Randomised controlled trial

Salt substitution and salt-supply restriction for lowering blood pressure in elderly care facilities: a cluster-randomized trial

Nat MedPublished

  • Cluster-randomised controlled trial
  • 2 × 2 factorial

Authors' conclusion

The results of this trial indicate that use of salt substitute, but not efforts to restrict salt supply, may achieve blood pressure lowering and deliver health benefits to residents of elderly care facilities in China.

Study context

Population
Adults aged 55 years or older in 48 residential elderly care facilities in China48 facilities
Participants
1,612 adults
Comparison
Salt substitute vs Usual salt
Primary endpoint
Systolic blood pressure

Primary result

SBP

Difference

−7.1 mmHg

95% CI −10.5 to −3.8

Salt substitute vs Usual salt
difference −7.1 mmHg (95% CI −10.5 to −3.8)

As reported in the abstract

Further findings

Outcomedifference (mmHg) (95% CI)
DBP−1.9 (−3.6 to −0.2)
OutcomeHR (95% CI)
CV events0.60 (0.38–0.96)
Total mortality0.84 (0.63–1.13)

Salt restriction, all outcomes

Salt restriction had no effect on any study outcome

Original publication

Salt substitution and salt-supply restriction for lowering blood pressure in elderly care facilities: a cluster-randomized trial. Nat Med. Published 13 April 2023. doi:10.1038/s41591-023-02286-8

Summarised from the published abstract; every number is checked against it