Evidence map›Paper›PMID 36964250›Full record

ArticleEuropean journal of nutrition2023

Association between salt intake and gastric atrophy by Helicobacter pylori infection: first results from the Epidemiological Investigation of Gastric Malignancy (ENIGMA).

Viktoria Knaze, Heinz Freisling, Paz Cook, Katy Heise, Johanna Acevedo, Marcos Cikutovic, Karl-Heinz Wagner, Rodrig Marculescu, Catterina Ferreccio, Rolando Herrero and 1 more

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Article in European journal of nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

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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 at 9 institutions in 5 countries.

Viktoria KnazeEarly Detection, Prevention and Infections Branch, International Agency for Research On Cancer (IARC/WHO), Lyon, France.
Heinz FreislingNutrition and Metabolism Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, France.
Paz CookPontificia Universidad Católica de Chile, Santiago, Chile.
Katy HeiseHospital Cancer Registry, Hospital Base Valdivia, Valdivia, Chile.
Johanna AcevedoEpidemiology Department, Health Ministry, Santiago, Chile.
Marcos CikutovicFaculty of Health Sciences, Universidad de Antofagasta, Antofagasta, Chile.
Karl-Heinz WagnerDepartment of Nutritional Sciences and Research Platform Active Ageing, University of Vienna, Vienna, Austria.
Rodrig MarculescuDivision of Medical-Chemical Laboratory Diagnostics, Department of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Catterina FerreccioPontificia Universidad Católica de Chile, Santiago, Chile.
Rolando HerreroEarly Detection, Prevention and Infections Branch, International Agency for Research On Cancer (IARC/WHO), Lyon, France.
Jin Young ParkEarly Detection, Prevention and Infections Branch, International Agency for Research On Cancer (IARC/WHO), Lyon, France. parkjy@iarc.who.int.ORCID http://orcid.org/0000-0003-2491-5099
Centre international de recherche sur le cancer · FRHospital Base · CLInstituto Costarricense de Investigación y Enseñanza en Nutrición y Salud · CRMedical University of Vienna · ATMinistry of Health · CLPontificia Universidad Católica de Chile · CLUniversidad de Antofagasta · CLUniversity of North Carolina at Chapel Hill · USUniversity of Vienna · AT

Funding

World Health Organization 001
6 · The paper itself

Abstract

purposeGastric atrophy (GA), usually linked to chronic infection with Helicobacter pylori (H. pylori), may over time evolve into gastric malignancy. Besides H. pylori, high salt intake may play a role in GA development. This study evaluates cross sectionally the association between salt intake and GA in Chilean adults.

methodsPopulation-based samples were recruited from two sites, Antofagasta and Valdivia, partaking in the Epidemiological Investigation of Gastric Malignancies. At recruitment, participants answered questionnaires and provided biospecimens. Salt intake (g/day) was estimated from casual spot urine samples using the Tanaka equation. GA was determined by serum pepsinogen levels. Only participants ≥ 40 to 70 years of age were considered in this analysis, n = 565. For the association between salt intake (as sex-specific quartiles) and GA, odds ratios (ORs) and the corresponding 95% confidence intervals (CI) were estimated through multivariable logistic regression.

resultsIn women, the multivariable-adjusted OR for GA comparing quartile 4 of the estimated salt intake (12.8 g/day) to quartile 1 (6.6 g/day) was 1.18 (95% CI 0.52-2.68, P-trend = 0.87). The corresponding OR in men was 0.49 (95% CI 0.19-1.27, P-trend = 0.17) with salt intakes of 12.8 g/day and 7.1 g/day for quartiles 4 and 1, respectively.

conclusionThere was little evidence for an association between salt intake estimated from spot urine and GA risk in our cross-sectional analysis of middle aged and older adults in Chile. Reverse causation bias cannot be ruled out and the sample size was limited to provide more precise estimates.

Indexed as

Gastritis, AtrophicHelicobacter InfectionsHelicobacter pyloriStomach NeoplasmsAgedAtrophyCross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk FactorsSodium Chloride, DietarySodium Chloride, DietaryAtrophic gastritisH. pyloriSodium excretionStomach cancerTanaka equation

Identifiers

PMID36964250
OpenAlexW4360827985

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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.