Evidence map›Paper›PMID 36384446›Full record

ReviewBMC medical research methodology2022

Prioritizing population-based nutrition-related interventions to prevent and control hypertension in Iran: a multi-criteria decision-making approach.

Soghra Aliasgharzadeh, Mehrangiz Ebrahimi-Mameghani, Reza Mahdavi, Hossein Karimzadeh, Leila Nikniaz, Jafar Sadegh Tabrizi, Fathollah Pourali

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BMC medical research methodology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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

3 citing papers in PubMed.

  1. Article
  2. Foraging, Farming or Shopping? A Decision Matrix Approach for Food Environment Assessments.International journal of environmental research and public health · 2025
    Article
  3. 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.

Soghra AliasgharzadehStudent Research Committee, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
Mehrangiz Ebrahimi-MameghaniSocial Determinant of Health Research Center, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
Reza MahdaviNutrition Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Hossein KarimzadehDepartment of rural planning, Faculty of Planning and Environmental Sciences, University of Tabriz, Tabriz, Iran.
Leila NikniazTabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Jafar Sadegh TabriziTabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. js.tabrizi@gmail.com.
Fathollah PouraliCommunity Nutrition Department of Public Health Deputy, Tabriz University of Medical Sciences, Tabriz, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNumerous nutrition-related policy options and strategies have been proposed to tackle hypertension and other risk factors of non-communicable diseases (NCDs). In this study, we developed a comparative analysis using a multi-criteria decision-making (MCDM) model for prioritizing population-based nutrition-related interventions to prevent and control hypertension in Iran.

methodsWe employed a combination of Delphi technique and Analytic Hierarchy Process (AHP) method as the methodological tool to prioritize decision alternatives using multiple criteria. The prominent assessment criteria and intervention strategies were derived using a literature review, focus group discussion (n = 11), and a 2-round modified Delphi technique with specialists and experts involved in different stages of health policy-making (round 1: n = 50, round 2: n = 46). Then, the AHP was used to determine the weightage of the selected interventions and develop the decision-making model. The sensitivity analysis was performed to test the stability of the priority ranking.

resultsNine alternative interventions were included in the final ranking based on eight assessment criteria. According to the results, the most priority interventions to prevent and control hypertension included reformulation of food products to contain less salt and changing the target levels of salt in foods and meals, providing low-sodium salt substitutes, and reducing salt intake through the implementation of front-of-package labeling (FOPL). The results of the sensitivity analysis and a comparison analysis suggested that the assessment model performed in this study had an appropriate level of robustness in selecting the best option among the proposed alternatives.

conclusionMCDM techniques offer a potentially valuable approach to rationally structuring the problem, along with the opportunity to make explicit the judgments used as part of the decision-making model. The findings of this study provide a preliminary evidence base to guide future decisions and reforms aiming to improve appropriate population-based interventions for tackling hypertension and other risk factors of NCDs.

Indexed as

HypertensionPolicy MakingDelivery of Health CareHumansIranAnalytic hierarchy processDelphi techniqueHypertensionMulti-criteria decision-makingNon-communicable diseasesNutrition-related intervention

Identifiers

PMID36384446
PMCPMC9666957

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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.