{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T04:02:32Z","timestamp":1789963352849,"version":"4.0.1"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Malnutrition and sarcopenia are highly prevalent among patients on hemodialysis, leading to reduced functional capacity, impaired quality of life, and increased mortality. Despite its relevance, nutritional and muscle health assessments remain limited in routine dialysis care, particularly in resource\u2010limited health systems. Our study aimed to evaluate nutritional intake adequacy and muscle health indicators in adults receiving maintenance hemodialysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a descriptive cross\u2010sectional study in 105 adults receiving maintenance hemodialysis (January\u2013July 2025). Dietary intake was assessed with a single 24\u2010h dietary recall. Muscle health was evaluated using skeletal muscle mass index, phase angle, calf circumference, and handgrip strength.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Median energy and protein intakes were 17.0\u2009kcal\/kg\/day and 0.8\u2009g\/kg\/day, with 89.5% and 79.0% of participants consuming &lt;80% of requirements. Sarcopenia was present in 22.9% of participants (31.6% women vs. 17.9% men,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.17) and was significantly associated with severely reduced body\u2010mass\u2010index\u2010adjusted calf circumference (OR 7.1, 95% CI 2.3, 22.3). Calf circumference correlated positively with the skeletal muscle mass index (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.37,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The standardized phase angle was low on 62.9% of participants, and significantly lower in those with sarcopenia [\u22123.3 (1.5) vs. \u22121.8 (2.5);\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003], correlating with handgrip strength (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.26,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.009). Dialysis vintage was not associated with sarcopenia or dietary adequacy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Hemodialysis patients in a Latin American public health setting showed markedly inadequate energy and protein intake, high prevalence of sarcopenia, and reduced phase angle. Routine assessment of muscle health may provide a feasible and comprehensive approach to guide nutritional interventions and improve outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jpen.70143","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T03:16:17Z","timestamp":1789960577000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nutritional intake adequacy, muscle mass, strength, and sarcopenia in adults on hemodialysis in Panama: A descriptive cross\u2010sectional study"],"prefix":"10.1002","author":[{"given":"M\u00f3nica","family":"Montenegro","sequence":"first","affiliation":[{"name":"Department of Nutrition and Dietetics Hospital Santo Tom\u00e1s Panama City Panama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"\u00c1vila","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Hospital Santo Tom\u00e1s Panama City Panama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rossana","family":"Broce","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Hospital Santo Tom\u00e1s Panama City Panama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayte","family":"Batista","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Hospital Santo Tom\u00e1s Panama City Panama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Vergara","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Hospital Santo Tom\u00e1s Panama City Panama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alieth","family":"S\u00e1ez","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Hospital Santo Tom\u00e1s Panama City Panama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Hospital Santo Tom\u00e1s Panama City Panama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adilia G\u00f3mez","family":"Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Hospital Santo Tom\u00e1s Panama City Panama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eyleen Montero","family":"Romero","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Hospital Santo Tom\u00e1s Panama City Panama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Israel","family":"Barr\u00eda","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Hospital Santo Tom\u00e1s Panama City Panama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Otilda M.","family":"Valderrama V.","sequence":"additional","affiliation":[{"name":"Department of Surgery Hospital Santo Tom\u00e1s Panama City Panama"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,20]]},"reference":[{"issue":"2","key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1002\/jcsm.13425","article-title":"Prevalence of sarcopenia in patients with chronic kidney disease: a global systematic review and meta\u2010analysis","volume":"15","author":"Duarte MP","year":"2024","journal-title":"J Cachexia Sarcopenia Muscle"},{"issue":"19","key":"e_1_2_8_3_1","doi-asserted-by":"crossref","DOI":"10.3390\/jcm14196893","article-title":"Sarcopenia in hemodialysis patients: Prevalence, independent risk factors, and functional implications\u2014a multicenter cross\u2010sectional study","volume":"14","author":"Ben Othman 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