Evidence map›Paper›PMID 30661474›Full record

Trial reportHypertension (Dallas, Tex. : 1979)2019

Reducing Dietary Sodium to 1000 mg per Day Reduces Neurovascular Transduction Without Stimulating Sympathetic Outflow.

Matthew C Babcock, Austin T Robinson, Kamila U Migdal, Joseph C Watso, Megan M Wenner, Sean D Stocker, William B Farquhar

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Hypertension (Dallas, Tex. : 1979), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04244604 (The Effects of a High Salt Meal on Blood Flow Regulation), which is not on this map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
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.

NCT04244604 nacompletednot on this mapstarted 2021, after this paper: background citation

The Effects of a High Salt Meal on Blood Flow Regulation

TypeinterventionalSponsorIndiana UniversityRan2021 to 2025Enrolled71ConditionsSodium Excess, Racial Disparities, Blood Pressure, Cardiovascular Risk FactorArmsLow Sodium Meal (140 mg sodium chloride), High Sodium Meal (2500 mg sodium chloride)
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Salt Loading Blunts Central and Peripheral Postexercise Hypotension.Medicine and science in sports and exercise · 2020
    Trial
  8. Short-term water deprivation does not increase blood pressure variability or impair neurovascular function in healthy young adults.American journal of physiology. Regulatory, integrative and comparative physiology · 2020
    Trial
  9. Article
  10. Sodium intake and biological sex influence urinary endothelin-1 in salt-resistant adults: a pilot study.American journal of physiology. Regulatory, integrative and comparative physiology · 2025
    Article
  11. Review
  12. Reduced ATHypertension (Dallas, Tex. : 1979) · 2025
    Article
  13. Article
  14. The damaging duo: Obesity and excess dietary salt contribute to hypertension and cardiovascular disease.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2023
    Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. 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

7 authors at 1 institution in 1 country.

Matthew C BabcockFrom the Department of Kinesiology and Applied Physiology, University of Delaware, Newark (M.C.B., A.T.R., K.U.M., J.C.W., M.M.W., W.B.F.).
Austin T RobinsonFrom the Department of Kinesiology and Applied Physiology, University of Delaware, Newark (M.C.B., A.T.R., K.U.M., J.C.W., M.M.W., W.B.F.).
Kamila U MigdalFrom the Department of Kinesiology and Applied Physiology, University of Delaware, Newark (M.C.B., A.T.R., K.U.M., J.C.W., M.M.W., W.B.F.).
Joseph C WatsoFrom the Department of Kinesiology and Applied Physiology, University of Delaware, Newark (M.C.B., A.T.R., K.U.M., J.C.W., M.M.W., W.B.F.).
Megan M WennerFrom the Department of Kinesiology and Applied Physiology, University of Delaware, Newark (M.C.B., A.T.R., K.U.M., J.C.W., M.M.W., W.B.F.).
Sean D StockerDivision of Renal-Electrolyte, Department of Medicine, University of Pittsburgh, PA (S.D.S.).
William B FarquharFrom the Department of Kinesiology and Applied Physiology, University of Delaware, Newark (M.C.B., A.T.R., K.U.M., J.C.W., M.M.W., W.B.F.).
University of Delaware · US

Funding

Vascular Consequences of Duchenne Muscular DystrophyP20GM113125 · NIGMS · UNIVERSITY OF DELAWARE · PI LENNON, SHANNON L. · 2016 to 2025
$23.3M
Adverse Neurogenic Actions of Dietary SaltR01HL128388 · NHLBI · UNIVERSITY OF DELAWARE · PI FARQUHAR, WILLIAM B, STOCKER, SEAN D · 2016 to 2019
$2.6M
NHLBI NIH HHS R01 HL128388NIGMS NIH HHS P20 GM113125
6 · The paper itself

Abstract

The American Heart Association recommends no more than 1500 mg of sodium/day as ideal. Some cohort studies suggest low-sodium intake is associated with increased cardiovascular mortality. Extremely low-sodium diets (≤500 mg/d) elicit activation of the renin-angiotensin-aldosterone system and stimulate sympathetic outflow. The effects of an American Heart Association-recommended diet on sympathetic regulation of the vasculature are unclear. Therefore, we assessed whether a 1000 mg/d diet alters sympathetic outflow and sympathetic vascular transduction compared with the more commonly recommended 2300 mg/d. We hypothesized that sodium reduction from 2300 to 1000 mg/d would not affect resting sympathetic outflow but would reduce sympathetic transduction in healthy young adults. Seventeen participants (age: 26±2 years, 9F/8M) completed 10-day 2300 and 1000 mg/d sodium diets in this randomized controlled feeding study (crossover). We measured resting renin activity, angiotensin II, aldosterone, blood pressure, muscle sympathetic nerve activity, and norepinephrine. We quantified beat-by-beat changes in mean arterial pressure and leg vascular conductance (femoral artery ultrasound) following spontaneous sympathetic bursts to assess sympathetic vascular transduction. Reducing sodium to 1000 mg/d increased renin activity, angiotensin II, and aldosterone ( P<0.01 for all) but did not alter mean arterial pressure (78±2 versus 77±2 mm Hg, P=0.56), muscle sympathetic nerve activity (13.9±1.3 versus 13.9±0.8 bursts/min, P=0.98), or plasma/urine norepinephrine. Sympathetic vascular transduction decreased ( P<0.01). These data suggest that reducing sodium from 2300 to 1000 mg/d stimulates the renin-angiotensin-aldosterone system, does not increase resting basal sympathetic outflow, and reduces sympathetic vascular transduction in normotensive adults.

Indexed as

AdultBlood PressureCross-Over StudiesDiet, Sodium-RestrictedDose-Response Relationship, DrugFemaleHumansHypertensionMaleMuscle, Smooth, VascularSodium Chloride, DietarySympathetic Nervous SystemVascular ResistanceYoung AdultSodium Chloride, Dietaryaldosteroneangiotensinsblood pressurehypertensionrenin

Identifiers

PMID30661474
PMCPMC6374182
OpenAlexW2911018560

What OpenQuestion holds

Textmetadata
LicenceTDM
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.