Primary Care
Randomised controlled factorial trial of dietary advice for patients with a single high blood pressure reading in primary care
BMJ 2004; doi: https://doi.org/10.1136/bmj.38037.435972.EE (Published 13 April 2004) Cite this as: BMJ 2004;:bmj;bmj.38037.435972.EEv1Data supplement
Table A Changes from baseline at one month in separate groups. Values are means (95% confidence intervals)
Outcome Whole cohort (n=269) Booklet + low sodium salt + prompts (n=32) Booklet + low sodium salt (n=32) Booklet + prompts (n=40) Booklet (n=38) Prompts + low sodium salt (n=31) Low sodium salt (n=30) Prompts (n=31) Control (n=35) Blood pressure (mm Hg)*: Systolic (n=268) - 3.3 (- 1.8 to 4.9) - 0.71 (- 6.0 to 4.6) - 4.8 (- 0.15 to - 9.40) - 1.9 (- 5.7 to 1.8) - 4.2 (- 7.6 to - 0.85) 0.19 (- 4.5 to 4.9) - 6.0 (- 12 to 0.24) - 3.2 (- 8.2 to 1.9) - 6.0 (- 10.3 to - 1.8) Diastolic (n=268) - 2.9 (- 1.9 to - 3.9) - 3.9 (- 0.4 to 7.4) - 4.6 (- 7.96 to - 1.14) - 1.1 (- 3.8 to 1.6) - 2.4 (- 4.7 to - 0.21) - 1.9 (- 5.1 to 1.3) - 1.9 (- 5.1 to 1.3) - 4.0 (- 6.8 to - 1.3) - 3.9 (- 6.7 to - 1.1) Weight (kg) (n=264) - 0.31 (- 0.07 to 0.54) - 0.42 (0.32 to - 1.17) - 0.19 (- 0.84 to 0.46) - 0.28 (- 0.80 to 0.23) 0.33 (- 0.44 to 1.1) - 0.62 (- 1.4 to 0.14) - 0.39 (- 0.98 to 0.20) - 0.86 (- 01.6 to 0.15) - 0.15 (- 0.85 to 0.55) Cholesterol:HDL ratio (n=246) - 0.04 (- 0.12 to 0.05) - 0.01 (0.24 to - 0.26) 0.10 (- 0.05 to 0.24) 0.12 (- 0.13 to 0.36) - 0.14 (- 0.33 to 0.06) - 0.15 (- 0.47 to 0.16) - 0.03 (- 0.30 to 0.24) - 0.22 (- 0.60 to 0.16) 0.03 (- 0.22 to 0.28) Low density lipoprotein (n=204) - 0.07 (- 0.14 to 0.01) - 0.13 (- 0.35 to 0.10) - 0.03 (- 0.24 to 0.17) 0.01 (- 0.19 to 0.21) - 0.11 (- 0.29 to 0.06) - 0.11 (- 0.37 to 0.15) 0.11 (- 0.14 to 0.35) - 0.20 (- 0.42 to 0.02) 0.05 (- 0.28 to 0.16) Carotenoid concentration (mmol/l) (n=235) 100 (50 to 151) 192 (- 33 to 418) 50 (- 72 to 173) 126 (- 18 to 270) 139 (- 7 to 286) 39 (- 79 to 156) - 18 (- 107 to 71) 68 (- 100 to 236) 180 (62 to 300) Na:K ratio (n=260) - 0.31 (- 0.14 to - 0.48) - 0.60 (- 1.27 to 0.08) - 0.37 (- 0.83 to 0.08) 0.19 (- 0.24 to 0.62) - 0.27 (- 0.64 to 0.10) - 0.47 (- 1.04 to 0.10) - 0.46 (- 1.1 to 0.14) 0.06 (- 0.40 to 0.28) 0.57 (- 1.13 to - 0.08) Food frequency questionnaire: Total fat (g/day )(n=219) - 12.1 (- 6.2 to 18.1) - 25.4 (- 9.3 to - 41.4) - 9.0 (- 21.9 to 4.0) - 16.4 (- 33.8 to 0.9) - 3.2 (- 19.7 to 13.2) - 23.6 (- 44.0 to - 3.2) - 19.4 (- 4.1 to - 34.6) - 11.6 (- 28.0 to 4.8) 9.7 (- 12 to 31) % energy from fat (n=202) - 3.1 (- 2.0 to - 4.1) - 4.7 (- 8.9 to - 0.53) - 2.9 (- 5.1 to - 0.68) - 3.4 (- 5.7 to - 1.0) - 2.3 (- 4.8 to 0.25) - 4.3 (- 7.9 to - 0.59) - 1.2 (- 4.9 to 2.6) - 3.4 (- 7.1 to 0.26) - 2.7 (- 0.28 to - 5.13) Non-starch polysaccharide (g/day) (n=202) 1.4 (0.2 to 2.6) 4.1 (1.3 to 6.9) 2.3 (- 1.9 to 6.5) 0.85 (- 1.9 to 3.6) 2.0 (- 1.9 to 5.9) 0.13 (- 3.9 to 3.7) - 3.2 (- 6.7 to 0.35) 3.9 (0.64 to 7.2) 1.5 (- 1.7 to 4.7) Fruit and vegetables (g/day) (n=219) 90 (56 to 123) 170 (95 to 246) 42 (- 86 to 169) 124 (48 to 201) 82 (12 to 152) 97 (11 to 183) - 80 (- 166 to 6) 220 (90 to 348) 63 (- 31 to 157) Anxiety (hospital anxiety and depression scale) (n=219) 0.07 (- 0.14 to 0.29) - 0.33 (- 1.2 to 0.52) 0.43 (- 0.10 to 0.96) - 0.65 (- 1.1 to 0.19) 0.72 (0.16 to 1.3) 0.30 (- 0.24 to 0.85) 0.48 (- 0.29 to 1.2) - 0.26 (- 1.0 to 0.53) - 0.08 (- 0.60 to 0.45) HDL=high density lipoprotein.
