Evidence map›Paper›PMID 34498797›Full record

ReviewJournal of clinical hypertension (Greenwich, Conn.)2021

Salt intake and salt-reduction strategies in South Asia: From evidence to action.

Kamal Ghimire, Shiva Raj Mishra, Gautam Satheesh, Dinesh Neupane, Abhishek Sharma, Rajmohan Panda, Per Kallestrup, Craig S Mclachlan

Open access · diamondAbstract readReview
In one paragraph

Review in Journal of clinical hypertension (Greenwich, Conn.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
3.5field-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.

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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. The descriptive epidemiology of gastric cancer in Afghanistan: a population-based cancer registry, 2018-2020.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Ecological momentary assessment of meal context and food types contributing to salt intake at meals.The international journal of behavioral nutrition and physical activity · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

8 authors at 8 institutions in 6 countries.

Kamal GhimireNepal Development Society, Bhratpur-10, Chitwan, Nepal.
Shiva Raj MishraNepal Development Society, Bhratpur-10, Chitwan, Nepal.
Gautam SatheeshThe George Institute for Global Health, Hyderabad, Telangana, India.
Dinesh NeupaneWelch Center for Prevention, Epidemiology and Clinical Research, Department of Epidemiology, Johns Hopkins University, Baltimore, Maryland, USA.
Abhishek SharmaWorld Heart Federation, Salim Yusuf Emerging Leaders Programme, Geneva, Switzerland.
Rajmohan PandaDepartment of Research, Public Health Foundation of India, New Delhi, India.
Per KallestrupDepartment of Public Health, Center for Global Health, Aarhus University, Aarhus, Denmark.
Craig S MclachlanSchool of Health, Torrens University, Sydney, New South Wales, Australia.
Aarhus University · DKBoston University · USChitwan Medical College · NPGeorge Institute for Global Health · INJohns Hopkins University · USNepal Red Cross Society · NPPublic Health Foundation of India · INTorrens University Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The World Health Organization recommends salt reduction as a cost-effective intervention to prevent noncommunicable diseases. Salt-reduction interventions are best tailored to the local context, taking into consideration the varying baseline salt-intake levels, population's knowledge, attitude, and behaviors. Fundamental to reduction programs is the source of dietary salt-intake. In South Asian countries, there is a paucity of such baseline evidence around factors that contribute to community salt intake. Upon reviewing the electronic literature databases and government websites through March 31, 2021, we summarized dietary salt intake levels and aimed to identify major sources of sodium in the diet. Information on the current salt reduction strategies in eight South Asian countries were summarized, namely Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, and Sri Lanka. One hundred twelve publications (out of identified 640) met our inclusion-exclusion criteria for full text review. Twenty-one studies were included in the review. Quality of the included studies was assessed using the US National Heart, Lung, and Blood Institute assessment tool. The primary result revealed that mean salt intake of South Asian countries was approximately twice (10 g/day) compared to WHO recommended intake (< 5 g/day). The significant proportion of salt intake is derived from salt additions during cooking and/or discretionary use at table. In most South Asian countries, there is limited data on population sodium intake based on 24-h urinary methods and sources of dietary salt in diet. While salt reduction initiatives have been proposed in these countries, they are yet to be fully implemented and evaluated. Proven salt reduction strategies in high-income countries could possibly be replicated in South Asian countries; however, further community-health promotion studies are necessary to test the effectiveness and scalability of those strategies in the local context.

Indexed as

HypertensionSodium Chloride, DietaryAsiaBangladeshHumansIndiaSodium Chloride, Dietarycardiovascular diseasecommunity-baseddietary sodium-intakehypertensionsalt reductionSouth Asia

Identifiers

PMID34498797
PMCPMC8678780
OpenAlexW3197056493

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.