Evidence map›Paper›PMID 34444836›Full record

SynthesisNutrients2021

Salt Reduction Initiatives in the Eastern Mediterranean Region and Evaluation of Progress towards the 2025 Global Target: A Systematic Review.

Ayoub Al-Jawaldeh, Mandy Taktouk, Aya Chatila, Sally Naalbandian, Al-Anoud Mohammed Al-Thani, Majid M Alkhalaf, Salima Almamary, Rawhieh Barham, Nimah M Baqadir, Faisal F Binsunaid and 2 more

Abstract readSystematic Review
In one paragraph

Synthesis in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

12 authors.

Ayoub Al-JawaldehRegional Office for the Eastern Mediterranean (EMRO), World Health Organization (WHO), Cairo 11435, Egypt.ORCID 0000-0001-7387-8277
Mandy TaktoukNutrition and Food Sciences Department, Faculty of Agriculture and Food Sciences, American University of Beirut, Beirut 11-0236, Lebanon.
Aya ChatilaNutrition and Food Sciences Department, Faculty of Agriculture and Food Sciences, American University of Beirut, Beirut 11-0236, Lebanon.
Sally NaalbandianScience and Agriculture Library, American University of Beirut, Beirut 11-0236, Lebanon.ORCID 0000-0003-0018-6151
Al-Anoud Mohammed Al-ThaniHealth Promotion and NCD Division, Public Health Department, Ministry of Public Health, Doha 42, Qatar.
Majid M AlkhalafNational Nutrition Committee, Saudi Food and Drug Authority, Riyadh 13312-6288, Saudi Arabia.
Salima AlmamaryNutrition Department, Ministry of Health, Muscat 393, Oman.
Rawhieh BarhamNutrition Department, Ministry of Health, Amman 11118, Jordan.ORCID 0000-0002-3729-6031
Nimah M BaqadirNational Nutrition Committee, Saudi Food and Drug Authority, Riyadh 13312-6288, Saudi Arabia.
Faisal F BinsunaidHealthy Food Department, Saudi Food and Drug Authority, Riyadh 13312-6288, Saudi Arabia.
Gihan FouadNational Nutrition Institute, Cairo 11435, Egypt.
Lara NasreddineNutrition and Food Sciences Department, Faculty of Agriculture and Food Sciences, American University of Beirut, Beirut 11-0236, Lebanon.

Funding

World Health Organization 001
6 · The paper itself

Abstract

This study aims at identifying national salt reduction initiatives in countries of the Eastern Mediterranean Region and describing their progress towards the global salt reduction target. A systematic review of published and grey literature was conducted. Key characteristics of strategies were extracted and classified according to a pre-defined framework: salt intake assessments; leadership and strategic approach; implementation strategies; monitoring and evaluation of program impact. Salt intake levels were estimated in 15 out of the 22 countries (68%), while national salt reduction initiatives were identified in 13 (59%). The majority of countries were found to implement multifaceted reduction interventions, characterized by a combination of two or more implementation strategies. The least common implementation strategy was taxation, while the most common was reformulation (100%), followed by consumer education (77%), initiatives in specific settings (54%), and front of pack labelling (46%). Monitoring activities were conducted by few countries (27%), while impact evaluations were lacking. Despite the ongoing salt reduction efforts in several countries of the region, more action is needed to initiate reduction programs in countries that are lagging behind, and to ensure rigorous implementation and evaluations of ongoing programs. Such efforts are vital for the achievement of the targeted 30% reduction in salt intake.

Indexed as

Feeding BehaviorSodium Chloride, DietaryDatabases, FactualHealth Plan ImplementationHumansMediterranean RegionSodium ChlorideSodium ChlorideSodium Chloride, DietaryEastern Mediterranean Regionevaluationimplementationreductionsaltstrategy

Identifiers

PMID34444836
PMCPMC8399509

What Socratic 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 Socratic graph.