Scientific Opinion on the substantiation of health claims related to sodium  
bicarbonate and maintenance of normal blood pressure (ID 1404) pursuant  
to Article 13(1) of Regulation (EC) No 1924/2006[sup]1[/sup]  
EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA)2, 3  
European Food Safety Authority (EFSA), Parma, Italy  
Słowa kluczowe:
Sodium bicarbonate
 
blood pressure
 
health claims
 
	
	1. Charakterystyka żywności / składnika
	
        
            
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                Utrzymanie prawidłowego ciśnienia krwi
                
            
            
 
            
        
		The food constituent that is the subject of the health claim is sodium bicarbonate.
Sodium bicarbonate is also known as baking soda or bicarbonate of soda (chemically NaHCO3).  Sodium bicarbonate is authorised for addition to foods and for use in food supplements (Annex II of  the Regulation (EC) No 1925/20066 and Annex II of Directive 2002/46/EC7). This evaluation applies  to sodium bicarbonate naturally present in foods and added to foods.
The Panel considers that the food constituent, sodium bicarbonate, which is the subject of the health  claim, is sufficiently characterised.
		
	
	
    
	
	
		
 
	
	2. Znaczenie oświadczenia dla zdrowia człowieka
	
        
            
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                Utrzymanie prawidłowego ciśnienia krwi
                
            
            
 
            
        
		The claimed effect is “blood pressure reduction”. The Panel assumes that the target population is the  general population.
In the context of the proposed wordings, the Panel assumes that the claimed effect refers to  maintenance of normal blood pressure.
Blood pressure is the pressure (force per unit area) exerted by circulating blood on the walls of blood  vessels. Elevated blood pressure, by convention above 140 mmHg (systolic) and/or 90 mmHg  (diastolic), may compromise the normal arterial and cardiac function.
The Panel considers that maintenance of normal blood pressure is a beneficial physiological effect.
		
	
	
    
	
	
		
 
	
	3. Naukowe uzasadnienia wpływu na zdrowie człowieka - Utrzymanie prawidłowego ciśnienia krwi
	
        
            
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                Utrzymanie prawidłowego ciśnienia krwi
                
            
            
 
            
        
		Among the references provided for the scientific substantiation of the claim one was not available to  the Panel after every reasonable effort had been made to retrieve it and another reported on a human
study which investigated a health outcome (sodium excretion in patients with chronic renal failure)  other than the claimed effect The Panel considers that no conclusions can be drawn from these  references for the scientific substantiation of the claim.
A placebo-controlled, cross-over intervention study investigated the effects of consuming three litres  per day of a sodium bicarbonate-containing mineral water for seven days vs. a control solution  containing equimolar amounts of sodium chloride salt on blood pressure and electrolyte excretion in  10 mildly hypertensive and 10 normotensive subjects (Luft et al., 1990). No power calculations were  performed. Data analyses were presented for mildly hypertensive and normotensive subjects  separately. The Panel notes that this study was not properly controlled for blood pressure analyses as  no between-treatment comparison was provided for this variable. The Panel considers that no  conclusions can be drawn from this study for the scientific substantiation of the claim.
The Panel concludes that a cause and effect relationship has not been established between the  consumption of sodium bicarbonate and maintenance of normal blood pressure.
		
	
	
    
	
	
		
 
Wnioski
	
		On the basis of the data presented, the Panel concludes that:  
The food constituent, sodium bicarbonate, which is the subject of the health claim, is  sufficiently characterised.  
The claimed effect is “blood pressure reduction”. The target population is assumed to be the  general population. Maintenance of normal blood pressure is a beneficial physiological effect.  
A cause and effect relationship has not been established between the consumption of sodium  bicarbonate and maintenance of normal blood pressure.