Evidence map›Paper›PMID 39576798›Full record

Trial reportPloS one2024

Community-based intervention for monitoring of salt intake in hypertensive patients: A cluster randomized controlled trial.

Pitchaporn Sonuch, Wichai Aekplakorn, Nophatee Pomsanthia, Natthida Boonyagarn, Siripak Makkawan, Suchada Thongchai, Wasinee Tosamran, Ananthaya Kunjang, Surasak Kantachuvesiri

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05397054 (Community-based Intervention for Monitoring of Salt Intake in Hypertensive Patients), which is not on this 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.

NCT05397054 naunknown statusnot on this map

Community-based Intervention for Monitoring of Salt Intake in Hypertensive Patients

TypeinterventionalSponsorMahidol UniversityRan2022 to 2022Enrolled240ConditionsHypertension, Salt, ExcessArmsEducation, Reformulation, Environmental change, Salt meter, standard treatment
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

9 authors.

Pitchaporn SonuchDivision of Nephrology, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.ORCID 0000-0001-8228-5430
Wichai AekplakornDepartment of Community Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Nophatee PomsanthiaThai Low Salt Network, The Nephrology Society of Thailand, Bangkok, Thailand.
Natthida BoonyagarnThai Low Salt Network, The Nephrology Society of Thailand, Bangkok, Thailand.
Siripak MakkawanOffice of Disease Prevention and Control 3, Nakhon Sawan, Thailand.
Suchada ThongchaiOffice of Disease Prevention and Control 3, Nakhon Sawan, Thailand.
Wasinee TosamranOffice of Disease Prevention and Control 3, Nakhon Sawan, Thailand.
Ananthaya KunjangThai Low Salt Network, The Nephrology Society of Thailand, Bangkok, Thailand.
Surasak KantachuvesiriDivision of Nephrology, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.ORCID 0000-0003-2119-8987

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExcessive sodium intake is associated with high blood pressure and an increased risk of cardiovascular disease. However, reducing dietary salt has been challenging due to a lack of awareness and a high threshold in detecting saltiness.

objectivesThe goal of this study is to evaluate the effectiveness of a combined intervention (intensive dietary education, food reformulation, environmental changes to facilitate salt reduction, and salt meter utilization), in comparison to standard education only, on salt intake and blood pressure.

methodsA cluster randomized-controlled trial was conducted on 219 hypertensive adults aged 18 to 70 years in Uthaithani, Thailand. Participants were randomized 1:1 into the intervention group (n = 111) and the control group (n = 108).

resultsThere were no differences in baseline characteristics between groups. The mean systolic and diastolic blood pressure was 143.6 and 82.1 mmHg and 142.2 and 81.4 mmHg in the intervention group, and the control group, respectively. The median 24-hour urinary sodium excretion was 3565 and 3312 mg/day, in the intervention and the control group, respectively. After 12 weeks, the change in systolic blood pressure was -13.5 versus -9.5 mmHg (P = 0.030) and diastolic blood pressure was -6.4 versus -4.8 mmHg (P = 0.164) in the intervention and control groups, respectively. Moreover, a reduction in 24-hour urine sodium excretion was observed [-575 versus -299 mg/day in the intervention and control groups, respectively (P = 0.194)]. The change in 24-hour urine sodium excretion was statistically significant and reduced from baseline in the intervention group (P = 0.004). The dietary salt intake was significantly improved and was statistically different between groups (P = 0.035).

conclusionsThe combined intervention significantly decreased systolic blood pressure and showed a trend towards reduced urine sodium excretion in hypertensive patients. These comprehensive approaches may be beneficial in reducing blood pressure and salt intake in the community. CLINICAL

trial registrationThis trial was registered at Clinicaltrials.gov with the identifier NCT05397054. https://classic.clinicaltrials.gov/ct2/show/NCT05397054.

Indexed as

Blood PressureHypertensionSodium Chloride, DietaryAdolescentAdultAgedFemaleHumansMaleMiddle AgedThailandYoung AdultSodium Chloride, Dietary

Identifiers

PMID39576798
PMCPMC11584128

What Socratic holds

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LicenceCC BY
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Registered trials

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.