Evidence map›Paper›PMID 31143633›Full record

ArticleCardiovascular diagnosis and therapy2019

Integrating the development agenda with noncommunicable disease prevention in developing countries: a quasi-experimental study on inter-sectoral action and its impact on self-reported salt consumption-the INPARD study.

Isurujith K Liyanage, Kremlin Wickramasinghe, Prasad Katulanda, Ranil Jayawardena, Indika Karunathilake, Sharon Friel, Seenithamby Manoharan, Ashan Pathirana, Ajith Alagiyawanna, Nattashi Ranaweera and 1 more

Abstract read
In one paragraph

Article in Cardiovascular diagnosis and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

11 authors.

Isurujith K LiyanageFaculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
Kremlin WickramasingheCentre on Population Approaches for Non-Communicable Disease Prevention, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Prasad KatulandaFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Ranil JayawardenaFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Indika KarunathilakeFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Sharon FrielRegNet School of Regulation and Global Governance, Australian National University, Canberra, Australia.
Seenithamby ManoharanThe World Bank, Colombo, Sri Lanka.
Ashan PathiranaMinistry of Health, Sri Lanka.
Ajith AlagiyawannaMinistry of Health, Sri Lanka.
Nattashi RanaweeraFaculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
Nick TownsendDepartment for Health, University of Bath, Bath, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe determination of behaviours that lead to noncommunicable diseases (NCDs), such as high dietary salt intake, are multifactorial. The prevention of NCDs, including the promotion of healthy dietary choice, including low salt intake, therefore requires multisectoral working. Although the need of a multisectoral approach to risk factor modification has been globally accepted, there is minimal evidence for its application in the real world.

methodsThis quasi-experimental trial was designed to study the impact of a community led multisectoral approach to integrate nutrition prevention into the development agenda, in two districts in Sri Lanka, a lower-middle income country undergoing a phase of rapid socioeconomic development.

resultsResults from logistic regression found that those living in the district (Ampara) that identified salt intake as a health issue had significantly higher odds (OR =1.4; 95% CI =1.1, 1.9) of high salt consumption (>5 grams/day) at baseline compared to control areas (Kurunegala), in multivariable models. Post-intervention, individuals in this district had lower odds (OR =0.6; 95% CI =0.4, 0.9) of consuming high levels of salt in all models, including multivariable models whilst controlling for baseline high salt consumption.

conclusionsThe findings from this study demonstrate the positive impact in improved diet, in reduced salt consumption, through a community led multisectoral intervention, in areas in which the community identified high salt consumption as a health issue. These findings demonstrate that multisectoral approaches can be effective in the real world setting and highlight the need to engage with many stakeholders, including targeted communities throughout their development and implementation.

Indexed as

dietlow and middle-income countriesMultisectoralnoncommunicable diseases (NCDs)salt

Identifiers

PMID31143633
PMCPMC6511677

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.