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CTRI Number  CTRI/2025/08/093369 [Registered on: 20/08/2025] Trial Registered Prospectively
Last Modified On: 08/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Cluster Randomized Trial 
Public Title of Study   Study to see if eating less salt helps lower blood pressure in adults with high BP in rural India 
Scientific Title of Study   Effect of a structured behavioural intervention targeting dietary salt intake modification among individuals with hypertension, in primary care settings in Nagpur: A Randomised Controlled Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Anuva Kapoor 
Designation  Principal Investigator 
Affiliation  AIIMS Nagpur 
Address  Department of Community Medicine,4th floor,Medical College Building, AIIMS NAGPUR, Plot 2, Sector 20,MIHAN ,NAGPUR

Nagpur
MAHARASHTRA
441108
India 
Phone  08291966736  
Fax    
Email  anuvakapoor19@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sujiv Akkilagunta 
Designation  PG Thesis Guide 
Affiliation  AIIMS Nagpur 
Address  Department of Community Medicine,4th floor,Medical College Building, AIIMS NAGPUR, Plot 2, Sector 20,MIHAN ,NAGPUR

Nagpur
MAHARASHTRA
441108
India 
Phone  08291966736  
Fax    
Email  sujiv.oh231@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Anuva Kapoor 
Designation  Principal Investigator 
Affiliation  AIIMS Nagpur 
Address  Department of Community Medicine,4th floor,Medical College Building, AIIMS NAGPUR, Plot 2, Sector 20,MIHAN ,NAGPUR

Nagpur
MAHARASHTRA
441108
India 
Phone  08291966736  
Fax    
Email  anuvakapoor19@gmail.com  
 
Source of Monetary or Material Support  
AIIMS Nagpur 
ICMR 
 
Primary Sponsor  
Name  ICMR 
Address  V. Ramalingaswami Bhawan, P.O. Box No. 4911Ansari Nagar, New Delhi - 110029, India 
Type of Sponsor  Government funding agency 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Anuva Kapoor  AIIMS Nagpur  Department of Community Medicine,4th floor,Medical College Building,AIIMS Nagpur
Nagpur
MAHARASHTRA 
08291966736

anuvakapoor19@gmail.com 
Dr Anuva Kapoor  Rural Health Centre,AIIMS Nagpur  Rural Health Centre, Bela,Umred Tehsil, Nagpur
Nagpur
MAHARASHTRA 
08291966736

anuvakapoor19@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, AIIMS Nagpur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I10||Essential (primary) hypertension,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Salt Reduction Behavioural counselling  The intervention group will receive behavioural counselling, a list of locally available high and low-sodium-containing food items and a pictorial pamphlet on the dietary recommendations of the National Institute of Nutrition, India, with information written in Hindi and Marathi languages.Focused group discussions will be held over a period of 3 months. Aim is to reduce daily salt intake to less than 5 grams/day. 
Comparator Agent  Usual diet (no salt reduction counselling)  Participants in the comparator arm will continue with their usual diet and lifestyle, without receiving any additional structured counselling or educational material on salt reduction during the study period 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  The diagnosed hypertensive individuals of age group 18 years and above, receiving regular follow-up for more than 3 months, who are willing to participate in the study 
 
ExclusionCriteria 
Details  Bedridden patients, patients with CKD, or any other conditions where a salt-reduction diet is prescribed.
Families not providing consent to participate in the study will also be excluded.
 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Primary outcomes will be the changes in mean dietary intake of salt( salt intake in gram/day ).  Baseline and 3 months post intervention 
 
Secondary Outcome  
Outcome  TimePoints 
1) Changes in Systolic Blood Pressure and Diastolic Blood Pressure (SBP and DBP) in mm/Hg per reduced salt in gram/day.
2)Proportion of participants classified as salt-sensitive, stratified by sex (Salt-sensitive defined as a reduction of five millimetres of mercury or more in systolic or diastolic blood pressure together with a reduction of twenty millimoles per day or more in urinary sodium.) 
Baseline and 3 months post intervention 
 
Target Sample Size   Total Sample Size="128"
Sample Size from India="128" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This is a randomised controlled trial to evaluate the effectiveness of a structured behavioural counselling intervention for reducing dietary salt intake among adults with hypertension attending primary health centres in Nagpur, India. The study will include sixteen clusters, with eight clusters assigned to the intervention arm and eight clusters to the control arm. Participants in the intervention arm will receive group counselling sessions, educational materials, and regular reminders to reduce salt consumption, while the control arm will receive routine care. The primary outcome is the change in mean dietary salt intake measured by 24-hour urinary sodium. Secondary outcomes include change in blood pressure and the proportion of participants classified as salt sensitive. The intervention will be implemented over three months, with outcome measurements taken at baseline and three months post-intervention. 
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