Evidence map›Paper›PMID 31742882›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2019

The association between salt intake and arterial stiffness is influenced by a sex-specific mediating effect through blood pressure in normotensive adults: The ELSA-Brasil study.

Marcelo P Baldo, Luisa C C Brant, Roberto S Cunha, Maria Del Carmen B Molina, Rosane H Griep, Sandhi M Barreto, Paulo Andrade Lotufo, Isabela M Bensenor, José G Mill

Abstract read
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Effects of excess sodium consumption on arterial function in C57BL/6 mice.American journal of physiology. Heart and circulatory physiology · 2024
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Vascular Stiffness in Aging and Disease.Frontiers in physiology · 2021
    Review
  9. 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

9 authors.

Marcelo P BaldoDepartment of Pathophysiology, Montes Claros State University, Montes Claros, Brazil.ORCID 0000-0002-7673-3580
Luisa C C BrantFaculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Roberto S CunhaDepartment of Physiological Sciences, Federal University of Espírito Santo, Vitória, Brazil.
Maria Del Carmen B MolinaPost Graduate Programme in Public Health, Federal University of Espírito Santo, Vitória, Brazil.
Rosane H GriepLaboratory of Health and Environment Education, Oswaldo Cruz Institute, Rio de Janeiro, Brazil.
Sandhi M BarretoFaculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Paulo Andrade LotufoCenter for Clinical and Epidemiologic Research, University of São Paulo, São Paulo, Brazil.ORCID 0000-0002-4856-8450
Isabela M BensenorCenter for Clinical and Epidemiologic Research, University of São Paulo, São Paulo, Brazil.
José G MillDepartment of Physiological Sciences, Federal University of Espírito Santo, Vitória, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High salt intake is known to increase blood pressure (BP) and also to be associated with carotid-femoral pulse wave velocity (cf-PWV). However, recent data showed a sex-specific pattern in the salt-induced rise of BP. Thus, we aimed to investigate whether the association between salt intake and arterial stiffness also has a sex-specific pattern. A total of 7755 normotensive participants with a validated 12-h overnight urine collection in which daily salt intake was estimated were included. cf-PWV, as well as clinical and anthropometric parameters, was measured. Salt intake positively correlated with cf-PWV, in which the linear regression was steeper in women than in men (0.0199 ± 0.0045 vs 0.0326 ± 0.0052 m/s per gram of salt, P < .05). cf-PWV increases over the salt quartiles in men and women. However, after adjustment for confounders, the association remained significant only for men. In the path analysis, the direct path (men: 0.048 P < .001, women: 0.029 P = .028) was higher in men while that mediated by SBP (men: 0.020 P < .001, women: 0.034 P < .001) was higher in women. We clearly demonstrated that high salt intake has a direct and independent effect increasing arterial stiffness regardless of sex. Also, the association between salt intake and arterial stiffness is more dependent on BP in normotensive women than it is in normotensive men. These results highlight the need for a sex-specific approach in the evaluation of cardiovascular risk associated with dietary habits.

Indexed as

AdultAnthropometryBlood PressureBrazilCardiovascular DiseasesCarotid-Femoral Pulse Wave VelocityCase-Control StudiesDiastoleFeeding BehaviorFemaleHumansHypertensionLongitudinal StudiesMaleMiddle AgedRisk AssessmentSodium Chloride, Dietaryarterial stiffnessblood pressuremediationsalt intakesex differences

Identifiers

PMID31742882
PMCPMC8030347

What OpenQuestion holds

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Registered trials

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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.