{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T06:38:51Z","timestamp":1792478331943,"version":"4.5.0"},"reference-count":46,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nutrition &amp; Dietetics"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This review aimed to determine the effectiveness of dietitian\u2010delivered nutrition education for people with chronic kidney disease stages 3a\u20135.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Four databases were searched up to July 2025. Randomised controlled trials evaluating the effect of dietitian\u2010delivered nutrition education compared to standard care on outcomes [primary: estimated glomerular filtration rate; secondary: blood pressure, body mass index, quality of life, dietary adherence and acceptability] for people with chronic kidney disease stages 3a\u20135 were included. Meta\u2010analyses were performed by pooling post\u2010intervention data using random\u2010effects models and inverse variance methods to determine the pooled mean difference or standardised mean difference and 95% confidence intervals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eight trials (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091204 participants) were included. There was low certainty evidence from five trials (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009462 participants) that dietitian\u2010delivered nutrition education may result in little to no difference in estimated glomerular filtration rate and body mass index, but large improvements in quality of life compared to usual care (standardised mean differences 0.99, 95% CI \u22120.31 to 2.29). There was high certainty evidence from 4 trials (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009398) that dietitian\u2010delivered education reduced diastolic blood pressure by 4.01\u2009mmHg (95% CI \u22126.13 to \u22121.90) and systolic blood pressure by 6.23\u2009mmHg (95% CI \u22129.24 to \u22123.23). Exploratory sub\u2010group analyses suggest no differences in individual versus group interventions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dietitian\u2010delivered education interventions delivered individually or in groups reduced blood pressure and may improve quality of life but had no impact on estimated glomerular filtration rate or body mass index for people with chronic kidney disease stages 3a\u20135.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1747-0080.70091","type":"journal-article","created":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T05:42:42Z","timestamp":1792474962000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of individual and group\u2010based dietitian\u2010delivered education interventions on outcomes for people with chronic kidney disease stages 3a\u20135: A systematic review and meta\u2010analysis"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3286-7916","authenticated-orcid":false,"given":"Beth","family":"Lucan","sequence":"first","affiliation":[{"name":"Department of Allied Health (Clinical Nutrition) The Royal Melbourne Hospital  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9846-7191","authenticated-orcid":false,"given":"Kym","family":"Wittholz","sequence":"additional","affiliation":[{"name":"Department of Allied Health (Clinical Nutrition) The Royal Melbourne Hospital  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Howes","sequence":"additional","affiliation":[{"name":"Department of Allied Health (Clinical Nutrition) The Royal Melbourne Hospital  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0686-7436","authenticated-orcid":false,"given":"Casey L.","family":"Peiris","sequence":"additional","affiliation":[{"name":"La Trobe University Academic and Research Collaborative in Health (ARCH)  Melbourne Australia"},{"name":"Allied Health The Royal Melbourne Hospital  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,19]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"ISN\u2010Global Kidney Heath Atlas: A Report by the International Society of Nephrology: An Assessment of Global Kidney Health Care Status Focussing on Capacity, Availability, Accessibility, Affordability and Outcomes of Kidney Disease","author":"Bello A","year":"2023"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2024.102615"},{"issue":"4","key":"e_1_2_8_4_1","article-title":"Dietary interventions for adults with chronic kidney disease","volume":"4","author":"Palmer S","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xkme.2023.100643"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-031625"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2021.03.016"},{"key":"e_1_2_8_8_1","unstructured":"AIHW.Australian Institute of Health and Welfare [Internet]. 2023. 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