{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T12:09:35Z","timestamp":1778587775820,"version":"3.51.4"},"reference-count":50,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100004530","name":"Universiti Putra Malaysia","doi-asserted-by":"publisher","award":["9615300"],"award-info":[{"award-number":["9615300"]}],"id":[{"id":"10.13039\/501100004530","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jrnjournal.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Renal Nutrition"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1053\/j.jrn.2025.08.004","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T23:59:45Z","timestamp":1757375985000},"page":"130-143","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Applying Integrative Analysis of Dietary Patterns to Understand Ramadan-Induced Nutritional Status Alterations in Hemodialysis Patients"],"prefix":"10.1053","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1647-3497","authenticated-orcid":false,"given":"Imliya","family":"Ibrahim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7232-8978","authenticated-orcid":false,"given":"Jun-Hao","family":"Lim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nurul Iman Hafizah","family":"Adanan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0420-0192","authenticated-orcid":false,"given":"Cordelia-Kheng-May","family":"Lim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4636-6529","authenticated-orcid":false,"given":"Geeta","family":"Appannah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0818-5831","authenticated-orcid":false,"given":"Wan Ahmad Hafiz","family":"Wan Md Adnan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nor Fadhlina","family":"Zakaria","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3623-0484","authenticated-orcid":false,"given":"Christopher-Thiam-Seong","family":"Lim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosnawati","family":"Yahya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bayan","family":"Tashkandi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5808-8074","authenticated-orcid":false,"given":"Tilakavati","family":"Karupaiah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4017-107X","authenticated-orcid":false,"given":"Zulfitri Azuan Mat","family":"Daud","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1053\/j.jrn.2025.08.004_bib1","first-page":"1","article-title":"The effects of intermittent fasting during the month of Ramadan in chronic haemodialysis patients in a tropical climate country","volume":"9","author":"Wan","year":"2014","journal-title":"PLoS One"},{"key":"10.1053\/j.jrn.2025.08.004_bib2","doi-asserted-by":"crossref","first-page":"e15","DOI":"10.1053\/j.jrn.2019.06.003","article-title":"Investigating physical and nutritional changes during prolonged intermittent fasting in hemodialysis patients: a prospective cohort study","volume":"30","author":"Adanan","year":"2020","journal-title":"J Ren Nutr"},{"key":"10.1053\/j.jrn.2025.08.004_bib3","doi-asserted-by":"crossref","DOI":"10.5812\/ircmj.16801","article-title":"Ramadan major dietary patterns","volume":"16","author":"Shadman","year":"2014","journal-title":"Iran Red Crescent Med J"},{"key":"10.1053\/j.jrn.2025.08.004_bib4","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1111\/hdi.12369","article-title":"Changes in biochemical, hemodynamic, and dialysis adherence parameters in hemodialysis patients during Ramadan","volume":"20","author":"Alshamsi","year":"2016","journal-title":"Hemodial Int"},{"key":"10.1053\/j.jrn.2025.08.004_bib5","first-page":"321","article-title":"Kidney function and metabolic profile of chronic kidney disease and hemodialysis patients during Ramadan fasting","volume":"8","author":"Al Wakeel","year":"2014","journal-title":"Iran J Kidney Dis"},{"key":"10.1053\/j.jrn.2025.08.004_bib6","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0218745","article-title":"The effects of Ramadan fasting on clinical and biochemical markers among hemodialysis patients: a prospective cohort study","volume":"14","author":"Khazneh","year":"2019","journal-title":"PLoS One"},{"key":"10.1053\/j.jrn.2025.08.004_bib7","article-title":"Clinical and biochemical parameters of hemodialysis patients before and during Islamic month of Ramadan","volume":"10","author":"Imtiaz","year":"2016","journal-title":"Iran J Kidney Dis"},{"key":"10.1053\/j.jrn.2025.08.004_bib8","doi-asserted-by":"crossref","first-page":"2225","DOI":"10.3390\/nu11092225","article-title":"Lipids, lipoprotein