Evidence map›Paper›PMID 26346989›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2015

Reducing Sodium Intake in Children: A Public Health Investment.

Lawrence J Appel, Alice H Lichtenstein, Emily A Callahan, Alan Sinaiko, Linda Van Horn, Laurie Whitsel

Open access · hybridAbstract read
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

30 citing papers in PubMed, 55 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Tracking of blood pressure levels from childhood.Pediatric nephrology (Berlin, Germany) · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. The Global Burden of premature cardiovascular disease, 1990-2019.International journal of cardiology. Cardiovascular risk and prevention · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Dietary intake of Indigenous Australian infants and young children in the Gomeroi gaaynggal cohort.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2021
    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 5 institutions in 1 country.

Lawrence J AppelWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, MD.
Alice H LichtensteinCardiovascular Nutrition Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA.
Emily A CallahanAmerican Heart Association, Washington, DC.
Alan SinaikoDivision of Pediatric Nephrology, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN.
Linda Van HornDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Laurie WhitselAmerican Heart Association, Washington, DC.
American Heart Association · USJean Mayer Human Nutrition Research Center on Aging · USJohns Hopkins University · USNorthwestern University · USUniversity of Minnesota Medical Center · US

Funding

Research BaseP30DK072488 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI MITCHELL, BRAXTON D, TAYLOR, SIMEON I. · 2005 to 2019
$17.3M
6 · The paper itself

Abstract

The antecedents of elevated blood pressure (BP) and its major consequences (cardiovascular disease and stroke) begin in childhood. Higher levels of BP early in life track into adulthood and are associated with subclinical target organ damage in children and adults. Diet behaviors, including the choice of high sodium containing foods, are established during childhood. On average, children, ages 2-19, consume more than 3,100 mg of sodium per day, with substantially greater sodium intakes in boys than girls. Importantly, studies show that lowering sodium intake in children lowers blood pressure. In view of this evidence, U.S. Dietary Guidelines recommend a reduced sodium intake in children. Current federal nutrition standards include a step-wise reduction in the sodium levels of school meals. The ultimate goal is to help children achieve daily sodium intakes that do not exceed upper levels recommended by the Institute of Medicine and the Dietary Guidelines for Americans. In summary, available data are sufficiently strong to recommend a lower sodium intake beginning in early in life as an effective and well-tolerated approach to reducing BP in children. Current efforts to weaken nutrition standards for school meals undermine an effective strategy aimed at improving the health of our children and our nation.

Indexed as

AdolescentBlood PressureChildChild, PreschoolEatingFemaleHumansHypertensionMaleNutrition PolicyPublic HealthSchoolsSodium, DietaryUnited StatesSodium, Dietary

Identifiers

PMID26346989
PMCPMC5034752
OpenAlexW2119751295

What OpenQuestion holds

Textmetadata
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.