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Evidence-Based Medicine 2006;11:172; doi:10.1136/ebm.11.6.172
Copyright © 2006 by the BMJ Publishing Group Ltd.

Therapeutics

Long term dietary use of potassium enriched salt reduced cardiovascular death in elderly men

Chang HY, Hu YW, Yue CS, et al. Effect of potassium-enriched salt on cardiovascular mortality and medical expenses of elderly men. Am J Clin Nutr 2006;83:1289–96.[Abstract/Free Full Text]

Q In elderly men, does long term use of potassium enriched salt in the diet reduce cardiovascular death?

Clinical impact ratings GP/FP/Primary care *****{star}{star} IM/Ambulatory care ******{star} Geriatrics ******{star} Public health ******{star}

Key Words: cardiovascular diseases • potassium chloride

The first 150 words of the full text of this article appear below.

METHODS

Formula Design: cluster randomised controlled trial.

Formula Allocation: unclear allocation concealment.*

Formula Blinding: blinded (participants).*

Formula Follow up period: mean 31 months.

Formula Setting: 5 kitchens in a veteran retirement home in northern Taiwan, China.

Formula Patients: 1981 elderly men 40 to >=80 years of age (mean age 75 y) were included in the analysis. Participants with serum creatinine concentrations >=3.5 mg/dl were excluded.

Formula Intervention: 2 kitchens (n = 768) were allocated to gradually increasing concentrations of potassium enriched salt (49% sodium chloride, 49% potassium chloride, and 2% additives). Potassium enriched salt was mixed with regular salt in a 1:3 ratio for the first week, 1:1 in the second week, 3:1 in the third week, and 1:0 beyond the third week. 3 kitchens (n = 1213) were allocated to regular salt (99.6% sodium chloride and 0.4% additives) at all times.

Formula Outcome: cardiovascular death (due to hypertension, ischaemic heart disease, cerebrovascular disease, heart failure, or diabetes).

Formula Patient . . . [Full text of this article]

Chirag Parikh, MD, PhD, Steven Coca, DO

Yale University School of Medicine,
New Haven, Connecticut, USA


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