Evidence map›Paper›PMID 32762131›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2020

Relationship between dietary sodium and sugar intake: A cross-sectional study of the National Health and Nutrition Examination Survey 2001-2016.

Todd W Gress, Kanaan Mansoor, Yaser M Rayyan, Rodhan A Khthir, Reema F Tayyem, Antonios H Tzamaloukas, Nader G Abraham, Joseph I Shapiro, Zeid J Khitan

Abstract read
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Everything in moderation: Understanding the interplay between salt and sugar intake.Journal of clinical hypertension (Greenwich, Conn.) · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Todd W GressInternal Medicine Department, Marshall University Joan C. Edwards School of Medicine, Huntington, West Virginia, USA.
Kanaan MansoorInternal Medicine Department, Marshall University Joan C. Edwards School of Medicine, Huntington, West Virginia, USA.
Yaser M RayyanInternal Medicine Department, Faculty of Medicine, University of Jordan, Amman, Jordan.
Rodhan A KhthirInternal Medicine Department, Marshall University Joan C. Edwards School of Medicine, Huntington, West Virginia, USA.
Reema F TayyemDepartment of Nutrition and Food Technology, Faculty of Agriculture, University of Jordan, Amman, Jordan.
Antonios H TzamaloukasInternal Medicine Department, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.
Nader G AbrahamNew York Medical College, Valhalla, New York, USA.
Joseph I ShapiroInternal Medicine Department, Marshall University Joan C. Edwards School of Medicine, Huntington, West Virginia, USA.
Zeid J KhitanInternal Medicine Department, Marshall University Joan C. Edwards School of Medicine, Huntington, West Virginia, USA.ORCID 0000-0003-1607-770X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dietary sodium intake and cardiovascular outcomes have a reported J-shaped curve relationship. This study analyzes the relationship between dietary sodium and sugar intake as a potential mechanism to explain this association. The authors examined cross-sectional data from the National Health and Nutrition Examination Survey (NHANES) 2001-2016 where dietary sodium, carbohydrate, fat, cholesterol, and sugar intakes were assessed by 24-hour dietary recall and were standardized to a total daily intake of 2000 calories. Sodium intake was categorized into sodium quintiles (SQ) as follows: SQ1(0.06-2.6 g/d); SQ2(2.6-3.0 g/d); SQ3(3.0-3.4 g/d); SQ4(3.4-4.0 g/d); and SQ5(4.0-29.3 g/d). Simple and multivariate linear regression using SQ3 as reference were used to assess associations between daily sodium intake and the other nutrients. Our results showed that among 38 722 participants that met our study criteria, the mean age was 43.6 years (SD 16.8 years) and sex was equally distributed (48.8% male vs 51.2% female). Sugar intake went down across increasing SQs and was significantly higher in SQ1 (141.2 g/d) and SQ2 (118.6 g/d) and significantly lower in SQ4 (97.9 g/d) and SQ5 (85.6 g/d) compared to SQ3 (108.6 g/d; all P < .01). These same trends remained unchanged and significant in the fully adjusted multivariate model. In conclusion, NHANES study participants reporting low sodium intake on 24-hour dietary recall have a higher consumption of sugar. The negative impact of low sodium diet on cardiovascular health may be explained at least partially by the associated high sugar intake.

Indexed as

HypertensionNutrition SurveysAdultCross-Sectional StudiesDietEnergy IntakeFemaleHumansMaleSodium, DietarySugarsSodium, DietarySugarscardiovascularfructoseoutcomesodiumsugar

Identifiers

PMID32762131
PMCPMC8029884

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.