Evidence map›Paper›PMID 30624582›Full record

ArticleThe American journal of clinical nutrition2019

Association of usual 24-h sodium excretion with measures of adiposity among adults in the United States: NHANES, 2014.

Lixia Zhao, Mary E Cogswell, Quanhe Yang, Zefeng Zhang, Stephen Onufrak, Sandra L Jackson, Te-Ching Chen, Catherine M Loria, Chia-Yih Wang, Jacqueline D Wright and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of clinical nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
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  7. Review
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  10. Observational
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  14. Article
  15. The Influence of Dietary Salt Beyond Blood Pressure.Current hypertension reports · 2019
    Review
  16. 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

13 authors at 3 institutions in 1 country.

Lixia ZhaoNational Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA.
Mary E CogswellNational Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA.
Quanhe YangNational Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA.
Zefeng ZhangNational Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA.
Stephen OnufrakNational Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA.
Sandra L JacksonNational Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA.
Te-Ching ChenNational Center for Health Statistics, CDC, Hyattsville, MD.
Catherine M LoriaNational Heart, Lung, and Blood Institute, NIH, Bethesda, MD.
Chia-Yih WangNational Center for Health Statistics, CDC, Hyattsville, MD.
Jacqueline D WrightNational Heart, Lung, and Blood Institute, NIH, Bethesda, MD.
Ana L TerryNational Center for Health Statistics, CDC, Hyattsville, MD.
Robert MerrittNational Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA.
Cynthia L OgdenNational Center for Health Statistics, CDC, Hyattsville, MD.
National Center for Chronic Disease Prevention and Health Promotion · USNational Center for Health Statistics · USNational Heart Lung and Blood Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Both excessive sodium intake and obesity are risk factors for hypertension and cardiovascular disease. The association between sodium intake and obesity is unclear, with few studies assessing sodium intake using 24-h urine collection. Objectives: Our objective was to assess the association between usual 24-h sodium excretion and measures of adiposity among US adults. Methods: Cross-sectional data were analyzed from a sample of 730 nonpregnant participants aged 20-69 y who provided up to 2 complete 24-h urine specimens in the NHANES 2014 and had data on overweight or obesity [body mass index (kg/m2) ≥25] and central adiposity [waist circumference (WC): >88 cm for women, >102 cm for men]. Measurement error models were used to estimate usual sodium excretion, and multiple linear and logistic regression models were used to assess its associations with measures of adiposity, adjusting for sociodemographic, health, and dietary variables [i.e., energy intake or sugar-sweetened beverage (SSB) intake]. All analyses accounted for the complex survey sample design. Results: Unadjusted mean ± SE usual sodium excretion was 3727 ± 43.5 mg/d and 3145 ± 55.0 mg/d among participants with and without overweight/obesity and 3653 ± 58.1 mg/d and 3443 ± 35.3 mg/d among participants with or without central adiposity, respectively. A 1000-mg/d higher sodium excretion was significantly associated with 3.8-units higher BMI (95% CI: 2.8, 4.8) and a 9.2-cm greater WC (95% CI: 6.9, 11.5 cm) adjusted for covariates. Compared with participants in the lowest quartile of sodium excretion, the adjusted prevalence ratios in the highest quartile were 1.93 (95% CI: 1.69, 2.20) for overweight/obesity and 2.07 (95% CI: 1.74, 2.46) for central adiposity. The associations also were significant when adjusting for SSBs, instead of energy, in models. Conclusions: Higher usual sodium excretion is associated with overweight/obesity and central adiposity among US adults.

Indexed as

Nutrition SurveysAdiposityAdultAgedBeveragesBody Mass IndexCross-Sectional StudiesEnergy IntakeEthnicityFemaleHumansMaleMiddle AgedObesityObesity, AbdominalOverweightSodiumSodium, DietarySweetening Agents

Identifiers

PMID30624582
PMCPMC6500904
OpenAlexW2910645438

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.