stat

istical

Not mod

elle

d

Pizza

Re

formulation

to

me

et

Ne

stlè

Nutrient

Prof

iling

targets

Mandatory

0.

14

Na

g/day

(4%

)

––

Ngh

iem

et

al.

(2016

)

[42]

Mar

kov

Coh

ort

life

-time

All

proc

essed

foods

59

%

substitut

ion

of

NaC

l

with

othe

r

salts

(K,

Mg

)

Mandatory

1.

82

Na

g/day

(51.

5%)

––

12,7

83

Q

ALYs

gai

ned/1

00000

pop.

(UI

=

10,348

15

,609)

25

%

substitut

ion

of

NaC

l

with

othe

r

salts

(K,

Mg

)

Mandatory

0.

77

Na

g/day

(21.

8%)

––

5261

QALY

s

gai

ned

/

1000

00

po

p.

(UI

=

4230

6391

)

Bread

38,5%

in

NaC

l

cont

ent

Mandatory

0.

28

Na

g/day

(7.9

%)

––

1891

QALY

s

gai

ned

/

1000

00

po

p.

(UI

=

1509

2296

(3)

Table

1

Interventions

targeting

sodium

consumption

(Continued)

Autho

r

(ye

ar)

St

udy

Charac

teristics

St

udy

Out

comes

Mod

el

type

Ti

me

hor

izon

Tar

get

food

s

Type

of

inte

rvention(s)

Volunt

ary

or

mand

atory

Re

duction

in

intake

Redu

ction

in

blood

press

ure

(BP)

Life

years

gai

ned

and

red

uction

in

the

inc

idenc

e

of

heal

th

out

comes

Resu

lts

on

QOL

me

asures

11,1%

in

NaC

l

cont

ent

Mandatory

0.

08

Na

g/day

(2.3%

)

––

678

QALY

s

gained/

1000

00

po

p.

(UI

=

548

822)

Wilson

et

al.

(2016

)

[43]

Mar

kov

Co

hort

life

-time

All

proc

essed

food

s

(brea

d,

proces

sed

me

ats,

sauces,

snac

k

food

,

bakery,

cheese)

36%

in

NaC

l

content

acr

oss

produ

ct

type

s

Mandatory

0.

628

Na

g/d

ay

––

5304

Q

ALYs

gained/

1000

00

po

p.

(UI

=

4270

6478

)

Volunt

ary

Sam

e

efficac

y

with

high

er

uncertainty

––

5000

Q

ALYs

gained/

1000

00

po

p.

(UI

=

3709

6391

)

Bread

12

37%

in

NaCl

cont

ent

acro

ss

bre

ad

type

s

Mandatory

0.

043

Na

g/d

ay

––

387

QALY

s

gained/

1000

00

po

p.

(UI

=

309

470)

Volunt

ary

Sam

e

efficac

y

with

high

er

uncertainty

––

365

QALY

s

gained/

1000

00

po

p.

(UI

=

270

461)

Proc

essed

meats

35

55%

in

NaCl

cont

ent

overa

ll

Mandatory

0.

069

Na

g/d

ay

––

583

QALY

s

gained/

1000

00

po

p.

(UI

=

470

704)

Volunt

ary

Sam

e

efficac

y

with

high

er

uncertainty

––

552

QALY

s

gained/

1000

00

po

p.

(UI

=

417

696)

Sauc

es

30

63%

in

NaCl

cont

ent

acro

ss

sau

ces

type

s

Mandatory

0.

104

Na

g/d

ay

––

870

QALY

s

gained/

1000

00

po

p.

(UI

=

700

1057)

Volunt

ary

Sam

e

efficac

y

with

high

er

uncertainty

––

822

QALY

s

gained/

1000

00

po

p.

(UI

=

626

1039)

Comb

ination

of

bread,

proc

essed

meat

s

and

sau

ces

Mandatory

0.

