Evidence map›Paper›PMID 23924617›Full record

SynthesisPublic health nutrition2014

Current salt reduction policies across gradients of inequality-adjusted human development in the WHO European region: minding the gaps.

Rodrigo Rodriguez-Fernandez, Margarida Siopa, Sarah J Simpson, Rachel M Amiya, Joao Breda, Francesco P Cappuccio

Abstract readSystematic Review
In one paragraph

Synthesis in Public health nutrition, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

6 authors.

Rodrigo Rodriguez-Fernandez1Institute of Tropical Medicine and International Health,Charité-Universitätsmedizin,Charitéplatz 1,10117 Berlin,Germany.
Margarida Siopa2Faculty of Food Science and Nutrition,University of Porto,Oporto,Portugal.
Sarah J Simpson3School of Public Health and Community Medicine,University of New South Wales,Sydney,Australia.
Rachel M Amiya4Department of Community and Global Health,Graduate School of Medicine,University of Tokyo,Tokyo,Japan.
Joao Breda5Noncommunicable Diseases and Health Promotion,World Health Organization Regional Office for Europe,Copenhagen,Denmark.
Francesco P Cappuccio6Division of Mental Health & Wellbeing,Warwick Medical School,WHO Collaborating Centre for Nutrition,University of Warwick,Warwick,UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess current salt reduction policies in countries of the WHO European Region against the backdrop of varying levels of human development adjusted for income, education and health (longevity) inequalities.

designPopulation-based, cross-sectional study, with data gathered through systematic review of relevant databases and supplementary information provided by WHO Nutrition Counterparts.

settingMember States of the WHO European Region. SUBJECTS: Inequality-adjusted Human Development Index scores were analysed against assessed levels of development and implementation of national nutrition policies and initiatives targeting population-level salt reduction.

resultsWithin the WHO European Region, Inequality-adjusted Human Development Index values among countries with no existing salt reduction initiatives (mean 0·643 (se 0·022)) were significantly lower than among those with either partially implemented/planned salt initiatives (mean 0·766 (se 0·017), P < 0·001) or fully implemented salt initiatives (mean 0·780 (se 0·021), P < 0·001).

conclusionsWhere salt reduction strategies are implemented as an integral part of national policy, outcomes have been promising. However, low- and middle-income countries may face severe resource constraints that keep them from emulating more comprehensive strategies pursued in high-income countries. Care must be taken to ensure that gaps are not inadvertently widened by monitoring differential policy impacts of salt policies, particularly regarding trade flows.

Indexed as

Developing CountriesDietIncomeNutrition PolicyCardiovascular DiseasesEuropeHumansSodium Chloride, DietaryWorld Health OrganizationSodium Chloride, Dietary

Identifiers

PMID23924617
PMCPMC10282349

What OpenQuestion holds

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Registered trials

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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.