Evidence map›Paper›PMID 28866091›Full record

Trial reportJournal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation2018

Variation in Sodium Intake and Intra-individual Change in Blood Pressure in Chronic Kidney Disease.

Chetna M Pathak, Joachim H Ix, Cheryl A M Anderson, Tyler B Woodell, Gerard Smits, Martha S Persky, Geoffrey A Block, Dena E Rifkin

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 88% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Salt Taste and Salt Sensitive Hypertension in HIV.Current hypertension reports · 2023
    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

8 authors at 4 institutions in 1 country.

Chetna M PathakSchool of Medicine, University of California San Diego, San Diego, California.
Joachim H IxSchool of Medicine, University of California San Diego, San Diego, California; Division of Nephrology-Hypertension, Department of Medicine, University of California San Diego, San Diego, California; Department of Family Medicine and Public Health, University of California San Diego, San Diego, California; Veterans Affairs San Diego Healthcare System, San Diego, California.
Cheryl A M AndersonSchool of Medicine, University of California San Diego, San Diego, California; Division of Nephrology-Hypertension, Department of Medicine, University of California San Diego, San Diego, California; Department of Family Medicine and Public Health, University of California San Diego, San Diego, California.
Tyler B WoodellDivision of Nephrology, Oregon Health Sciences University, Portland, Oregon.
Gerard SmitsDenver Nephrology, Denver, Colorado.
Martha S PerskyDenver Nephrology, Denver, Colorado.
Geoffrey A BlockDenver Nephrology, Denver, Colorado.
Dena E RifkinSchool of Medicine, University of California San Diego, San Diego, California; Division of Nephrology-Hypertension, Department of Medicine, University of California San Diego, San Diego, California; Department of Family Medicine and Public Health, University of California San Diego, San Diego, California; Veterans Affairs San Diego Healthcare System, San Diego, California. Electronic address: drifkin@ucsd.edu.
Colorado Kidney Care · USUniversity of San Diego · USOregon Health & Science University · USUniversity of California San Diego · US

Funding

UAB-UCSD O'Brien Core Center for Acute Kidney Injury ResearchP30DK079337 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AGARWAL, ANUPAM · 2008 to 2022
$18.3M
Ambulatory BP, kidney function, cognitive & physical function in older adultsK23DK091521 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI RIFKIN, DENA EVETTE · 2011 to 2015
$891k
Mentored Patient Oriented Research in Kidney DiseaseK24DK110427 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI IX, JOACHIM H · 2016 to 2020
$780k
NIDDK NIH HHS K23 DK091521NIDDK NIH HHS K24 DK110427NIDDK NIH HHS P30 DK079337
6 · The paper itself

Abstract

objectiveIn the kidney disease clinic setting, higher-than-usual blood pressure is often ascribed to recent dietary sodium indiscretion. While clinical trials demonstrate a clear relationship between salt intake and blood pressure on the population level, it is uncertain whether real-world variation in sodium intake within individual chronic kidney disease (CKD) patients is associated with fluctuations in blood pressure.

methodsWe analyzed data from the Phosphorus Normalization Trial, in which participants with CKD eating their usual diets completed at least three 24-hour urine collections over 9 months, from which we measured sodium. Blood pressure was measured at the time of 24-hour urine collections. For each individual participant, we assessed the slope of the relationship between sodium intake and mean arterial blood pressure (MAP).

resultsAmong 119 participants (mean age 67 years and mean estimated glomerular filtration rate 31 mL/minute/1.73 m

conclusionsAmong CKD patients, there is substantial variation in sodium intake but no predictable relationship between dietary sodium and blood pressure in individuals. The frequent dismissal of elevated blood pressure readings as related to recent sodium intake in clinic may be a misapplication of large-scale population data to explain individual variability and may contribute to clinical inertia regarding high blood pressure treatment.

Indexed as

AgedBlood PressureFemaleGlomerular Filtration RateHumansMaleMiddle AgedPhosphatesRenal Insufficiency, ChronicSodiumSodium, DietaryPhosphatesSodiumSodium, Dietary

Identifiers

PMID28866091
PMCPMC5825234
OpenAlexW2751321613

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.