217

Na

g/d

ay

––

1843

Q

ALYs

gained/

1000

00

po

p.

(UI

=

1487

2239

)

Volunt

ary

Sam

e

efficac

y

with

high

er

uncertainty

––

1743

Q

ALYs

gained/

1000

00

po

p.

(UI

=

1326

2204

)

Snack

food

34

48%

in

NaCl

cont

ent

acro

ss

snac

ks

types

Mandatory

0.

032

Na

g/d

ay

––

265

QALY

s

gained/

1000

00

po

p.

(UI

=

217

322)

Volunt

ary

Sam

e

efficac

y

with

high

er

uncertainty

––

252

QALY

s

gained/

1000

00

po

p.

(UI

=

191

(4)

Table

1

Interventions

targeting

sodium

consumption

(Continued)

Autho

r

(ye

ar)

St

udy

Charac

teristics

St

udy

Out

comes

Mod

el

type

Ti

me

hor

izon

Tar

get

food

s

Type

of

inte

rvention(s)

Volunt

ary

or

mand

atory

Re

duction

in

intake

Redu

ction

in

blood

press

ure

(BP)

Life

years

gai

ned

and

red

uction

in

the

inc

idenc

e

of

heal

th

out

comes

Resu

lts

on

QOL

me

asures

Bread

and

bakery

produ

cts

12

37%

in

NaCl

cont

ent

acro

ss

bre

ad

type

s;

54

63%

in

NaCl

cont

ent

acro

ss

othe

r

bakery

produ

cts

Mandatory

0.

107

Na

g/d

ay

––

887

QALY

s

gained/

1000

00

po

p.

(UI

=

722

1078)

Volunt

ary

Sam

e

efficac

y

with

high

er

uncertainty

––

843

QALY

s

gained/

1000

00

po

p.

(UI

=

639

1061)

Chee

se

27

42%

in

NaCl

cont

ent

acro

ss

che

ese

type

s

Mandatory

0.

045

Na

g/d

ay

––

383

QALY

s

gained/

1000

00

po

p.

(UI

=

309

461)

Volunt

ary

Sam

e

efficac

y

with

high

er

uncertainty

––

361

QALY

s

gained/

1000

00

po

p.

(UI

=

274

457)

Bruins

et

al.

(2015

)

[45]

Mat

hemat

ical/

St

atistical

Co

hort

life

-time

Sou

ps

25%

in

Na

cont

ent

Mandatory

0.

05

Na

g/day

0.11

mm

Hg

Stro

kes:

0.49%

6.45

DALY

s

ave

rted/

1000

00

po

p

AM

I:

0.34%

An

gina:

0.34%

CHF

:

0.24%

Döts

ch-Klerk

et

al.

(2015)

[23]

Mat

hemat

ical/

St

atistical

Not mod

elle

d

All

proc

essed

food

s

Prod

ucts

reform

ula

ted

to

meet

the

6

g/day

NaC

l

cons

umpt

ion

targ

et

Mandatory

U

S:

1.8

Na

g/day

(23%)

––

U

K:

1.8

Na

g/day

(27%)

––

NL:

1.3

Na

g/day

(19%)

––

Prod

ucts

reform

ula

ted

to

meet

the

5

g/day

NaC

l

cons

umpt

ion

targ

et

Mandatory

U

S:

2.2

Na

g/day

(28%)

––

U

K:

2.1

Na

g/day

(32%)

––

NL:

1.8

Na

g/day

(26%)

––

Gillesp

ie

et

al.

(2015

)

[31]

Ep

idem

iologic

al

10

y

All

proc

essed

food

s

30%

in

NaC

l

Mandatory

0.

58

Na

g/day

(UI

=

0.

56

0.

60)

0.81

mm

Hg

'(UI

=

0.53

1.

10)

CHD

de

aths

averted

or

post

poned:

4467

(UI

=

28

54

61

47)

10%

in

NaC

l

Mandatory

0.

