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Trial registered on ANZCTR
Registration number
ACTRN12611000511932
Ethics application status
Approved
Date submitted
16/05/2011
Date registered
17/05/2011
Date last updated
11/12/2019
Date data sharing statement initially provided
11/12/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Blood pressure and salt intake: Translating the benefits of salt reduction into practice
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Scientific title
A randomised parallel study to assess the effect of dietary education about salt intake compared with usual care in individuals with hypertension who have lost weight following laparoscopic adjustable gastric banding.
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Secondary ID [1]
262180
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none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hypertension
265861
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Condition category
Condition code
Diet and Nutrition
266017
266017
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0
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Other diet and nutrition disorders
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Cardiovascular
266021
266021
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0
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Hypertension
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Usual salt intake in overweight and obese people is approximately 11 g salt/day in men and 8 g salt/day in women which is much higher than the NHMRC population target of 6g salt/day. In this study patients will be educated to reduce their salt intake using the simple strategy to choose foods defined according to the Food Standards Australia and New Zealand (FSANZ) guideline of 120 mg sodium/100g food. They will also be given general guidelines regarding reducing sodium intake. This advice will be given on an individual basis by a dietitian at the start of the study and participants will have access to the dietitian for advice and support regarding dietary changes throughout the study. Interventions will require three visits of about 30 minutes duration at the start of the study, and at three and six months, where blood pressure will be taken and height and weight measured. A 24 hour urine sample will also be collected on each occasion. Compliance will be assessed by sodium excretion measurement.
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Intervention code [1]
264585
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Treatment: Other
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Intervention code [2]
264588
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Lifestyle
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Intervention code [3]
264590
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Prevention
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Comparator / control treatment
This is a randomised parallel study of two groups - salt reduction to a target 100mmol Na/day (approximately 6g salt/day) compared with usual care. Usual care is defined as dietary education with no specific advice on sodium reduction. At the end of the study patients in the usual care arm will be given the same information about reducing salt intake as the intervention arm.
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Control group
Active
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Outcomes
Primary outcome [1]
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Blood Pressure measured by automated sphygmomanometer (mean of three measurements)
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Assessment method [1]
266758
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Timepoint [1]
266758
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Baseline, three and six months
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Secondary outcome [1]
276330
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24 hour urinary sodium and potassium excretion
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Assessment method [1]
276330
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Timepoint [1]
276330
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Baseline, three and six months
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Secondary outcome [2]
276331
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Weight measured by weighing scales
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Assessment method [2]
276331
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Timepoint [2]
276331
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Baseline, three and six months
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Eligibility
Key inclusion criteria
People who have lost weight following laparoscopic adjustable gastric banding who have hypertension
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Subjects with known metabolic disease such as liver or kidney disease. Use of non-steroidal anti-inflammatory drugs because of their effect on sodium retention.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Patients will be invited to participate in the study and provided with written information. Following their consent they will be randomised to either usual care or sodium reduction. Allocation is not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Random numbers will be generated using a computer program
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Withdrawn
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Reason for early stopping/withdrawal
Lack of funding/staff/facilities
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Date of first participant enrolment
Anticipated
13/05/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Funding & Sponsors
Funding source category [1]
267081
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Other Collaborative groups
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Name [1]
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Australian Institute of Weight Control
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Address [1]
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St. Joseph's Cottage
Calvary Hospital
89 Strangways Tce
North Adelaide, SA 5006
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Country [1]
267081
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Australia
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Funding source category [2]
267087
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Other Collaborative groups
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Name [2]
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Baker IDI
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Address [2]
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Level 3, 193-195 North Terrace
Adelaide, SA 5000
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Country [2]
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Baker IDI
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Address
Level 3, 193-195 North Terrace
Adelaide, SA 5000
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Country
Australia
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Secondary sponsor category [1]
264175
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None
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Name [1]
264175
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Address [1]
264175
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Country [1]
264175
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
267061
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Alfred Hospital
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Ethics committee address [1]
267061
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The Alfred P.O Box 315 Prahran. Vic. 3181.
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Ethics committee country [1]
267061
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Australia
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Date submitted for ethics approval [1]
267061
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Approval date [1]
267061
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23/06/2010
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Ethics approval number [1]
267061
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1/10/0187
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Summary
Brief summary
A high salt intake is a neglected risk factor for heart disease and stroke. Recently attention has been drawn to the potential reduction in death and disease a decrease of 3g salt/day can bring. The aim of this study is to translate knowledge into practice by substantiating dietetic practice in salt reduction in individuals with hypertension at increased risk of cardiovascular disease. Cardiovascular disease is a significant burdens for individuals and for the Australian health care system potentially leading to early death or disability. Keeping blood pressure well controlled has a key role in the prevention of cardiovascular disease. Salt reduction can greatly assist blood pressure control but there are no studies evaluating the most effective education strategies to help people with hypertension implement and maintain salt reduction. This study will help fill this gap. The expected outcomes are that a lower salt intake of 6g/day is sustainable and will reduce blood pressure by 3-5mmHg SBP/day.
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Trial website
none
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Trial related presentations / publications
Ireland DM, Clifton PM, Keogh JB. Achieving the salt intake target of 6 g/day in the current food supply in free-living adults using two dietary education strategies. J Am Diet Assoc. 2010 May;110(5):763-7.
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Public notes
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Contacts
Principal investigator
Name
32612
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Address
32612
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Country
32612
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Phone
32612
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Fax
32612
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Email
32612
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Contact person for public queries
Name
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Dr. Jennifer Keogh
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Address
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University of South Australia
School of Pharmacy and Medical Sciences
GPO Box 2471
Adelaide, SA 5000
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Country
15859
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Australia
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Phone
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+61 8 8302 2579
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Fax
15859
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Email
15859
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[email protected]
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Contact person for scientific queries
Name
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Dr. Jennifer Keogh
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Address
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University of South Australia
School of Pharmacy and Medical Sciences
GPO Box 2471
Adelaide, SA 5000
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Country
6787
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Australia
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Phone
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+61 8 8302 2579
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Fax
6787
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Email
6787
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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