Evidence map›Paper›PMID 23766446›Full record

Trial reportHeart (British Cardiac Society)2013

The role of salt intake and salt sensitivity in the management of hypertension in South Asian people with chronic kidney disease: a randomised controlled trial.

Ione de Brito-Ashurst, Lin Perry, Thomas A B Sanders, Jane E Thomas, Hamish Dobbie, Mira Varagunam, Muhammad M Yaqoob

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Heart (British Cardiac Society), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00702312 (A Multi-method Study of a Low-salt Dietary Approach to Control Blood Pressure in the Bangladeshi Chronic Kidney Disease Population.), which is not on this map. Cited by 33 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 6 pooled it
4.9field-weighted citation impact, top 5% 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.

NCT00702312 phase3completednot on this map

A Multi-method Study of a Low-salt Dietary Approach to Control Blood Pressure in the Bangladeshi Chronic Kidney Disease Population.

TypeinterventionalSponsorBarts & The London NHS TrustRan2008 to 2009Enrolled56ConditionsHypertensionArmsLow-salt educational programme, Low-salt Bangladeshi educational programme
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 6 syntheses or guidelines pooled it, 86 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Altered dietary salt intake for people with chronic kidney disease.The Cochrane database of systematic reviews · 2021
    Pooled it
  5. Pooled it
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  7. Trial
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  10. Article
  11. Article
  12. Review
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  19. Dietary intervention for the management of hypertension in Asia.Journal of clinical hypertension (Greenwich, Conn.) · 2021
    Review
  20. 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

7 authors at 5 institutions in 4 countries.

Ione de Brito-AshurstDiabetes & Nutritional Science Division, Kings College London, Franklin-Wilkins Building, London, UK. i.ashurst@rbht.nhs.uk
Lin Perry
Thomas A B Sanders
Jane E Thomas
Hamish Dobbie
Mira Varagunam
Muhammad M Yaqoob
King's College - North Carolina · USQueen Mary University of London · GBBarts Health NHS Trust · GBRoyal London Hospital · GBUniversity of Technology · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effectiveness of salt restriction to lower blood pressure (BP) in Bangladeshi patients with chronic kidney disease (CKD) is uncertain.

objectiveTo test the hypothesis that a tailored intervention intended to reduce salt intake in addition to standard care will achieve a greater reduction in BP in UK Bangladeshi patients with CKD than standard care alone.

designA randomised parallel-group controlled trial conducted over a 6 month period.

settingA tertiary renal unit based in acute care hospital in East London.

participants56 adult participants of Bangladeshi origin with CKD and BP >130/80 mm Hg or on antihypertensive medication.

interventionParticipants were randomly allocated to receive a tailored low-salt diet or the standard low-salt advice. BP medication, physical activity and weight were monitored.

main outcome measuresThe primary outcome was change in ambulatory BP. Adherence to dietary advice was assessed by measurement of 24 h urinary salt excretion.

resultsOf 56 participants randomised, six withdrew at the start of the study. During the study, one intervention group participant died, one control group participant moved to Bangladesh. Data were available for the primary endpoint on 48 participants. Compared with control group the intervention urinary sodium excretion fell from 260 mmol/d to 103 mmol/d (-131 to -76, p<0.001) at 6 months and resulted in mean (95% CI) falls in 24 h systolic/diastolic BP of -8 mm Hg (-11 to -5)/2 (-4 to -2) both p<0.001.

conclusionsA tailored intervention can achieve moderate salt restriction in patients with CKD, resulting in clinically meaningful falls in BP independent of hypertensive medication.

trial registrationClinicalTrials.gov NCT00702312.

Indexed as

Diet, Sodium-RestrictedAdultAnalysis of VarianceAntihypertensive AgentsBangladeshFemaleHumansHypertensionLondonMaleRenal Insufficiency, ChronicSodium ChlorideAntihypertensive AgentsSodium ChlorideRenal Disease

Identifiers

PMID23766446
PMCPMC3756453
OpenAlexW2160267365

What OpenQuestion holds

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LicenceCC BY-NC
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.