19

Na

g/day

(UI

=

0.

18

0.

20)

0.27

mm

Hg

(UI

=

0.18

0.37)

CHD

de

aths

averted

or

post

poned:

1502

(UI

=

95

3

2068)

24%

in

NaC

l

Volunt

ary

(applie

d

to

39%

of

produ

cts)

0.

19

Na

g/day

(UI

=

0.

03

0.

63)

0.27

mm

Hg

(UI

=

0.04

0.92)

CHD

de

aths

averted

or

post

poned:

1474

(UI

=

22

0

4995)

(5)

Table

1

Interventions

targeting

sodium

consumption

(Continued)

Autho

r

(ye

ar)

St

udy

Charac

teristics

St

udy

Out

comes

Mod

el

type

Ti

me

hor

izon

Tar

get

food

s

Type

of

inte

rvention(s)

Volunt

ary

or

mand

atory

Re

duction

in

intake

Redu

ction

in

blood

press

ure

(BP)

Life

years

gai

ned

and

red

uction

in

the

inc

idenc

e

of

heal

th

out

comes

Resu

lts

on

QOL

me

asures

Hend

riksen

et

al.

(2015)

[22]

Mat

hemat

ical/

St

atistical

Not mod

elle

d

Sele

cted

foods

cont

ributing

to

high

inta

kes

of

NaC

l

50%

in

NaC

l

content

on

average

Mandatory

0.

9

Na

g/day

(37%)

––

Ngh

iem

et

al.

(2015

)

[46]

Mar

kov

Co

hort

life

-time

All

proc

essed

food

s

25%

in

NaC

l

Mandatory

0.

525

Na

g/d

ay

(15%)

––

4783

Q

ALYs

gained/

1000

00

po

p

(UI

=

3804

7174

)

Breads

,

proc

essed

me

ats

an

d

sau

ces

25%

in

NaC

l

Mandatory

0.

296

Na

g/d

ay

(9%

)

––

2683

Q

ALYs

gained/

1000

00

po

p

(UI

=

2161

3256

)

Wilco

x

et

al.

(2015

)

[34]

Ep

idem

iologic

al

10

y

Not

mod

elle

d

Not

model

led

Mandatory

0.

005

Na

g/d

ay

(10%) (UI

=

0.

003

0.021)

1.15

mm

Hg

(UI

=

0.57

4.58)

CHD

Death

s

ave

rted:

49

7

(UI

=

130

3032

)

LYG

:

11192

(UI

=

56

79

41

,039)

Collins

et

al.

(2014

)

[36]

Ep

idem

iologic

al

10

y

Not

mod

elle

d

15%

in

NaC

l

cont

ent

overa

ll

Volunt

ary

1.

21

Na

g/day

(UI

=

0.

32

1.

94)

LYG

:

14593

(UI

=

90

00

21

,049)

20%

in

NaC

l

cont

ent

overa

ll

Mandatory

1.

62

Na

g/day

(UI

=

0.

65

3.

11)

LYG

:

19365

(UI

=

11

,967

27,887)

Hend

riksen

et

al.

(2014)

[47]

Mar

kov

20

y

(clinical

out

comes

);

coho

rt

life

-time

(DA

LYs)

All

proc

essed

food

s

50%

in

NaC

l

cont

ent

on

average

Mandatory

2.

3

Na

g/day

(28%)

1.5

mmHg

(1.2%

)

4.

4%

AM

I

(UI

=

3.

1

5.6%)

0.5%

DALY

s

ave

rted

in

the

popu

lation

(UI

=

0.37

0.68

%)

CHF

:

1.8%

(UI

=

1.

3

2.3%)

Stro

kes:

6%

(UI

=

4.

1

7.8%)

Inc

rease

in

life

exp

ectan

cy:

0.7%

(UI

=

0.

5

0.9%)

Mason

et

al.

