Evidence map›Paper›PMID 24366034›Full record

Trial reportJournal of hypertension2014

The effects of weight loss and salt reduction on visit-to-visit blood pressure variability: results from a multicenter randomized controlled trial.

Keith M Diaz, Paul Muntner, Emily B Levitan, Michael D Brown, Dianne M Babbitt, Daichi Shimbo

Abstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of hypertension, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
1.6field-weighted citation impact, top 15% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Long-term effects of weight-reducing diets in people with hypertension.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Long-term effects of weight-reducing diets in people with hypertension.The Cochrane database of systematic reviews · 2016
    Pooled it
  3. The science of salt: a systematic review of clinical salt studies 2013 to 2014.Journal of clinical hypertension (Greenwich, Conn.) · 2015
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Urinary chloride-to-potassium ratio as a potential novel index for MR activity in patients with hypertension.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Article
  9. Review
  10. Article
  11. Blood Pressure Variability and Therapeutic Implications in Hypertension and Cardiovascular Diseases.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2019
    Review
  12. Finding a Signal in the Noise.Clinical journal of the American Society of Nephrology : CJASN · 2016
    Article
  13. Article
  14. Review
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 at 4 institutions in 1 country.

Keith M DiazaCenter for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Medical Center, New York bHypertension, Molecular, and Applied Physiology Laboratory, Department of Kinesiology, Temple University, Philadelphia, Pennsylvania cDepartment of Epidemiology, University of Alabama Birmingham, Birmingham, Alabama dVascular Health Laboratory, Department of Kinesiology & Nutrition, University of Illinois at Chicago, Chicago, Illinois, USA.
Paul Muntner
Emily B Levitan
Michael D Brown
Dianne M Babbitt
Daichi Shimbo
Temple University · USUniversity of Alabama at Birmingham · USColumbia University Irving Medical Center · USUniversity of Illinois Chicago · US

Funding

WORKSITE BLOOD PRESSURE STUDYP01HL047540 · NHLBI · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI SCHWARTZ, JOSEPH E · 1993 to 2014
$27.7M
NHLBI NIH HHS P01 HL047540NHLBI NIH HHS P01-HL047540-19S1
6 · The paper itself

Abstract

objectivesAs evidence suggests visit-to-visit variability (VVV) of blood pressure (BP) is associated with cardiovascular events and mortality, there is increasing interest in identifying interventions that reduce VVV of BP. We investigated the effects of weight loss and sodium reduction, alone or in combination, on VVV of BP in participants enrolled in phase II of the Trials of Hypertension Prevention.

methodsBP readings were taken at 6-month intervals for 36 months in 1820 participants with high-normal DBP who were randomized to weight loss, sodium reduction, combination (weight loss and sodium reduction), or usual care groups. VVV of BP was defined as the SD of BP across six follow-up visits.

resultsVVV of SBP was not significantly different between participants randomized to the weight loss (7.2 ± 3.1  mmHg), sodium reduction (7.1 ± 3.0  mmHg), or combined (6.9 ± 2.9  mmHg) intervention groups vs. the usual care group (6.9 ± 2.9  mmHg). In a fully adjusted model, no difference (0.0 ± 0.2  mmHg) in VVV of SBP was present between individuals who successfully maintained their weight loss vs. individuals who did not lose weight during follow-up (P = 0.93). Also, those who maintained a reduced sodium intake throughout follow-up did not have lower VVV of SBP compared to those who did not reduce their sodium intake (0.1 ± 0.3  mmHg; P = 0.77). Results were similar for VVV of DBP.

conclusionsThese findings suggest that weight loss and sodium reduction may not be effective interventions for lowering VVV of BP in individuals with high-normal DBP.

Indexed as

Blood PressureSodium Chloride, DietaryWeight LossAdultBlood Pressure DeterminationBody WeightDiet, ReducingFemaleHumansHypertensionMaleMiddle AgedSodium Chloride, Dietary

Identifiers

PMID24366034
PMCPMC4024203
OpenAlexW2091191308

What OpenQuestion holds

Textmetadata
LicenceTDM
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.