Numbers for outcomes vary due to missing values.
Table B Changes from baseline at six months in separate groups. Values are means (95% confidence intervals)
Outcome Whole cohort (n=245) Booklet + low sodium salt + prompts (n=28) Booklet + low sodium salt (n=27) Booklet + prompts (n=36) Booklet (n=37) Prompts + low sodium salt (n=30) Low sodium salt (n=30) Prompts (n=27) Control (n=30) Blood pressure (mm Hg): Systolic (n=244) - 5.0 (- 3.1 to 7.0) - 4.0 (- 8.7 to - 0.56) - 3.7 (- 9.6 to 2.3) - 5.2 (- 10.4 to - 0.03) - 3.5 (- 8.3 to 1.3) - 2.5 (- 8.5 to 3.59) - 6.4 (- 0.52 to - 12.3) - 4.7 (- 12.6 to 3.1) - 10.3 (- 15.8 to - 4.8) Diastolic (n=244) - 3.2 (- 4.3 to - 2.1) - 2.1 (- 4.2 to 0.0) - 2.0 (- 5.6 to 1.6) - 3.6 (- 6.5 to - 0.69) - 4.4 (- 4.7 to 0.95) - 2.8 (- 6.7 to 0.97) - 1.7 (- 5.2 to 1.8) - 3.3 (- 7.2 to 0.65) - 5.1 (- 8.2 to - 2.0) Weight (kg) (n=240) - 0.31 (- 0.86 to 0.23) 0.00 (- 1.54 to 1.54) 0.98 (- 2.3 to 4.3) - 1.8 (- 3.26 to - 0.37) 0.39 (- 0.48 to 1.3) - 0.58 (- 1.7 to 0.55) - 0.42 (- 1.7 to 0.80) - 1.1 (- 2.8 to 0.63) 0.20 (- 0.54 to 0.93) Cholesterol:HDL ratio (n=246) - 0.03 (- 0.13 to 0.06) - 0.01 (- 0.28 to 0.26) 0.20 (- 0.07 to 0.47) - 0.03 (- 0.23 to 0.30) - 0.15 (- 0.38 to 0.08) - 0.16 (- 0.50 to 0.17) - 0.21 (- 0.47 to 0.05) - 0.16 (- 0.44 to 0.11) 0.30 (0.03 to 0.56) Low density lipoprotein (n=204) 0.00 (- 0.08 to 0.08) - 0.14 (- 0.40 to 0.11) 0.07 (- 0.21 to 0.36) - 0.09 (- 0.29 to 0.10) - 0.05 (- 0.29 to 0.18) 0.10 (- 0.12 to 0.32) 0.11 (- 0.12 to 0.35) - 0.05 (- 0.33 to 0.24) 0.09 (- 0.19 to 0.37) Carotenoid concentration (mmol/l) (n=235) 130 (58 to 202) 106 (- 141 to 353) 124 (- 3 to 251) 263 (56 to 470) 143 (- 63 to 349) 156 (- 30 to 342) 35 (- 226 to 296) 137 (- 131 to 404) 39 (- 140 to 218) Na:K ratio (n=260) - 0.21 (- 0.39 to - 0.03) - 0.15 (- 0.84 to 0.54) - 0.32 (- 0.74 to 0.09) 0.22 (- 0.35 to 0.78) - 0.41 (- 0.88 to 0.06) - 0.36 (- 0.78 to 0.07) - 0.22 (- 0.77 to 0.32) 0.18 (- 0.28 to 0.62) - 0.56 (- 1.2 to 0.08) Food frequency questionnaire: Total fat (g/day) (n=219) - 9.6 (- 15.8 to - 3.3) - 17.4 (- 32.7 to - 2.0) 4.3 (- 14.0 to 5.5) - 20.9 (- 36.4 to - 5.5) - 7.5 (- 26.9 to 11.9) - 18.1 (- 36.0 to - 0.2) 0.33 (- 27.9 to 27.3) - 0.99 (- 24.5 to 22.5) - 4.4 (- 15.0 to 6.2) % energy from fat (n=202) - 2.4 (- 1.3 to - 3.5) - 3.4 (- 0.40 to - 6.4) - 2.5 (- 5.7 to 0.8) - 4.0 (- 2.2 to - 5.9) - 0.03 (- 2.9 to 2.9) - 3.2 (- 6.9 to 0.55) - 1.2 (- 5.3 to 2.8) - 2.0 (- 5.6 to 1.8) - 2.9 (- 6.3 to 0.53) Non-starch polyssacharide (g/day) (n=202) 1.2 (- 0.01 to 2.3) 3.1 (0.45 to 5.7) 