Evidence map›Paper›PMID 23033371›Full record

Trial reportHypertension (Dallas, Tex. : 1979)2012

Low-sodium dietary approaches to stop hypertension diet reduces blood pressure, arterial stiffness, and oxidative stress in hypertensive heart failure with preserved ejection fraction.

Scott L Hummel, E Mitchell Seymour, Robert D Brook, Theodore J Kolias, Samar S Sheth, Hannah R Rosenblum, Joanna M Wells, Alan B Weder

3 registry-linked trialsOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Hypertension (Dallas, Tex. : 1979), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 91 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 2 pooled it
9.9field-weighted citation impact, top 1% 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.

NCT00939640 nacompletednot on this map

Effects of the Dietary Approaches to Stop Hypertension(DASH) Sodium-restricted Diet on Ventriculovascular Function in Heart Failure With Preserved Systolic Function

TypeinterventionalSponsorUniversity of MichiganRan2009 to 2011Enrolled14ConditionsDiastolic Heart Failure, Hypertensive Heart DiseaseArmsDASH/sodium-restricted diet (SRD)
NCT01942395 naterminatednot on this map

Dietary Approaches to Stop Hypertension in 'Diastolic' Heart Failure 2 (DASH-DHF 2)

TypeinterventionalSponsorUniversity of MichiganRan2012 to 2016Enrolled18ConditionsDiastolic Heart Failure, Hypertensive Heart DiseaseArmsDASH/sodium-restricted diet (DASH/SRD), Control Diet
NCT02148679 nacompletednot on this mapstarted 2014, after this paper: background citation

Effects of Home-delivered Low-sodium Meals in Older Adults Following Heart Failure Hospitalization.

TypeinterventionalSponsorUniversity of MichiganRan2014 to 2017Enrolled107ConditionsHeart FailureArmsDASH/SRD, Usual care
3 · Its place in the literature

Who cites it

91 citing papers in PubMed, 2 syntheses or guidelines pooled it, 155 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
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  5. Trial
  6. Trial
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  8. Review
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  10. Article
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  13. Observational
  14. Review
  15. Long-term follow-up study on the impact of a gut microbiota-supportive diet on heart failure and mortality outcomes.International journal of cardiology. Cardiovascular risk and prevention · 2025
    Article
  16. Review
  17. Review
  18. Review
  19. Markers of Vascular Dysfunction in Hypertension.Current medicinal chemistry · 2025
    Review
  20. Hypertension and Heart Failure: From Pathophysiology to Treatment.International journal of molecular sciences · 2024
    Review

31 more citing papers are in PubMed but not listed here.

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 1 institution in 1 country.

Scott L HummelDivision of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, 1500 East Medical Center Dr, CVC Room 2383, SPC 5853, Ann Arbor, MI 48109, USA. scothumm@med.umich.edu
E Mitchell Seymour
Robert D Brook
Theodore J Kolias
Samar S Sheth
Hannah R Rosenblum
Joanna M Wells
Alan B Weder
Michigan Medicine · US

Funding

MICHIGAN INSTITUTE FOR CLINICAL AND HEALTH RESEARCH (MICHR) (UL1): (BPCA)UL1RR024986 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SHANLEY, THOMAS P. · 2007 to 2011
$51.2M
Diet and pathophysiology of heart failure with preserved ejection fractionK23HL109176 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HUMMEL, SCOTT L · 2011 to 2015
$795k
NCRR NIH HHS UL1 RR024986NHLBI NIH HHS 1K23HL109176NHLBI NIH HHS K23 HL109176PHS HHS UL1R000433
6 · The paper itself

Abstract

Recent studies suggest that oxidative stress and vascular dysfunction contribute to heart failure with preserved ejection fraction (HFPEF). In salt-sensitive HFPEF animal models, diets low in sodium and high in potassium, calcium, magnesium, and antioxidants attenuate oxidative stress and cardiovascular damage. We hypothesized that the sodium-restricted Dietary Approaches to Stop Hypertension diet (DASH/SRD) would have similar effects in human hypertensive HFPEF. Thirteen patients with treated hypertension and compensated HFPEF consumed the DASH/SRD for 21 days (all food/most beverages provided). The DASH/SRD reduced clinic systolic (155-138 mm Hg; P=0.02) and diastolic blood pressure (79-72 mm Hg; P=0.04), 24-hour ambulatory systolic (130-123 mm Hg; P=0.02) and diastolic blood pressure (67-62 mm Hg; P=0.02), and carotid-femoral pulse wave velocity (12.4-11.0 m/s; P=0.03). Urinary F2-isoprostanes decreased by 31% (209-144 pmol/mmol Cr; P=0.02) despite increased urinary aldosterone excretion. The reduction in urinary F2-isoprostanes closely correlated with the reduction in urinary sodium excretion on the DASH/SRD. In this cohort of HFPEF patients with treated hypertension, the DASH/SRD reduced systemic blood pressure, arterial stiffness, and oxidative stress. These findings are characteristic of salt-sensitive hypertension, a phenotype present in many HFPEF animal models and suggest shared pathophysiological mechanisms linking these 2 conditions. Further dietary modification studies could provide insights into the development and progression of hypertensive HFPEF.

Indexed as

Diet, Sodium-RestrictedAgedAged, 80 and overBlood PressureF2-IsoprostanesFemaleHeart FailureHumansHypertensionMaleMiddle AgedOxidative StressSodiumTime FactorsTreatment OutcomeVascular StiffnessF2-IsoprostanesSodium

Identifiers

PMID23033371
PMCPMC3522520
OpenAlexW2154944643

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

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.