Evidence map›Paper›PMID 27042017›Full record

ArticlePatient preference and adherence2016

The association between cognitive function and objective adherence to dietary sodium guidelines in patients with heart failure.

Mary A Dolansky, Julie T Schaefer, Misty Aw Hawkins, John Gunstad, Anup Basuray, Joseph D Redle, James C Fang, Richard A Josephson, Shirley M Moore, Joel W Hughes

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Patient preference and adherence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.2field-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.

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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Collaborative care model improves self-care ability, quality of life and cardiac function of patients with chronic heart failure.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2017
    Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Sodium Intake and Heart Failure.International journal of molecular sciences · 2020
    Review
  9. Observational
  10. Article
  11. The impact of medication nonadherence on the relationship between mortality risk and depression in heart failure.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2017
    Article
  12. Article
  13. Article
  14. Article
  15. Observational
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

10 authors at 6 institutions in 1 country.

Mary A DolanskySchool of Nursing, Case Western Reserve University, Cleveland, OH, USA.
Julie T SchaeferDepartment of Psychology, Kent State University, Kent, OH, USA.
Misty Aw HawkinsDepartment of Psychology, Oklahoma State University, Stillwater, OK, USA.
John GunstadDepartment of Psychology, Kent State University, Kent, OH, USA.
Anup BasurayOhio Health Heart and Vascular Physicians, Columbus, OH, USA.
Joseph D RedleDepartment of Cardiology, Summa Health System, Akron City Hospital, OH, USA.
James C FangDepartment of Internal Medicine, Division of Cardiology, University Hospital, Salt Lake City, UT, USA.
Richard A JosephsonDepartment of Medicine, Case Western Reserve University, Cleveland, OH, USA; Harrington Heart & Vascular Institute, University Hospitals, Cleveland, OH, USA.
Shirley M MooreSchool of Nursing, Case Western Reserve University, Cleveland, OH, USA.
Joel W HughesDepartment of Psychology, Kent State University, Kent, OH, USA.
Kent State University · USCase Western Reserve University · USOklahoma State University · USSumma Health System · USUniversity Hospitals of Cleveland · USUniversity of Utah Hospital · US

Funding

Cognitive Impairment and Self-management in Adults with Heart FailureR01HL096710 · NHLBI · KENT STATE UNIVERSITY · PI DOLANSKY, MARY, HUGHES, JOEL W · 2010 to 2013
$2.7M
NHLBI NIH HHS R01 HL096710
6 · The paper itself

Abstract

backgroundAlthough cognitive impairment is common in heart failure (HF) patients, its effects on sodium adherence recommendations are unknown. PURPOSE: Our aim is to examine if cognitive function is associated with patient sodium adherence.

methodsSodium collection/excretion and cognitive function were assessed for 339 HF patients over a 5-8-week period. Neuropsychological testing was performed at baseline (Visit 1), whereas two 24-hour urine samples were collected within 7 weeks postbaseline. The ability to collect two 24-hour urine samples and the estimation of sodium excretion levels from these samples were used to estimate sodium adherence recommendations.

resultsNearly half (47%) of the study participants (n=159) were unable to give two valid 24-hour urine samples. Participants who were unable to adhere to two valid 24-hour urine samples had significantly poorer attention and global cognition tests (P<0.044), with a trend for poorer executive function (P=0.064). Among those with valid samples, urine sodium level was not associated with global cognitive function, attention, executive function, or memory after adjusting for covariates. Female sex was associated with lower sodium excretion (all P<0.01); individuals with knowledge of sodium guidelines had less intake of sodium, resulting in excretion of less sodium (all P≤0.03). Conversely, higher socioeconomic status (SES) and body mass index (BMI) were associated with greater sodium (all P≤0.02 and P≤0.01).

conclusionAdherence to urine sodium collection was poor, especially among those with poorer cognitive function. Sodium consumption exceeded recommended amounts and was unrelated to cognitive function. Interventions for improving sodium adherence should focus on at-risk groups (high SES and BMI) and at improving knowledge of recommended salt intake.

Indexed as

attentioncardiacexecutive functionmemorysalt intakeurine collection

Identifiers

PMID27042017
PMCPMC4780397
OpenAlexW2291063798

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.