Cochrane · systematic review · CD006763

Altered dietary salt intake for preventing diabetic kidney disease and its progression

Hodson, EM, Cooper, TE · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

Kidney and TransplantAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
13
current version
GRADE rated
13
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 13 · 100%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Reduced salt intake versus usual or high salt intake for preventing diabetic kidney disease and its progression

Population: patients with diabetes with or without CKD
7 questions
OutcomeEffectEvidenceStatus / GRADE
Systolic BP: long‐term studies Duration: up to 12 weeks
Reduced salt intake vs usual or high salt intake
no estimate extracted7 studies · 288 participantsLow
Downgraded: inconsistency
Systolic BP: short‐term studies Duration: 1 week
Reduced salt intake vs usual or high salt intake
no estimate extracted5 studies · 112 participantsLow
Downgraded: inconsistency
Diastolic BP: long‐term studies Duration: up to 12 weeks
Reduced salt intake vs usual or high salt intake
no estimate extracted7 studies · 288 participantsLow
Downgraded: inconsistency
Diastolic BP: short‐term studies Duration: 1 week
Reduced salt intake vs usual or high salt intake
no estimate extracted5 studies · 112 participantsLow
Downgraded: inconsistency
MAP: all studies Duration: up to 12 weeks
Reduced salt intake vs usual or high salt intake
no estimate extracted13 studies · 421 participantsLow
Downgraded: inconsistency
GFF: all studies Duration: up to 12 weeks
Reduced salt intake vs usual or high salt intake
no estimate extracted12 studies · 392 participantsLow
Downgraded: inconsistency
Body weight: all studies Duration: up to 12 weeks
Reduced salt intake vs usual or high salt intake
no estimate extracted12 studies · 454 participantsLow
Downgraded: inconsistency

Net change in blood pressure in hypertensive and normotensive participants with a reduced salt intake versus usual or high salt intake for preventing diabetic kidney disease and its progression

Population: patients with diabetes with or without CKD
3 questions
OutcomeEffectEvidenceStatus / GRADE
Systolic BP Duration: up to 12 weeks
Net change in blood pressure in hypertensive and normotensive participants with a reduced salt intake vs usual or high salt intake
no estimate extracted5 studies · 108 participantsLow
Downgraded: inconsistency
Diastolic BP Duration: up to 12 weeks
Net change in blood pressure in hypertensive and normotensive participants with a reduced salt intake vs usual or high salt intake
no estimate extracted5 studies · 108 participantsLow
Downgraded: inconsistency
MAP Duration: up to 12 weeks
Net change in blood pressure in hypertensive and normotensive participants with a reduced salt intake vs usual or high salt intake
no estimate extracted3 studies · 59 participantsLow
Downgraded: inconsistency

Net change in blood pressure in participants with type 1 or type 2 diabetes with a reduced salt diet versus usual or high salt intake for preventing diabetic kidney disease and its progression

Population: patients with diabetes with or without CKD
3 questions
OutcomeEffectEvidenceStatus / GRADE
Systolic BP Duration: up to 12 weeks
Net change in blood pressure in participants with type 1 or type 2 diabetes with a reduced salt diet vs usual or high salt intake
no estimate extracted4 studies · 96 participantsLow
Downgraded: inconsistency
Diastolic BP: Duration: up to 12 weeks
Net change in blood pressure in participants with type 1 or type 2 diabetes with a reduced salt diet vs usual or high salt intake
no estimate extracted4 studies · 96 participantsLow
Downgraded: inconsistency
MAP Duration: up to 12 weeks
Net change in blood pressure in participants with type 1 or type 2 diabetes with a reduced salt diet vs usual or high salt intake
no estimate extracted3 studies · 62 participantsLow
Downgraded: inconsistency