Evidence map›Paper›PMID 24176436›Full record

Trial reportAmerican heart journal2013

A large-scale cluster randomized trial to determine the effects of community-based dietary sodium reduction--the China Rural Health Initiative Sodium Reduction Study.

Nicole Li, Lijing L Yan, Wenyi Niu, Darwin Labarthe, Xiangxian Feng, Jingpu Shi, Jianxin Zhang, Ruijuan Zhang, Yuhong Zhang, Hongling Chu and 5 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American heart journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
6.9field-weighted citation impact, top 2% 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Altered dietary salt intake for people with chronic kidney disease.The Cochrane database of systematic reviews · 2021
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  7. Salt sales survey: a simplified, cost-effective method to evaluate population salt reduction programs--a cluster-randomized trial.Hypertension research : official journal of the Japanese Society of Hypertension · 2016
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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

15 authors at 11 institutions in 4 countries.

Nicole LiThe George Institute for Global Health at Peking University Health Science Center, Beijing, China.
Lijing L Yan
Wenyi Niu
Darwin Labarthe
Xiangxian Feng
Jingpu Shi
Jianxin Zhang
Ruijuan Zhang
Yuhong Zhang
Hongling Chu
Andrea Neiman
Michael Engelgau
Paul Elliott
Yangfeng Wu
Bruce Neal
Northwestern University · USGeorge Institute for Global Health · CNCenters for Disease Control and Prevention · USChangzhi Medical College · CNChina Medical University · CNHebei Provincial Center for Disease Control and Prevention · CNImperial College London · GBNingxia Medical University · CNPeking University · CNUniversity of Sydney · AUXi'an Jiaotong University · CN

Funding

NHLBI NIH HHS HHSN268200900027C
6 · The paper itself

Abstract

backgroundCardiovascular diseases are the leading cause of death and disability in China. High blood pressure caused by excess intake of dietary sodium is widespread and an effective sodium reduction program has potential to improve cardiovascular health.

designThis study is a large-scale, cluster-randomized, trial done in five Northern Chinese provinces. Two counties have been selected from each province and 12 townships in each county making a total of 120 clusters. Within each township one village has been selected for participation with 1:1 randomization stratified by county. The sodium reduction intervention comprises community health education and a food supply strategy based upon providing access to salt substitute. Subsidization of the price of salt substitute was done in 30 intervention villages selected at random. Control villages continued usual practices. The primary outcome for the study is dietary sodium intake level estimated from assays of 24-hour urine. TRIAL STATUS: The trial recruited and randomized 120 townships in April 2011. The sodium reduction program was commenced in the 60 intervention villages between May and June of that year with outcome surveys scheduled for October to December 2012. Baseline data collection shows that randomisation achieved good balance across groups. DISCUSSION: The establishment of the China Rural Health Initiative has enabled the launch of this large-scale trial designed to identify a novel, scalable strategy for reduction of dietary sodium and control of blood pressure. If proved effective, the intervention could plausibly be implemented at low cost in large parts of China and other countries worldwide.

Indexed as

AdultBlood PressureBlood Pressure DeterminationChinaDiet, Sodium-RestrictedFemaleHumansHypertensionMaleMiddle AgedPotassiumProgram EvaluationRural HealthSodiumSodium, DietaryTreatment OutcomePotassiumSodiumSodium, Dietary

Identifiers

PMID24176436
PMCPMC3919684
OpenAlexW2170020141

What OpenQuestion holds

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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.