Evidence map›Paper›PMID 42090672›Full record

SynthesisArquivos brasileiros de cardiologia2026

Efficacy of a Salt Substitute on the Incidence of Hypertension: A Systematic Review with Meta-Analysis.

Francinny Alves Kelly, Clara Rocha Dantas, Luis Eduardo Rodrigues Sobreira, Artur Menegaz de Almeida, Fernando Baía Bezerra, Márcio Gonçalves de Sousa, Fernanda Consolim, Antonio Gabriele Laurinavicius

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Arquivos brasileiros de cardiologia, 2026. 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. 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

8 authors.

Francinny Alves KellyCardiovascular Division, Beth Israel Deaconess Medical Center, Boston, Massachusetts - EUA.
Clara Rocha DantasUniversidad de Buenos Aires, Buenos Aires - Argentina.ORCID 0009-0001-9661-8539
Luis Eduardo Rodrigues SobreiraUniversidade Federal do Pará (UFPA), Altamira, PA - Brasil.
Artur Menegaz de AlmeidaUniversidade Federal de Mato Grosso do Sul, Campo Grande, MS - Brasil.
Fernando Baía BezerraUniversidade Anhembi Morumbi (UAM), São José dos Campos, SP - Brasil.ORCID 0009-0007-2587-4176
Márcio Gonçalves de SousaInstituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brasil.
Fernanda ConsolimInstituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP - Brasil.
Antonio Gabriele LaurinaviciusInstituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brasil.ORCID 0000-0001-6634-4138

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA potassium-enriched salt substitute, in which part of sodium chloride is replaced with potassium chloride, has shown considerable potential as a population-level strategy to reduce sodium intake and prevent cardiovascular disease. In recent years, research has focused primarily on individuals with hypertension, demonstrating that salt substitutes can influence blood pressure (BP).

objectiveTo perform a meta-analysis quantifying the magnitude of BP reduction in patients with hypertension using regular salt compared with those using a salt substitute.

methodsPubMed, Scopus, and Web of Science were searched for randomized controlled trials (RCTs) comparing regular salt with a salt substitute. Mean differences (MD) with 95% CIs were calculated using a random-effects model. Heterogeneity was assessed using the I2 statistic. A p-value < 0.05 was considered statistically significant.

resultsFour RCTs involving 1,430 participants were included, of whom 725 (49.57%) received the salt substitute. The use of a salt substitute was associated with a significant reduction in systolic BP (SBP) (MD, -5.75 mmHg; 95% CI, -6.98 to -2.39 mmHg; I2 = 37%; p < 0.01) and a significant reduction in diastolic BP (DBP) (MD, -1.62 mmHg; 95% CI, -2.34 to -0.91 mmHg; I2 = 0%; p < 0.001).

conclusionIn patients with hypertension, the use of a salt substitute is associated with a significant reduction in both SBP and DBP compared with regular salt.

Indexed as

Blood PressureDiet, Sodium-RestrictedHypertensionPotassium ChlorideSodium Chloride, DietaryHumansIncidenceRandomized Controlled Trials as TopicTreatment OutcomePotassium ChlorideSodium Chloride, Dietary

Identifiers

PMID42090672
PMCPMC13128219

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.