Evidence map›Paper›PMID 24667035›Full record

Trial reportTrials2014

Launching a salt substitute to reduce blood pressure at the population level: a cluster randomized stepped wedge trial in Peru.

Antonio Bernabe-Ortiz, Francisco Diez-Canseco, Robert H Gilman, María K Cárdenas, Katherine A Sacksteder, J Jaime Miranda

Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in Trials, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01960972 (Launching a Salt Substitute to Reduce Blood Pressure at the Population Level - Peru), which is not on this map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
3.0field-weighted citation impact, top 9% 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.

NCT01960972 nacompletednot on this map

Launching a Salt Substitute to Reduce Blood Pressure at the Population Level - Peru

TypeinterventionalSponsorUniversidad Peruana Cayetano HerediaRan2014 to 2017Enrolled2,376ConditionsBlood Pressure, HypertensionArmsSalt substitute
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Effect of a salt-reduction strategy on blood pressure and acceptability among customers of a food concessionaire in Lima, Peru.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2019
    Article
  12. Potential use of salt substitutes to reduce blood pressure.Journal of clinical hypertension (Greenwich, Conn.) · 2019
    Article
  13. TheFrontiers in public health · 2019
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  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

6 authors at 3 institutions in 2 countries.

Antonio Bernabe-Ortiz
Francisco Diez-Canseco
Robert H Gilman
María K Cárdenas
Katherine A Sacksteder
J Jaime MirandaCRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Av, Armendariz 497, Miraflores, Lima 18, Peru. jaime.miranda@upch.pe.
Universidad Peruana Cayetano Heredia · PEJohns Hopkins University · USPrisma · PE

Funding

Launching a salt substitute to reduce blood pressure at the population level-PeruU01HL114180 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GILMAN, ROBERT H · 2012 to 2016
$2.0M
Medical Research Council MR/K007467/1NHLBI NIH HHS 1 U01 HL114180-01NHLBI NIH HHS U01 HL114180PHS HHS 268200900033C-1-0-1
6 · The paper itself

Abstract

backgroundControlling hypertension rates and maintaining normal blood pressure, particularly in resource-constrained settings, represent ongoing challenges of effective and affordable implementation in health care. One of the strategies being largely advocated to improve high blood pressure calls for salt reduction strategies. This study aims to estimate the impact of a population-level intervention based on sodium reduction and potassium increase - in practice, introducing a low-sodium, high-potassium salt substitute - on adult blood pressure levels. METHODS/

designThe proposed implementation research study includes two components: Phase 1, an exploratory component, and Phase 2, an intervention component. The exploratory component involves a triangle taste test and a formative research study designed to gain an understanding of the best implementation methods. Phase 2 involves a pragmatic stepped wedge trial design where the intervention will be progressively implemented in several clusters starting the intervention randomly at different times. In addition, we will evaluate the implementation strategy using a cost-effectiveness analysis. DISCUSSION: This is the first project in a Latin-American setting to implement a salt substitution intervention at the population level to tackle high blood pressure. Data generated and lessons learnt from this study will provide a strong platform to address potential interventions applicable to other similar low- and middle-income settings.

trial registrationThis study is registered in ClinicalTrials.gov NCT01960972.

Indexed as

Blood PressureDiet, Sodium-RestrictedResearch DesignAdultAgedClinical ProtocolsFemaleHumansHypertensionMaleMiddle AgedPeruPotassium, DietaryRecommended Dietary AllowancesSodium Chloride, DietaryTastePotassium, DietarySodium Chloride, Dietary

Identifiers

PMID24667035
PMCPMC3976551
OpenAlexW2125894798

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.