Excessive salt intake in the Commonwealth of Independent States: current status and causes. How to reduce the burden? Analytical article of the working group Health Economics and Population Prevention of the Basic Organization of the Member States of the Commonwealth of Independent States in Internal and Preventive Medicine
Избыточное потребление соли в странах Содружества Независимых Государств: текущий статус и причины. Как снизить бремя? Аналитическая статья рабочей группы Экономика здоровья и популяционная профилактика Базовой организации государств — участников Содружества Независимых Государств в области терапии и профилактической медицины
Drapkina O.M. Kontsevaya A.V. Mukaneeva D.K. Karamnova N.S. Abamuslimova N.K. Abdullaeva M.A. Alikhanova N.M. Altymysheva A.T. Andreasyan D.M. Grigorenko E.A. Kulkaeva G.U. Karzhaubaeva S.E. Mitkovskaya N.P. Takhirova F.A. Sharshakova T.M.
2025Silicea-Poligraf
Cardiovascular Therapy and Prevention (Russian Federation)
2025#24Issue 1217 - 33 pp.
Aim. To summarize data on the prevalence of ESI in the CIS countries, analyze its causes, and present the countries experiences in imple-men ting measures to limit salt consumption at the population level. Material and methods. We analyzed available literature and surveyed experts from Armenia, Belarus, Kazakhstan, Kyrgyzstan, Russia, Tajiki-stan, and Uzbekistan as part of the working group Health Economics and Population Prevention of the CIS Basic Organization in Internal and Preventive Medicine. The experts provided detailed answers to questions about the level and sources of salt consumption, regional variability, iodized salt use, and current population-based measures. Results. Average 24-hour salt consumption in the CIS countries is 2-3,5 times higher than the World Health Organization (WHO) recom-men ded safe level (5 g/day), ranging from 9,8 g/day in Armenia to 17,8 g/day in Kazakhstan. The main dietary sources of salt are bread, processed meat and dairy products, national dishes, and beverages. The key ESI causes are ingrained cultural and culinary traditions and the lack of comprehensive regulatory frameworks. Mandatory univer-sal salt iodization is enshrined in law only in some CIS countries (Arme-nia, Kazakhstan, and Tajikistan). Measures to reduce excess salt consumption in the region are fragmented and primarily limited to information campaigns. There is a lack of mandatory labeling, legal restric-tions on salt content in products, and advertising. Conclusion. CIS countries face a similar, significant problem of excess salt consumption, requiring coordinated action. The most effective approach is the implementation of comprehensive national strategies combining legislative, regulatory, and educational measures. Reducing excess salt intake is recognized as a high-return investment in public health. To achieve greater impact, coordinated actions are needed across international platforms, such as the CIS and the Eurasian Economic Union.
Commonwealth of Independent States countries , excessive salt intake , noncommunicable diseases , population-based prevention , public health , salt reduction policies
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National Medical Research Center for Therapy and Preventive Medicine, Moscow, Russian Federation
Department of Disease Prevention and State Sanitary and Epidemiological Surveillance of the Ministry of Health of the Kyrgyz Republic, Bishkek, Kyrgyzstan
Tajik National University, Dushanbe, Tajikistan
Institute of Health and Strategic Development of the Ministry of Health of the Republic of Uzbekistan, Tashkent, Uzbekistan
Country Office of the World Health Organization in the Kyrgyz Republic, Bishkek, Kyrgyzstan
Avdalbekyan National Institute of Health of the Ministry of Health of the Republic of Armenia, Yerevan, Armenia
Republican Scientific and Practical Center Cardiology, Minsk, Belarus
Salidat Kairbekova National Research Center for Health Development of the Ministry of Health of the Republic of Kazakhstan, Astana, Kazakhstan
Belarusian State Medical University, Minsk, Belarus
Gomel State Medical University, Gomel, Belarus
National Medical Research Center for Therapy and Preventive Medicine
Department of Disease Prevention and State Sanitary and Epidemiological Surveillance of the Ministry of Health of the Kyrgyz Republic
Tajik National University
Institute of Health and Strategic Development of the Ministry of Health of the Republic of Uzbekistan
Country Office of the World Health Organization in the Kyrgyz Republic
Avdalbekyan National Institute of Health of the Ministry of Health of the Republic of Armenia
Republican Scientific and Practical Center Cardiology
Salidat Kairbekova National Research Center for Health Development of the Ministry of Health of the Republic of Kazakhstan
Belarusian State Medical University
Gomel State Medical University
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