Effectiveness of an online food shopping intervention to reduce salt purchases among individuals with hypertension – findings of the SaltSwitch Online Grocery Shopping (OGS) randomised trial
2024

Reducing Salt Purchases with an Online Grocery Shopping Tool

Sample size: 185 publication 10 minutes Evidence: moderate

Author Information

Author(s): Wu Jason HY, Maganja Damian, Huang Liping, Trieu Kathy, Taylor Fraser, Barrett Eden M., Arnott Clare, Feng Xiaoqi, Schutte Aletta E., Di Tanna Gian Luca, Mhurchu Cliona Ni, Cameron Adrian J., Huffman Mark D., Neal Bruce

Primary Institution: The George Institute for Global Health, University of New South Wales

Hypothesis

Does using a web browser extension to suggest lower sodium products reduce sodium purchases among individuals with hypertension?

Conclusion

The online grocery shopping intervention led to a significant reduction in sodium density of purchases among participants.

Supporting Evidence

  • Participants using the SaltSwitch extension reduced sodium density by 204 mg/1000 kcal compared to controls.
  • 86% of intervention participants made at least one switch to a lower sodium product.
  • 98% of participants completed the trial.

Takeaway

This study shows that a tool can help people buy less salty food when they shop online, which is good for their health.

Methodology

Participants with hypertension were randomized to use the SaltSwitch extension or continue usual shopping for 12 weeks, measuring sodium density of purchases.

Potential Biases

Potential bias due to self-reported data and the nature of the intervention not allowing for masking.

Limitations

The study had a smaller sample size than initially planned, limiting the ability to detect effects on clinical outcomes like blood pressure.

Participant Demographics

Average age 56 years, 64% women, 89% White, 91% with BMI > 25 kg/m2, 83% on anti-hypertensive medication.

Statistical Information

P-Value

0.01

Confidence Interval

95%CI, -352 to -56

Statistical Significance

p=0.01

Digital Object Identifier (DOI)

10.1186/s12966-024-01700-9

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