Table 3.
Subgroup analysis of the effect of sodium intake reduction on urinary albumin excretion
Variables (No. of Cohorts) | Pooled Mean (%) Reduction | 95% Confidence Interval | P Value for Interaction |
---|---|---|---|
RAAS-blocking therapya | |||
Yes (11) | −41.9 | −56.4 to −27.4 | 0.01 |
No (11) | −17.2 | −26.1 to −2.1 | |
Length of intervention, wk | |||
>1 (19) | −37.1 | −49.3 to −24.9 | <0.01 |
=1 (4) | 0.3 | −20.2 to 20.8 | |
Country of origin | |||
Europe (16) | −31.4 | −44.5 to −18.2 | 0.70 |
Australia (7) | −37.1 | −70.3 to −3.9 | |
Kidney damage | |||
Yes (16) | −37.3 | −49.7 to −24.9 | <0.01 |
No (7) | 0.27 | −20.0 to 20.6 | |
RCT double blind with placebo | |||
Yes (10) | −22.2 | −39.1 to −5.2 | 0.30 |
No (13) | −33.1 | −46.7 to −19.5 | |
Hypertension status | |||
Yes (14) | −41.9 | −54.4 to −29.4 | 0.20 |
No (9) | −26.9 | −43.8 to −10.0 | |
Diabetes statusa | |||
Yes (11) | −39.5 | −57.1 to −21.9 | 0.40 |
No (11) | −29.1 | −44.8 to −13.3 | |
Risk of bias | |||
Low (14) | −48.8 | −58.2 to −39.5 | <0.01 |
High (9) | −18.6 | −24.7 to −12.5 | |
Industry funding source | |||
Yes (11) | −34.5 | −50.8 to −18.3 | 0.60 |
No (12) | −28.0 | −48.2 to −7.9 | |
Dietary protocol | |||
Slow sodium (12) | −22.1 | −39.0 to −5.3 | 0.30 |
Sodium restriction (11) | −33.2 | −47.0 to −19.4 |
RAAS, renin-angiotensin-aldosterone system; RCT, randomized, controlled trial.
Analysis did not include the study by McMahon et al. (30), because there was a mixed antihypertensive therapy and both diabetic and nondiabetic participants were included.