(2014

)

[53]

Ep

idem

iologic

al

10

y

Not

mod

elle

d

Not

model

led

Mandatory

10

%

daily

Na

inta

ke

(UI

=

5

40%)

Tu

nisia:

LYG

2272

(UI

=

11

51

33

61)

Syria

:

LYG

1119

2

(UI

=

56

79

41

,039)

Pal

estin

e:

LYG

945

(UI

=

47

9

3479)

Tu

rkey:

LYG

1352

21

(UI

=

68

,816

487,712

)

Kon

fino

et

al.

(2013

)

[37]

Mar

kov

10

y

All

proc

essed

food

s

8%

in

NaC

l

inta

ke

(stepped

red

uction

by

4%

for

the

Mandatory (80%

of

sodium

from

proces

sed

food

s)

0.

353

Na

g/d

ay

1.00

2.00

mmHg

Tot

al

Death

s:

0.61%

Fatal

CHD:

(6)

Table

1

Interventions

targeting

sodium

consumption

(Continued)

Autho

r

(ye

ar)

St

udy

Charac

teristics

St

udy

Out

comes

Mod

el

type

Ti

me

hor

izon

Tar

get

food

s

Type

of

inte

rvention(s)

Volunt

ary

or

mand

atory

Re

duction

in

intake

Redu

ction

in

blood

press

ure

(BP)

Life

years

gai

ned

and

red

uction

in

the

inc

idenc

e

of

heal

th

out

comes

Resu

lts

on

QOL

me

asures

fi

rst

2y)

AM

I:

1.48%

Stro

kes:

0.99%

40%

in

NaC

l

inta

ke

(4%

per

ye

ar

for

10

y)

Mandatory (80%

of

sodium

from

proces

sed

food

s)

1.

763

Na

g/d

ay

5.00

9.00

mmHg

Tot

al

Death

s:

1.77%

Fatal

CHD:

2.63%

AM

I:

4.27%

Stro

kes:

2.79%

Bertr

am

et

al.

(2012

)

[38]

Ep

idem

iologic

al

1y

Bread,

mar

gari

ne,

gravy,

soups

54%

in

NaC

l

cont

ent

on

ave

rage

Mandatory

0.

85

Na

g/day

Stro

kes:

8%

CHD

:

6.5%

Hyp

ertensive

heart

dis

ease:

11%

Cobi

ac

et

al.

(2012

)

[48]

Mar

kov

Co

hort

life

-time

Bread,

mar

gari

ne,

bre

akfast

cere

als

Bas

ed

on

Hea

rt

Fou

ndat

ion

Ti

ck

Prog

ram

me:

26%

in

NaC

l

content

in

bre

ad;

11%

in

mar

gari

ne

and

61

%

in

bre

akfast

ce

reals

Mandatory

0.

009

Na

g/d

ay

––

1451

DALY

s

ave

rted/

1000

00

po

p

(UI

=

1088

1813

)

Comb

ris

et

al.

(2011

)

[8]

Mat

hemat

ical/

St

atistical

Not mod

elle

d

Break

fast

cere

als

Mi

ld

to

st

rong

refo

rmulation

bas

ed

on

food

nut

rient

dis

tribution

Mandatory

0.

001

0.013

Na

g/day

(1.4

13.5

%)

––

Bisc

uits/

pastries

0.

0003

0.002

Na

g/day

(1.7

0

10.81%)

––

Bread-bas

ed

produc

ts

0.

0023

0.013

Na

g/day

(1.6

0

8.8%)

––

Cobi

ac

et

al.

(2010

)

[49]

Ep

idem

iologic

al

Co

hort

life

-time

Bread,

mar

gari

ne,

bre

akfast

cere

als

Bas

ed

on

Hea

rt

Fou

ndat

ion

Ti

ck

Prog

ram

me:

26%

in

NaC

l

content

in

bre

ad;

11%

in

mar

gari

ne

and

61%

in

break

fast

cere

als

Volunt

ary

0.

