Evidence map›Paper›PMID 19583632›Full record

GuidelineJournal of clinical hypertension (Greenwich, Conn.)2009

ASH Position Paper: Dietary approaches to lower blood pressure.

Lawrence J Appel, American Society of Hypertension Writing Group, Thomas D Giles, Henry R Black, Joseph L Izzo, Barry J Materson, Suzanne Oparil, Michael A Weber

Open access · bronzeAbstract readPractice Guideline
In one paragraph

Guideline in Journal of clinical hypertension (Greenwich, Conn.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
7.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 108 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Review
  9. Article
  10. Management of Diabetes and Hypertension within the Gulf Region: Updates on Treatment Practices and Therapies.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2022
    Review
  11. Review
  12. Article
  13. Article
  14. The Possible Role of Nutraceuticals in the Prevention of Cardiovascular Disease.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2019
    Review
  15. Hypertension.Nature reviews. Disease primers · 2018
    Review
  16. Article
  17. Nutraceuticals and Blood Pressure Control: Results from Clinical Trials and Meta-Analyses.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2015
    Review
  18. Article
  19. Body adiposity indices are associated with hypertension in a black, urban Free State community.African journal of primary health care & family medicine · 2014
    Article
  20. Hypertension in Haiti: the challenge of best possible practice.Journal of clinical hypertension (Greenwich, Conn.) · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Lawrence J AppelDepartment of Medicine, Division of General Internal Medicine, Johns Hopkins University, Baltimore, MD 21205-2223, USA. lappel@jhmi.edu
American Society of Hypertension Writing Group
Thomas D Giles
Henry R Black
Joseph L Izzo
Barry J Materson
Suzanne Oparil
Michael A Weber
Johns Hopkins Medicine · USJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A substantial body of evidence has implicated several aspects of diet in the pathogenesis of elevated blood pressure (BP). Well-established risk factors for elevated BP include excess salt intake, low potassium intake, excess weight, high alcohol consumption, and suboptimal dietary pattern. African Americans are especially sensitive to the BP-raising effects of excess salt intake, insufficient potassium intake, and suboptimal diet. In this setting, dietary changes have the potential to substantially reduce racial disparities in BP and its consequences. In view of the age-related rise in BP in both children and adults, the direct, progressive relationship of BP with cardiovascular-renal diseases throughout the usual range of BP, and the worldwide epidemic of BP-related disease, efforts to reduce BP in nonhypertensive as well as hypertensive individuals are warranted. In nonhypertensives, dietary changes can lower BP and delay, if not prevent, hypertension. In uncomplicated stage I hypertension, dietary changes serve as initial treatment before drug therapy. In hypertensive individuals already on drug therapy, lifestyle modifications can further lower BP. The current challenge is designing and implementing effective clinical and public health interventions that lead to sustained dietary changes among individuals and more broadly in the general population.

Indexed as

AdultAlcohol DrinkingAnimalsBlood PressureChildChild, PreschoolDiet, Sodium-RestrictedDiet, VegetarianEvidence-Based MedicineHealth BehaviorHumansHypertensionPotassiumTreatment OutcomeWeight LossYoung AdultPotassium

Identifiers

PMID19583632
PMCPMC8673392
OpenAlexW2035054318

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.