Salt and obesity: a systematic review and meta-analysis of observational studies

Int J Food Sci Nutr. 2017 May;68(3):265-277. doi: 10.1080/09637486.2016.1239700. Epub 2016 Oct 6.

Abstract

Background: Existing research has investigated the association between sodium intake and obesity. We aim to conduct a systematic review and meta-analysis of reported evidence regarding the association between sodium intake and obesity.

Methods: Multiple electronic databases (PubMed, Scopus, and Google Scholar) were searched for observational studies published until August 2016. A systematic literature review identified 11 cohort and 21 cross-sectional studies.

Result: Among the 32 studies identified in the systematic literature search, only 18 cross-sectional reports had sufficient data to be included in the meta-analysis. Higher sodium consumption was associated with greater BMI (weighed mean difference (WMD) = 1.24 kg/m2, 95%CI: 0.80, 1.67; I2 = 98.4%; p < .0001), and higher sodium intake was associated with 4.75 cm (95%CI: 3.25, 6.25; 90.8%; p <.0001) greater waist circumference (WC).

Conclusion: The present meta-analysis suggests that sodium consumption was associated with greater BMI and WC.

Keywords: Salt; abdominal obesity; body mass index; obesity; waist circumference.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Body Mass Index
  • Cross-Sectional Studies
  • Humans
  • Obesity / blood*
  • Obesity / epidemiology
  • Observational Studies as Topic
  • Sodium Chloride, Dietary / administration & dosage*
  • Sodium Chloride, Dietary / adverse effects*
  • Waist Circumference

Substances

  • Sodium Chloride, Dietary