009

Na

g/d

ay

––

5300

DALY

s

ave

rted

(UI

=

2600

9200

)

Mandatory exten

sion

of

actu

al

progr

am

to

all

produ

cts

––

110,

000

DALY

s

ave

rted

(UI

=

53,0

00

18

0,000)

Smith

-Spangl

er

et

al.

(2010)

[50]

Mar

kov

Co

hort

life

-time

Not

mod

elle

d

Not

model

led

Volunt

ary

9.

5%

dai

ly

Na

inta

ke

(UI

=

5

40%)

1.25

mm

Hg

Stro

kes

ave

rted:

51

3885

2,06

0,790

DALY

s

ave

rted

AM

I

ave

rted:

48

(7)

Table

1

Interventions

targeting

sodium

consumption

(Continued)

Autho

r

(ye

ar)

St

udy

Charac

teristics

St

udy

Out

comes

Mod

el

type

Ti

me

hor

izon

Tar

get

food

s

Type

of

inte

rvention(s)

Volunt

ary

or

mand

atory

Re

duction

in

intake

Redu

ction

in

blood

press

ure

(BP)

Life

years

gai

ned

and

red

uction

in

the

inc

idenc

e

of

heal

th

out

comes

Resu

lts

on

QOL

me

asures

Roode

nburg

et

al.

(2009)

[27]

Mat

hemat

ical/

St

atistical

Not mod

elle

d

All

proc

essed

food

s

Re

formulation

set

to

meet

Choic

es

Prog

ram

me

criteria

Mandatory

23

%

daily

Na

inta

ke

(10%

adj

usting

for

ene

rgy

compe

nsation)

––

Rubins

tein

et

al.

(2009)

[51]

Mar

kov

Co

hort

life

-time

Bread

to

1

g

of

NaCl

pe

r

10

0

g

of

bre

ad

Volunt

ary

1.33

mm

Hg

18.7

DALY

s

ave

rted/

1000

00

po

p

Murray

et

al.

(2003

)

[52]

Mar

kov

Co

hort

life

-time

Not

mod

elle

d

Not

model

led

Mandatory

Ass

umed

30

%

Na

Intake

Amr

B:

3.

11%

on

ave

rage

600,

000

DALY

s

ave

rted

EurA:

3.

49%

on

ave

rage

1,30

0,000

DALY

s

ave

rted

SearD:

3.

49%

on

ave

rage

1,00

0,000

DALY

s

ave

rted

Volunt

ary

Ass

umed

15

%

Na

Intake

Amr

B:

1.

56%

on

ave

rage

300,

000

DALY

s

ave

rted

in

the

popu

lation

EurA:

1.

74%

on

ave

rage

700,

000

DALY

s

ave

rted

in

the

popu

lation

SearD:

1.

75%

on

ave

rage

500,

000

DALY

s

ave

rted

in

the

popu

lation

Abbreviations

:

AMI

Acute

Myocardial

Infarction,

AmrB

Region

of

the

Americas

group

B,

CHD

Coronary

Heart

Disease,

CHF

Coronary

Heart

Failure,

CVD

Cardiovascular

diseases,

DALY

Disability

Adjusted

Life

Years,

EurA

European

Region

group

A,

FDII

Food

and

Drink

Industry

Ireland,

F&V

fruit

and

vegetables,

K

potassium,

LYG

Life

Years

Gained,

Mg

magnesium,

Na

sodium,

NaCl

Sodium

Chloride,

NL

Netherlands,

NSRI

National

Salt

Reduction

Initiative,

QALY

Quality

Adjusted

Life

Year,

SearD

Southeast

Asian

Region

group

D,

UI

Uncertainty

Interval,

UK

United

Kingdom,

US

United

States

of

Figure

Table 1 Interventions targeting sodium consumption

References

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