distribution and nutritional parameters over the Ramadan period in hemodialysis patients","volume":"11","author":"Tashkandi","year":"2019","journal-title":"Nutrients"},{"key":"10.1053\/j.jrn.2025.08.004_bib9","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1079\/NRR2005107","article-title":"Can dietary patterns help us detect diet\u2013disease associations?","volume":"18","author":"Michels","year":"2005","journal-title":"Nutr Res Rev"},{"key":"10.1053\/j.jrn.2025.08.004_bib10","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/s12937-021-00692-7","article-title":"A review of statistical methods for dietary pattern analysis","volume":"20","author":"Zhao","year":"2021","journal-title":"Nutr J"},{"key":"10.1053\/j.jrn.2025.08.004_bib11","doi-asserted-by":"crossref","first-page":"S81","DOI":"10.1053\/j.ajkd.2020.05.006","article-title":"KDOQI clinical practice guideline for nutrition in CKD: 2020 update","volume":"76","author":"Ikizler","year":"2020","journal-title":"Am J Kidney Dis"},{"key":"10.1053\/j.jrn.2025.08.004_bib12","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1053\/j.jrn.2023.01.006","article-title":"Mediterranean diet: a dietary pattern related to nutritional benefits for hemodialysis patients","volume":"33","author":"Garagarza","year":"2023","journal-title":"J Ren Nutr"},{"key":"10.1053\/j.jrn.2025.08.004_bib13","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1053\/j.jrn.2019.09.010","article-title":"Habitual dietary patterns of patients on hemodialysis indicate nutritional risk","volume":"30","author":"Sualeheen","year":"2020","journal-title":"J Ren Nutr"},{"key":"10.1053\/j.jrn.2025.08.004_bib14","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-020-68893-4","article-title":"Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study","volume":"10","author":"Khor","year":"2020","journal-title":"Sci Rep"},{"key":"10.1053\/j.jrn.2025.08.004_bib15","doi-asserted-by":"crossref","first-page":"797","DOI":"10.3390\/nu12030797","article-title":"Dietary patterns and health outcomes among African American maintenance hemodialysis patients","volume":"12","author":"Tallman","year":"2020","journal-title":"Nutrients"},{"key":"10.1053\/j.jrn.2025.08.004_bib16","series-title":"Nutrient Composition of Malaysian Foods","author":"Tee","year":"1997"},{"key":"10.1053\/j.jrn.2025.08.004_bib18","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1038\/sj.ijo.0801376","article-title":"Critical evaluation of energy intake using the Goldberg cut-off for energy intake: basal metabolic rate. A practical guide to its calculation, use and limitations","volume":"24","author":"Black","year":"2000","journal-title":"Int J Obes"},{"key":"10.1053\/j.jrn.2025.08.004_bib19","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1590\/1981-22562017020.160115","article-title":"Dietary patterns and associated factors among the elderly","volume":"20","author":"do Ferreira","year":"2017","journal-title":"Rev Bras Geriatr e Gerontol"},{"key":"10.1053\/j.jrn.2025.08.004_bib20","doi-asserted-by":"crossref","first-page":"2478","DOI":"10.3390\/nu12082478","article-title":"Effects of time-restricted feeding during Ramadan on dietary intake, body composition and metabolic outcomes","volume":"12","author":"Osman","year":"2020","journal-title":"Nutrients"},{"key":"10.1053\/j.jrn.2025.08.004_bib21","series-title":"International Society for the Anthropometric Assessment","author":"Stewart","year":"2011"},{"key":"10.1053\/j.jrn.2025.08.004_bib23","doi-asserted-by":"crossref","first-page":"31","DOI":"10.11613\/BM.2014.006","article-title":"Interferences from blood collection tube components on clinical chemistry assays","volume":"24","author":"Bowen","year":"2014","journal-title":"Biochem Med"},{"key":"10.1053\/j.jrn.2025.08.004_bib22","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1111\/j.1525-139X.1988.tb00710.x","article-title":"Urea kinetic modelling in chronic hemodialysis: benefits, problems, and practical solutions","volume":"1","author":"Jindal","year":"1988","journal-title":"Semin Dial"},{"key":"10.1053\/j.jrn.2025.08.004_bib24","first-page":"S17","article-title":"Clinical practice guidelines for nutrition in chronic renal failure. K\/DOQI National Kidney Foundation","volume":"35","year":"2000","journal-title":"Am J Kidney Dis"},{"key":"10.1053\/j.jrn.2025.08.004_bib25","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1017\/S1368980014003103","article-title":"Using both principal component analysis and reduced rank regression