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The Study

Intersalt: an international study of electrolyte excretion and blood pressure. Results for 24 hour urinary sodium and potassium excretion. Intersalt Cooperative Research Group.

In simple terms

This study looked at lots of people in different countries and found that those who ate more salt tended to have higher blood pressure — but it didn’t change anyone’s diet to see if that actually caused the change. So we can say salt and blood pressure are linked, but we can’t say salt makes blood pressure go up.

42%

Analysis score

42/ 44

Maximum 44 for a cross-sectional study.

Where the score came from

Reporting0
Methodology25
Publication100
Statistical54
Study type (basis of the score)
Cross-Sectional Study
Level 4 - Case series
What’s the bottom line?

This study looked at how salt, potassium, weight, and alcohol relate to blood pressure in people around the world.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Cross-Sectional & Case Series
Level 4
42

42 / 100

Quality score

Snapshots of a population at a single point in time, or descriptions of small groups. Can identify correlations and prevalence, but cannot determine cause and effect.

Cannot establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1Yes — salt and potassium matter for your personal blood pressure, but overall population levels don’t always match up, meaning other factors like weight and alcohol are also very important.
  2. 2People who ate more salt (higher urine sodium) had higher blood pressure.
  3. 3People who ate more potassium had slightly lower blood pressure.
  4. 4Heavier people and heavy drinkers also had higher blood pressure.
  5. 5But countries with high salt intake didn’t always have higher average blood pressure.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

British Medical Journal

Year

1988

Authors

G. Scally

Open Access
1842 citations
Analysis v3
Fit Body Science verdict — we translate health studies into clear verdicts backed by peer-reviewed research.

Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.