No phaseCompletedAge-related condition
Diet, ExerCIse and carDiovascular hEalth (DECIDE) - Salt Reduction Strategies for the Elderly in Nursing Homes in China (DECIDE-Salt)
Diet, Exercise and Cardiovascular Health - Effect of Salt Substitute and Stepwise Salt Supply Control in Reducing Blood Pressure in the Elderly in Nursing Homes in China: a Factorial Cluster-randomized Controlled Trial
- Sponsor
- Peking University (Academic or other)
- Enrollment
- 1,612 enrolled
- Conditions
- Blood Pressure
- Interventions
- SS; SSSC
- Ages
- adults, older adults
- Registry
- NCT03290716
Full record on ClinicalTrials.gov
From the registry
The DECIDE - Salt in Elderly (Diet, ExerCIse and carDiovascular hEalth - Salt Reduction Strategies for the Elderly in Nursing Homes in China) is to evaluate the effects, safety and cost-effectiveness of salt substitution (SS) and stepwise salt supply control (SSSC) in reducing blood pressure in Chinese elderly in nursing homes. The study will recruit over 960 old people from 48 nursing homes in northern China. The 48 nursing homes will be randomised into the following 4 groups. 1. salt substitute (SS) and stepwise salt supply control (SSSC); 2. SS only; 3. SSSC only; and 4. no SS and no SSSC (control). The intervention will last over 2 years. The randomization will be conducted centrally after the baseline survey completed. Primary outcome will be the change in systolic blood pressure. The secondary outcomes include: the changes in diastolic blood pressure, 24hr urinary sodium, potassium and microalbumin, and incidence of hyperkalemia, hypokalemia, hyponatremia, cardiovascular events, and all causes death, and incremental cost-effectiveness ratio.
Primary outcomes
- The change in systolic blood pressure from baseline to follow-up
History
Last registry update
Study completion
Primary completion
Registered
Started
Papers citing this trial
- Effect of a Salt Substitute on Incidence of Hypertension and Hypotension Among Normotensive Adults
Journal of the American College of Cardiology
- Association of serum potassium level with dietary potassium intake in Chinese older adults: a multicentre, cross-sectional survey
BMJ open
- Experience with 2 years' intervention to progressively reduce salt supply to kitchens in elderly care facilities-challenges and further research: post hoc analysis of the DECIDE-Salt randomized clinical trial
BMC medicine
- Salt substitution and salt-supply restriction for lowering blood pressure in elderly care facilities: a cluster-randomized trial
Nature medicine
- Normal range of serum potassium, prevalence of dyskalaemia and associated factors in Chinese older adults: a cross-sectional study
BMJ open