to study dietary patterns and diabetes in Chinese adults","volume":"19","author":"Batis","year":"2016","journal-title":"Public Health Nutr"},{"key":"10.1053\/j.jrn.2025.08.004_bib26","doi-asserted-by":"crossref","first-page":"1881","DOI":"10.1017\/S0007114512003868","article-title":"Dietary patterns obtained through principal components analysis: the effect of input variable quantification","volume":"109","author":"Smith","year":"2013","journal-title":"Br J Nutr"},{"key":"10.1053\/j.jrn.2025.08.004_bib27","article-title":"Dietary patterns \u2013 A scoping review for Nordic nutrition recommendations 2023","volume":"68","author":"Vepsalainen","year":"2024","journal-title":"Food Nutr Res"},{"key":"10.1053\/j.jrn.2025.08.004_bib28","doi-asserted-by":"crossref","first-page":"47","DOI":"10.31246\/nutriweb-2018-0052","article-title":"Identification of dietary patterns associated with characteristics of successful aging","volume":"25","author":"Fakhruddin","year":"2019","journal-title":"Malays J Nutr"},{"key":"10.1053\/j.jrn.2025.08.004_bib29","doi-asserted-by":"crossref","first-page":"195","DOI":"10.3390\/nu15010195","article-title":"The application of clustering on principal components for nutritional epidemiology: a workflow to derive dietary patterns","volume":"15","author":"Maugeri","year":"2023","journal-title":"Nutrients"},{"key":"10.1053\/j.jrn.2025.08.004_bib30","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1590\/0102-311X00070814","article-title":"Empirically derived dietary patterns: interpretability and construct validity according to different factor rotation methods","volume":"31","author":"de Castro","year":"2015","journal-title":"Cad Saude Publica"},{"key":"10.1053\/j.jrn.2025.08.004_bib31","series-title":"Food phosphate guide for chronic kidney disease","author":"Karupaiah","year":"2019"},{"key":"10.1053\/j.jrn.2025.08.004_bib32","doi-asserted-by":"crossref","first-page":"S13","DOI":"10.1053\/j.jrn.2023.05.004","article-title":"\u201cPhos\u201dtering a clear message: the evolution of dietary phosphorus management in chronic kidney disease","volume":"33","author":"Biruete","year":"2023","journal-title":"J Ren Nutr"},{"key":"10.1053\/j.jrn.2025.08.004_bib33","doi-asserted-by":"crossref","DOI":"10.1053\/j.jrn.2025.07.007","article-title":"Hyperphosphatemia in patients on hemodialysis may be driven by the consumption of ultraprocessed foods","author":"Sczip","year":"2025","journal-title":"J Ren Nutr"},{"key":"10.1053\/j.jrn.2025.08.004_bib34","doi-asserted-by":"crossref","first-page":"683","DOI":"10.2215\/CJN.08601209","article-title":"Association of dietary phosphorus intake and phosphorus to protein ratio with mortality in hemodialysis patients","volume":"5","author":"Noori","year":"2010","journal-title":"Clin J Am Soc Nephrol"},{"key":"10.1053\/j.jrn.2025.08.004_bib35","doi-asserted-by":"crossref","first-page":"4064","DOI":"10.3390\/nu14194064","article-title":"Dietary phosphorus, its sources, and mortality in adults on haemodialysis: the DIET-HD study","volume":"14","author":"Su","year":"2022","journal-title":"Nutrients"},{"key":"10.1053\/j.jrn.2025.08.004_bib36","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1016\/j.jsps.2015.01.009","article-title":"Hyperphosphatemia management in patients with chronic kidney disease","volume":"24","author":"Shaman","year":"2016","journal-title":"Saudi Pharm J"},{"key":"10.1053\/j.jrn.2025.08.004_bib37","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1093\/ckj\/sfz195","article-title":"Kt\/V: achievement, predictors and relationship to mortality in hemodialysis patients in the Gulf Cooperation Council countries: results from DOPPS (2012-18)","volume":"14","author":"Alsahow","year":"2021","journal-title":"Clin Kidney J"},{"key":"10.1053\/j.jrn.2025.08.004_bib38","doi-asserted-by":"crossref","first-page":"261","DOI":"10.3390\/nu10030261","article-title":"Dietary approach to recurrent or chronic hyperkalaemia in patients with decreased kidney function","volume":"10","author":"Cupisti","year":"2018","journal-title":"Nutrients"},{"key":"10.1053\/j.jrn.2025.08.004_bib39","doi-asserted-by":"crossref","first-page":"3569","DOI":"10.3390\/nu13103569","article-title":"Are food additives a really problematic hidden source of potassium for chronic kidney disease patients?","volume":"13","author":"Mart\u00ednez-Pineda","year":"2021","journal-title":"Nutrients"},{"key":"10.1053\/j.jrn.2025.08.004_bib40","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1053\/j.jrn.2018.10.003","article-title":"Potassium