TABLE 1.
Selected characteristics of included completed studies by study design and exposure type1
| Author (reference) | Study design | Main association of interest in study | Driver of phosphorus contrast | Phosphorus contrast (high–low) | n | Duration | BP inclusion criteria (SBP/DBP, mm Hg) | Special population | Exposure type | Exposure measurement | Outcome measures | 
|---|---|---|---|---|---|---|---|---|---|---|---|
| Barr et al. (29) | Randomized trial | Milk and BP2 | Dairy | 601 mg/d | 200 | 12 wk | < 170/95 | N/A | Intake | 2 × 3-d food record | SBP/DBP | 
| Dugan et al. (30) | Randomized trial | Dairy and BP2 | Dairy | 462 mg/d | 33 | 6 wk | < 140/90 | Metabolic syndrome | Intake | 2 × 5-d food record | SBP/DBP | 
| Manios et al. (27) | Randomized trial | Dairy + education and BP2 | Dairy | 346 mg/d | 82 | 5 mo | Not specified | Postmenopausal women | Intake | 1 × 3-d recall | SBP/DBP | 
| Zeller et al. (33) | Randomized trial | Protein restriction and renal failure | Reduced protein | Not reported | 35 | 37.4 mo (mean follow-up) | Not specified | Type I diabetes, diabetes nephropathy, diabetes retinopathy with proteinuria, no other renal failure | Intake | ≥1 × 24-h urine | MAP | 
| Appel et al. (21) | Randomized trial | Diet pattern and BP | Dairy3 | 143 mg/24h | 459 | 8 wk | < 160/80–95 | N/A | Excretion | 1 × 24-h urine | SBP/DBP | 
| Appel et al. (32) | Randomized trial | Behavioral intervention and BP | Dairy3 | 95 mg/24h | 810 | 6 mo | 120–159/80–95 | N/A | Excretion | 1 × 24-h urine | SBP/DBP | 
| Funatsu et al. (31) | Randomized trial | Coffee and BP | Dairy (in coffee) | 50 mg/24h | 42 | 10 wk | ≥120/80 | Coffee and alcohol drinkers | Excretion | 1 × 24-h urine | SBP/DBP | 
| Hallfrisch et al. (22) | Randomized trial | Whole grains and BP | Grain | 181 mg/24h | 16 | 5 wk | Not specified | Moderately elevated cholesterol | Excretion | 3 × 24-h urine | SBP/DBP | 
| Nouvenne et al. (34) | Randomized trial | Low-salt diet and idiopathic hypercalciuria | Other | 63 mg/24h | 210 | 3 mo | SBP > 110 | Idiopathic calcium-oxalate stone formers | Excretion | 1 × 24-h urine | SBP/DBP | 
| Sacks et al. (24) | Randomized trial | Diet pattern + sodium and BP | Dairy3 | 179 mg/24h | 412 | 30 d | 120–159/80–95 | N/A | Excretion | 1 × 24-h urine | SBP/DBP | 
| Van Beresteijn et al. (28) | Randomized trial | Milk and BP | Dairy | 0.29 mg/mg creatinine | 53 | 7 wk | Normotensive | N/A | Excretion | 1 × 24-h urine | SBP/DBP | 
| Nowson et al. (23) | Randomized trial | Diet pattern and BP | Dairy3 | 83 mg/d (intake) 127 mg/24h (excretion) | 94 | 4 wk | ≥120/80 | N/A | Both | 2 × 24-h urine2 × 24-h recall | SBP/DBP | 
| Hunt et al. (25) | Nonrandomized trial | Diet pattern and zinc absorption | Vegetarianism | 210 mg/d (intake) 266 mg/24h (excretion) | 21 | 8 wk | Not specified | N/A | Both | 1–14 × 24-h urineChemical analysis | SBP/DBP | 
| Marshall et al. (26) | Nonrandomized trial | Diet pattern and BP2 | Other | 616 mg/d | 30 | 3 wk | Normotensive–borderline elevated | N/A | Intake | 1 × 7-d food recordChemical analysis | SBP/DBP | 
| Alonso et al. (4) —ARIC | Prospective observational cohort | Identify CVD risk factors | Quintile of phosphorus intake | 773 mg/d | 8208 | 7.1 y | < 140/90 | N/A | Intake | 120-item FFQ | Incident hypertension | 
| Alonso et al. (4)—MESA | Prospective observational cohort | Identify CVD risk factors | Quintile of phosphorus intake | 739 mg/d | 2901 | 3.8 y | < 140/90 | N/A | Intake | 66-item FFQ | Incident hypertension | 
| Alonso et al. (35) | Prospective observational cohort | Dairy and BP | Quintile of dairy intake | 600 mg/d | 6686 | 27 mo | Normotensive | University students | Intake | 136-item FFQ | Incident hypertension | 
ARIC, Atherosclerosis Risk in Communities Study; BP, blood pressure; CVD, cardiovascular disease, DASH, Dietary Approaches to Stop Hypertension; DBP, diastolic blood pressure, FFQ, food-frequency questionnaire; MAP, mean arterial pressure; MESA, Multi-Ethnic Study of Atherosclerosis; N/A, not applicable; SBP, systolic blood pressure.
And other outcomes.
DASH-style diet.