Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital

Impact of a sodium-reduced bread intervention with and without dietary counseling on sodium intake-a cluster randomized controlled trial among Danish families

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Heart Rehabilitation for All (HeRTA): Protocol for a feasibility study and pilot randomized trial

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Aktiv Patientstøtte - Forskningsresultater

    Research output: Book/ReportReport

  3. Airway hyperresponsiveness to inhaled mannitol identifies a cluster of non-eosinophilic asthma patients with high symptom burden

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

BACKGROUND/OBJECTIVES: Excessive intake of sodium is a dietary risk factor for morbidity and mortality. Currently, intake of sodium is much higher than the recommended level in most western countries, and effective strategies to reduce population sodium intake are lacking. The objective of the present study was to investigate the effect of two different sodium reduction strategies on the intake of sodium, potassium, and the sodium to potassium ratio among Danish families SUBJECTS/METHODS: The study was a 4-month, single-blinded, cluster randomized controlled trial with a parallel design. Eighty-nine healthy Danish families, with a minimum of one child and one parent (n = 309), were randomly assigned to receive sodium-reduced bread (Intervention A), sodium-reduced bread and dietary counseling (Intervention B) or regular sodium bread (Control). The primary outcome was change in daily sodium intake, measured by 24-h urinary sodium excretion. Secondary outcomes included changes in dietary potassium and the sodium to potassium ratio.

RESULTS: No significant differences in daily sodium intake were observed in the two intervention groups compared with the control. When analyzing the results separately for children and adults, a reduction in dietary sodium of 0.6 g/day (-1.0, -0.2), p = 0.005 occurred among adults in intervention B compared with control.

CONCLUSIONS: This study demonstrates that providing sodium-reduced bread in combination with dietary counseling is an effective strategy to reduce dietary sodium among adults, but the effect is lacking in children. The study was not able to show significant effects when providing sodium-reduced bread alone in neither adults nor children.

Original languageEnglish
JournalEuropean Journal of Clinical Nutrition
Issue number9
Pages (from-to)1334-1344
Number of pages11
Publication statusPublished - Sep 2020

ID: 59829188