additives and bioavailability: are we missing something in hyperkalemia management?","volume":"29","author":"Picard","year":"2019","journal-title":"J Ren Nutr"},{"key":"10.1053\/j.jrn.2025.08.004_bib41","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/s41100-016-0085-4","article-title":"Serum albumin level adjusted with C-reactive protein predicts hemodialysis patient survival","volume":"3","author":"Hanafusa","year":"2017","journal-title":"Ren Replace Ther"},{"key":"10.1053\/j.jrn.2025.08.004_bib42","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1080\/10408390701724264","article-title":"Nutritional and functional properties of dates: a review","volume":"48","author":"Al-Farsi","year":"2008","journal-title":"Crit Rev Food Sci Nutr"},{"key":"10.1053\/j.jrn.2025.08.004_bib43","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1177\/0884533610385703","article-title":"Diet and inflammation","volume":"25","author":"Galland","year":"2010","journal-title":"Nutr Clin Pract"},{"key":"10.1053\/j.jrn.2025.08.004_bib44","article-title":"Associations of serum albumin and dietary protein intake with all-cause mortality in community-dwelling older adults at risk of sarcopenia","volume":"10","author":"Zhang","year":"2024","journal-title":"Heliyon"},{"key":"10.1053\/j.jrn.2025.08.004_bib45","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0220942","article-title":"Identification of dietary patterns associated with elevated blood pressure among Lebanese men: a comparison of principal component analysis with reduced rank regression and partial least square methods","volume":"14","author":"Naja","year":"2019","journal-title":"PLoS One"},{"key":"10.1053\/j.jrn.2025.08.004_bib46","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0161298","article-title":"Association of empirically derived dietary patterns with cardiovascular risk factors: a comparison of PCA and RRR methods","volume":"11","author":"Sauvageot","year":"2016","journal-title":"PLoS One"},{"key":"10.1053\/j.jrn.2025.08.004_bib47","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/s12937-020-00661-6","article-title":"Dietary patterns and chronic kidney disease risk: a systematic review and updated meta-analysis of observational studies","volume":"20","author":"He","year":"2021","journal-title":"Nutr J"},{"key":"10.1053\/j.jrn.2025.08.004_bib48","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3390\/nu12041088","article-title":"Dietary factors and risks of cardiovascular diseases","volume":"12","author":"Chareonrungrueangchai","year":"2020","journal-title":"Nutrients"},{"key":"10.1053\/j.jrn.2025.08.004_bib49","doi-asserted-by":"crossref","first-page":"1441","DOI":"10.2215\/CJN.00530119","article-title":"Healthy dietary patterns and incidence of CKD","volume":"14","author":"Bach","year":"2019","journal-title":"Clin J Am Soc Nephrol"},{"key":"10.1053\/j.jrn.2025.08.004_bib50","first-page":"1018","article-title":"The effect of use of dates on serum potassium in nondiabetic hemodialysis patients","volume":"20","author":"Siddiqi","year":"2009","journal-title":"Saudi J Kidney Dis Transpl"},{"key":"10.1053\/j.jrn.2025.08.004_bib51","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0116677","article-title":"Dietary patterns and clinical outcomes in hemodialysis patients in Japan: a cohort study","volume":"10","author":"Tsuruya","year":"2015","journal-title":"PLoS One"}],"container-title":["Journal of Renal Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1051227625001864?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1051227625001864?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T11:17:41Z","timestamp":1778584661000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1051227625001864"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":50,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["S1051227625001864"],"URL":"https:\/\/doi.org\/10.1053\/j.jrn.2025.08.004","relation":{},"ISSN":["1051-2276"],"issn-type":[{"value":"1051-2276","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Applying Integrative Analysis of Dietary Patterns to Understand Ramadan-Induced Nutritional Status Alterations in Hemodialysis Patients","name":"articletitle","label":"Article Title"},{"value":"Journal of Renal Nutrition","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1053\/j.jrn.2025.08.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by the National Kidney Foundation, Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}