Evidence map›Paper›PMID 33099493›Full record

ArticleBMJ open2020

National survey to estimate sodium and potassium intake and knowledge attitudes and behaviours towards salt consumption of adults in the Sultanate of Oman.

Adhra Al-Mawali, Lanfranco D'Elia, Sathish Kumar Jayapal, Magdi Morsi, Waleed Nasser Al-Shekaili, Avinash D Pinto, Hilal Al-Kharusi, Zainab Al-Balushi, John Idikula, Ayaman Al-Harrasi and 1 more

Abstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Low Potassium Intake: A Common Risk Factor for Nephrolithiasis in Patients with High Blood Pressure.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2023
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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

11 authors.

Adhra Al-MawaliCentre of Studies & Research, Ministry of Health, Muscat, Oman.
Lanfranco D'EliaWHO Collaborating Centre for Nutrition, University of Warwick, Coventry, UK.
Sathish Kumar JayapalCentre of Studies & Research, Ministry of Health, Muscat, Oman.
Magdi MorsiCentre of Studies & Research, Ministry of Health, Muscat, Oman.
Waleed Nasser Al-ShekailiCentre of Studies & Research, Ministry of Health, Muscat, Oman.
Avinash D PintoCentre of Studies & Research, Ministry of Health, Muscat, Oman.
Hilal Al-KharusiCentre of Studies & Research, Ministry of Health, Muscat, Oman.
Zainab Al-BalushiCentre of Studies & Research, Ministry of Health, Muscat, Oman.
John IdikulaCentre of Studies & Research, Ministry of Health, Muscat, Oman.
Ayaman Al-HarrasiCentre of Studies & Research, Ministry of Health, Muscat, Oman.
Francesco P CappuccioWHO Collaborating Centre for Nutrition, University of Warwick, Coventry, UK f.p.cappuccio@warwick.ac.uk.ORCID 0000-0002-7842-5493

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo estimate population sodium and potassium intakes and explore knowledge, attitudes and behaviour (KAB) towards the use of salt in adults in the Sultanate of Oman.

designNational cross-sectional population-based survey.

settingProportional random samples, representative of Omani adults (18 years or older), were obtained from all governorates of the Sultanate of Oman.

participantsFive hundred and sixty-nine (193 men, 376 women; 18 years or older) were included in the analysis (response rate 57%). Mean age was 39.4 years (SD 13.1). Participants attended a screening including demographic, anthropometric and physical measurements. PRIMARY AND SECONDARY OUTCOME MEASURES: We assessed dietary sodium, potassium and creatinine by 24-hour urinary sodium (UNa), potassium (UK) and creatinine (UCr) excretions. We collected KAB by a questionnaire on an electronic tablet.

resultsMean UNa was 144.3 (78.8) mmol/day, equivalent to 9.0 g of salt/day and potassium excretion 52.6 (32.6) mmol/day, equivalent to 2.36 g/day, after adjusting for non-urinary losses. Men ate significantly more sodium and potassium than women. Only 22% of the sample had a salt intake below the WHO recommended target of 5 g/day and less than 10% met WHO targets for potassium excretion (>90 mmol/day). While 89.1% of those interviewed knew that consuming too much salt could cause serious health problems and only 6.9% felt they were using too much added salt, one in two participants used always or often salt, salty seasonings or salty sauces in cooking or when preparing food at home.

conclusionsIn the Sultanate of Oman, salt consumption is higher and potassium consumption lower than recommended by WHO, both in men and in women. The present data provide, for the first time, evidence to support a national programme of population salt reduction to prevent the increasing burden of cardiovascular disease in the area.

Indexed as

SodiumSodium, DietaryAdultCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansMaleOmanPotassiumSodium Chloride, DietaryPotassiumSodiumSodium Chloride, DietarySodium, Dietaryepidemiologynutrition & dieteticspublic health

Identifiers

PMID33099493
PMCPMC7590363

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LicenceCC BY
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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.