Evidence map›Paper›PMID 24708561›Full record

ArticleThe international journal of behavioral nutrition and physical activity2014

The association of knowledge, attitudes and behaviours related to salt with 24-hour urinary sodium excretion.

Mary-Anne Land, Jacqui Webster, Anthea Christoforou, Claire Johnson, Helen Trevena, Frances Hodgins, John Chalmers, Mark Woodward, Federica Barzi, Wayne Smith and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in The international journal of behavioral nutrition and physical activity, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02105727 (A Before After Comparison of the Effectiveness of a Community-based Salt Reduction Program Done in Lithgow, Australia), which is not on this map. Cited by 50 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing 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.

NCT02105727 nacompletednot on this map

A Before After Comparison of the Effectiveness of a Community-based Salt Reduction Program Done in Lithgow, Australia

TypeinterventionalSponsorThe George InstituteRan2011 to 2014Enrolled991ConditionsBlood Pressure, Hypertension, Cardiovascular DiseaseArmsCommunity-based salt reduction
3 · Its place in the literature

Who cites it

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

  1. Pooled it
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  4. Review of behaviour change interventions to reduce population salt intake.The international journal of behavioral nutrition and physical activity · 2017
    Pooled it
  5. Trial
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  12. 24-hour urinary potassium excretion is negatively associated with self-reported sleep quality in the general population, independently of sleep-disordered breathing.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
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  16. Salt-related practices and its association with 24-hour urinary sodium excretion in an Uruguayan population cohort.Revista panamericana de salud publica = Pan American journal of public health · 2022
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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

14 authors.

Mary-Anne LandThe George Institute for Global Health, Sydney Medical School, The University of Sydney, PO BOX M201, Missenden Road, Camperdown, Sydney, NSW, Australia. maland@georgeinstitute.org.au.
Jacqui Webster
Anthea Christoforou
Claire Johnson
Helen Trevena
Frances Hodgins
John Chalmers
Mark Woodward
Federica Barzi
Wayne Smith
Victoria Flood
Paul Jeffery
Caryl Nowson
Bruce Neal

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimSalt reduction efforts usually have a strong focus on consumer education. Understanding the association between salt consumption levels and knowledge, attitudes and behaviours towards salt should provide insight into the likely effectiveness of education-based programs.

methodsA single 24-hour urine sample and a questionnaire describing knowledge, attitudes and behaviours was obtained from 306 randomly selected participants and 113 volunteers from a regional town in Australia.

resultsMean age of all participants was 55 years (range 20-88), 55% were women and mean 24-hour urinary salt excretion was 8.8(3.6) g/d. There was no difference in salt excretion between the randomly selected and volunteer sample. Virtually all participants (95%) identified that a diet high in salt can cause serious health problems with the majority of participants (81%) linking a high salt diet to raised blood pressure. There was no difference in salt excretion between those who did 8.7(2.1) g/d and did not 7.5(3.3) g/d identify that a diet high in salt causes high blood pressure (p=0.1). Nor was there a difference between individuals who believed they consumed "too much" 8.9(3.3) g/d "just the right amount" 8.4(2.6) g/d or "too little salt" 9.1(3.7) g/d (p=0.2). Likewise, individuals who indicated that lowering their salt intake was important 8.5(2.9) g/d vs. not important 8.8(2.4) g/d did not have different consumption levels (p=0.4).

conclusionThe absence of a clear association between knowledge, attitudes and behaviours towards salt and actual salt consumption suggests that interventions focused on knowledge, attitudes and behaviours alone may be of limited efficacy.

Indexed as

Feeding BehaviorHealth Knowledge, Attitudes, PracticeAdultAgedAged, 80 and overAustraliaBlood PressureCross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk FactorsSocioeconomic FactorsSodiumSodium Chloride, DietarySodiumSodium Chloride, Dietary

Identifiers

PMID24708561
PMCPMC4234277

What OpenQuestion holds

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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.