Evidence map›Paper›PMID 40214261›Full record

Trial reportAmerican journal of hypertension2025

A Randomized Clinical Trial of ICT-based Interventions for Sodium and Potassium Regulation in Healthy Adults.

Yuichiro Yano, Kaori Kitaoka, Takayoshi Ohkubo, Tomonori Okamura, Hiroshi Kanegae, Katsushi Yoshita, Rumi Tsukinoki, Yukiko Okami, Koichi Node, Hiromi Rakugi and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of hypertension, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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

12 authors.

Yuichiro YanoDepartment of Advanced Epidemiology, NCD Epidemiology Research Center, Shiga University of Medical Science, Otsu, Japan.ORCID 0000-0002-2565-7290
Kaori KitaokaDepartment of Advanced Epidemiology, NCD Epidemiology Research Center, Shiga University of Medical Science, Otsu, Japan.ORCID 0000-0001-8214-5251
Takayoshi OhkuboDepartment of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan.
Tomonori OkamuraDepartment of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan.
Hiroshi KanegaeGenki Plaza Medical Center for Health Care, Tokyo, Japan.
Katsushi YoshitaDepartment of Nutrition, Graduate School of Human Life and Ecology, Osaka Metropolitan University, Osaka, Japan.
Rumi TsukinokiDepartment of Public Health Nursing, Institute of Science Tokyo, Tokyo, Japan.
Yukiko OkamiDepartment of Preventive Medicine, NCD Epidemiology Research Center, Shiga University of Medical Science, Otsu, Japan.
Koichi NodeDepartment of Cardiovascular Medicine, Saga University, Saga, Japan.ORCID 0000-0002-2534-0939
Hiromi RakugiJapanese Society of Hypertension, Tokyo, Japan.
Hiroshi ItohJapanese Society of Hypertension, Tokyo, Japan.ORCID 0000-0003-2514-4919
Katsuyuki MiuraDepartment of Preventive Medicine, NCD Epidemiology Research Center, Shiga University of Medical Science, Otsu, Japan.ORCID 0000-0002-2646-9582

Funding

Health and Labour Sciences Research 22FB1002
6 · The paper itself

Abstract

backgroundThere is limited knowledge regarding effective strategies, including information and communication technology (ICT)-based interventions, to reduce sodium intake and increase potassium intake in healthy individuals.

methodsWe conducted a 3-month randomized controlled trial involving healthy adult employees with spot urine sodium-to-potassium ratios (spot UNa/UK) ≥4.0 or estimated 24-hour salt intake ≥10g. Estimated 24-hour UNa and UK were calculated using the Tanaka formula. Participants were assigned to one of four groups: (i) online education, where participants monitored their spot UNa/UK and received feedback from dieticians (n = 84); (ii) messaging, with similar self-monitoring and dietician messages (n = 84); (iii) self-learning, provided with an educational leaflet (n = 87); and (iv) a control group (n = 87). The primary outcome was the change in spot UNa/UK ratios, and secondary outcomes included changes in estimated 24-hour UNa and UK. The trial protocol specified a hierarchical order for testing the interventions, anticipating the highest efficacy in the online education group.

resultsAfter the intervention, the online education group showed a decrease in spot UNa/UK ratios (mean -0.9 (95% CI: -1.8 to 0.0), P = 0.052) compared to the control group. The increase in estimated 24-hour UK excretion was larger in online education compared to the control group (mean + 2.5 mmol/day (95% CI: -0.3 to 5.3), P = 0.085). The difference in estimated 24-hour UNa excretion between the online education and control groups was -4.3 mmol/day (95% CI: -15.5 to 6.9, P = 0.45).

conclusionsCombining self-monitoring of sodium and potassium intake with ICT-based interventions, including online nutritional education, was associated with a modest reduction in the estimated ratios of sodium and potassium intake in healthy individuals. CLINICAL

trial registrationJapan Registry of Clinical Trials; 1032210217, https://jrct.niph.go.jp/en-latest-detail/jRCT1032210217.

Indexed as

Internet-Based InterventionPatient Education as TopicPotassium, DietarySodium, DietaryAdultFemaleHealth Knowledge, Attitudes, PracticeHealthy VolunteersHumansMaleMiddle AgedYoung AdultPotassium, DietarySodium, Dietaryblood pressureICT-based interventionsself-monitoringspot urine sodium-to-potassium ratios

Identifiers

PMID40214261
PMCPMC12260158

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.