4.7 Article

Interventions That Successfully Reduced Adults Salt Intake-A Systematic Review

Journal

NUTRIENTS
Volume 14, Issue 1, Pages -

Publisher

MDPI
DOI: 10.3390/nu14010006

Keywords

salt reduction; sodium; behavior change; hypertension; dietary intervention

Funding

  1. iMCSalt project - Fundacao para a Ciencia e Tecnologia [POCI-01-0145-FEDER-029269]
  2. Research Center in Physical Activity, Health and Leisure (CIAFEL) [FCT/UIDB/00617/2020, FCT/UIDB/04033/2020]

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This review examined recent interventions worldwide that have successfully reduced salt intake. The results showed that health and nutritional education, nutritional education plus other interventions, and estimates of salt intake were all effective in reducing salt consumption. There was no evidence to suggest that one type of intervention was more effective than others in reducing salt intake. It is important to analyze each intervention for individuals or subpopulations and use the most suitable approaches to achieve better results.
Background: Adequate sodium intake is important for lowering blood pressure and thus reducing cardiovascular disease risk and other complications. The aim of this review is to identify recent interventions around the world that have been successful in reducing salt intake. Methods: A search in the PubMed, Web of Science and Scopus databases was performed. We include studies published in the last 10 years; randomized trials, pilot intervention without a control arm or experimental study; adult participants; and interventions that successfully reduced salt intake. Study quality was assessed. Results: We included 21 studies, 16 randomized intervention trials and five nonrandomized intervention studies. Eleven interventions described health and nutritional education, seven interventions described nutritional education plus other interventions, and three studies used salt meters to reduce sodium intake. Conclusion: Health and nutritional education, nutritional education plus other interventions and estimates of salt intake showed success in the reduction of salt consumption. There is no evidence that one type of intervention analyzed is more effective than other in reducing salt consumption, so we must analyze each in which individuals or subpopulations will have the intervention performed and use the most suitable approaches to lead to better results.

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