Evidence map›Paper›PMID 41053684›Full record

ArticleBMC cancer2025

High sodium intake: a silent killer driving global gastric cancer burden.

Xiqiang Zhang, Zhaoyi Jing, Ao Yu, Xinzhen Xu, Hua Meng, Kexin Wang

Abstract read
In one paragraph

Article in BMC cancer, 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. Prevention of Gastric Cancer.Medicina (Kaunas, Lithuania) · 2026
    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

6 authors.

Xiqiang ZhangDepartment of General Surgery, China-Japan Friendship Hospital, Capital Medical University, Beijing, China.
Zhaoyi JingThe First Clinical College, Shandong University of Traditional Chinese Medicine, Jinan, China.
Ao YuThe First Clinical College, Shandong University, Jinan, China.
Xinzhen XuDepartment of General Surgery, Jinan City People's Hospital, Jinan, China.
Hua MengDepartment of General Surgery, China-Japan Friendship Hospital, Capital Medical University, Beijing, China. menghuade@hotmail.com.
Kexin WangDepartment of General Surgery, Qilu Hospital of Shandong University, Jinan, 250012, China. wkx3726@163.com.

Funding

National Natural Science Foundation of China General Program, Grant No.82470857National Natural Science Foundation of China No. 82070852Natural Science Foundation of Beijing Municipality General Program, Grant No. 7242125
6 · The paper itself

Abstract

backgroundHigh sodium intake is a recognized risk factor for increased gastric cancer mortality. This study examines the trends and distribution of stomach cancer burden associated with high sodium intake from 1990 to 2021, with a focus on its relationship with age, period, and birth cohort.

methodsUtilizing data from the 2021 Global Burden of Disease study, we applied an age-period-cohort model to conduct statistical analysis. We calculated age, period, and cohort effects, as well as net drift (overall annual percentage change), for gastric cancer deaths and disability-adjusted life years (DALYs) associated with high sodium intake across 204 countries and regions.

resultsIn 2021, 7.93% of global gastric cancer deaths and 7.92% of DALYs were linked to high sodium intake. Populations in East Asia and those with a high-middle Sociodemographic Index (SDI) bore the heaviest burden. Over the 32-year period, the global age-standardized mortality rate [Net drift = -2.33(95%CI:-2.37 to -2.28)] and age-standardized DALYs rate [Net drift = -2.56(95%CI:-2.65 to -2.47)] generally demonstrated a declining trend, particularly in high SDI regions [Net drift =-2.91 (95%CI: -3.02 to -2.81)]. China, as a representative country, exhibited unfavorable age, period, and cohort effects. Future projections suggest further declines in mortality and DALYs numbers, along with corresponding age-standardized rates.

conclusionDespite ongoing global efforts to reduce sodium intake, gastric cancer remains a significant public health challenge, especially in East Asia. The findings underscore the necessity of developing targeted prevention strategies for high-risk groups, such as the elderly and males, to mitigate the global burden of gastric cancer.

Indexed as

Sodium, DietaryStomach NeoplasmsAdultAgedCohort StudiesDisability-Adjusted Life YearsFemaleGlobal Burden of DiseaseGlobal HealthHumansMaleMiddle AgedRisk FactorsSodium, DietaryAge-period- cohortDisability-adjusted life yearsGastric cancerGlobal burden of diseaseMortalityNet drift

Identifiers

PMID41053684
PMCPMC12502230

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.