1.3 (- 1.5 to 4.1) 1.5 (- 1.4 to 4.4) - 0.22 (- 3.5 to 3.1) - 0.43 (- 4.5 to 3.6) 0.57 (- 4.7 to 3.6) 4.9 (1.1 to 8.7) 0.82 (- 3.0 to 4.6) Fruit and vegetables (g/day) (n=219) 86 (53 to 119) 156 (65 to 246) 66 (- 62 to 194) 122 (36 to 210) 127 (58 to 196) 6 (- 78 to 66) 42 (- 150 to 66) 183 (74 to 292) 80 (- 20 to 181) Anxiety (hospital anxiety and depression scale) (n=202) 0.0 (- 0.25 to 0.24) - 0.38 (- 1.3 to 0.51) 0.20 (- 0.55 to 0.95) - 0.30 (- 0.97 to 0.37) 0.83 (0.21 to 1.5) - 0.13 (- 0.73 to 0.47) - 0.05 (- 0.90 to 0.80) - 0.09 (- 0.75 to 0.56) - 0.31 (- 0.97 to 0.36) HDL=high density lipoprotein.
Numbers for outcomes vary due to missing values.
Related articles
- Research Published: 05 February 2010; BMJ 340 doi:10.1136/bmj.c199
- This Week In The BMJ Published: 29 April 2004; BMJ 328 doi:10.1136/bmj.328.7447.0-d
- Letter Published: 08 July 2004; BMJ 329 doi:10.1136/bmj.329.7457.111-b
- Practice Published: 29 May 2008; BMJ 336 doi:10.1136/bmj.39580.424352.AD
See more
- Introductory AddressProv Med Surg J October 03, 1840, s1-1 (1) 1-4; DOI: https://doi.org/10.1136/bmj.s1-1.1.1
- Report of the Meeting of the Eastern Branch of the Provincial Association at Bury St. Edmond'sProv Med Surg J October 03, 1840, s1-1 (1) 10-13; DOI: https://doi.org/10.1136/bmj.s1-1.1.10
- Mr. Warburton's Bill for the Regulation of the Medical ProfessionProv Med Surg J October 03, 1840, s1-1 (1) 13-15; DOI: https://doi.org/10.1136/bmj.s1-1.1.13
- An Atlas of Plates, illustrative of the Principles and Practice of Obstetric Medicine and Surgery, with descriptive LetterpressProv Med Surg J October 03, 1840, s1-1 (1) 4; DOI: https://doi.org/10.1136/bmj.s1-1.1.4
- A Practical Treatise on the Diseases peculiar to Women, illustrated by Cases, &cProv Med Surg J October 03, 1840, s1-1 (1) 4-5; DOI: https://doi.org/10.1136/bmj.s1-1.1.4-a
Cited by...
- Increasing Fruit and Vegetable Intake Has No Dose-Response Effect on Conventional Cardiovascular Risk Factors in Overweight Adults at High Risk of Developing Cardiovascular Disease
- Effectiveness of five different approaches in management of urinary tract infection: randomised controlled trial
- Commentary: Controversies in NICE guidance on lipid modification for the prevention of cardiovascular disease
- Salt and cardiovascular disease
- Interventions Designed to Increase Adult Fruit and Vegetable Intake Can Be Effective: A Systematic Review of the Literature
- Other articles noted
- Brief lifestyle interventions for hypertension: Opportunity to provide useful information has been missed