{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:13:08Z","timestamp":1787015588099,"version":"build-2736575974"},"reference-count":50,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,3,21]],"date-time":"2017-03-21T00:00:00Z","timestamp":1490054400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2017,10]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n The Nutrition Education for Management of Osteodystrophy trial showed that stage\u2010based nutrition education by dedicated dietitians surpasses existing practices in Lebanon with respect to lowering serum phosphorus among general haemodialysis patients. The present study explores the effect of nutrition education specifically on hyperphosphataemic patients from this trial.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Hyperphosphataemic haemodialysis patients were allocated to a dedicated dietitian (\n DD<\/jats:styled-content>\n ), a trained hospital dietitian (\n THD<\/jats:styled-content>\n ) and existing practice (\n EP<\/jats:styled-content>\n ) protocols. From time\u2010point (\n t<\/jats:italic>\n )\u20100 until\n t<\/jats:italic>\n \u20101 (6 months), the\n DD<\/jats:styled-content>\n group (\n n<\/jats:italic>\n = 47) received 15 min of biweekly nutrition education by dedicated dietitians trained on renal nutrition; the\n THD<\/jats:styled-content>\n group (\n n<\/jats:italic>\n = 89) received the usual care from trained hospital dietitians; and the\n EP<\/jats:styled-content>\n group (\n n<\/jats:italic>\n = 42) received the usual care from untrained hospital dietitians. Patients were followed\u2010up from\n t<\/jats:italic>\n \u20101 until\n t<\/jats:italic>\n \u20102 (6 months). Analyses used two\u2010way repeated measures analysis of variance and Cohen's effect sizes (\n d<\/jats:italic>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n At\n t<\/jats:italic>\n \u20101, phosphataemia significantly decreased in all groups (\n DD<\/jats:styled-content>\n :\u22120.27 mmol L\n \u22121<\/jats:sup>\n ;\n EP<\/jats:styled-content>\n :\u22120.15 mmol L\n \u22121<\/jats:sup>\n ;\n THD<\/jats:styled-content>\n :\u22120.12 mmol L\n \u22121<\/jats:sup>\n ;\n P<\/jats:italic>\n < 0.05); the\n DD<\/jats:styled-content>\n protocol had the greatest effect relative to\n EP<\/jats:styled-content>\n (\n d<\/jats:italic>\n = \u22120.35) and\n THD<\/jats:styled-content>\n (\n d<\/jats:italic>\n = \u22120.50). Only the\n DD<\/jats:styled-content>\n group showed more readiness to adhere to a low phosphorus diet at\n t<\/jats:italic>\n \u20101; although, at\n t<\/jats:italic>\n \u20102, this regressed to baseline levels. The malnutrition inflammation score remained stable only in the\n DD<\/jats:styled-content>\n group, whereas the\n EP<\/jats:styled-content>\n and\n THD<\/jats:styled-content>\n groups exhibited a significant increase (\n DD<\/jats:styled-content>\n : 6.74, 6.97 and 7.91;\n EP<\/jats:styled-content>\n : 5.82, 8.69 and 8.13;\n THD<\/jats:styled-content>\n : 5.33, 7.92 and 9.42, at\n t<\/jats:italic>\n \u20100,\n t<\/jats:italic>\n \u20101 and\n t<\/jats:italic>\n \u20102, respectively).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n The results of the present study suggest that the\n DD<\/jats:styled-content>\n protocol decreases serum phosphorus compared to\n EP<\/jats:styled-content>\n and\n THD<\/jats:styled-content>\n , at the same time as maintaining the nutritional status of hyperphosphataemic haemodialysis patients. Assessing the cost\u2010effectiveness of the\n DD<\/jats:styled-content>\n protocol is recommended.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jhn.12472","type":"journal-article","created":{"date-parts":[[2017,3,21]],"date-time":"2017-03-21T19:42:28Z","timestamp":1490125348000},"page":"554-562","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Effect of stage\u2010based education provided by dedicated dietitians on hyperphosphataemic haemodialysis patients: results from the Nutrition Education for Management of Osteodystrophy randomised controlled trial"],"prefix":"10.1111","volume":"30","author":[{"given":"R.","family":"Rizk","sequence":"first","affiliation":[{"name":"Department of Health Services Research CAPHRI School of Public Health and Primary Care Maastricht University Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Karavetian","sequence":"additional","affiliation":[{"name":"Department of Natural Sciences in Public Health College of Natural and Health Sciences Zayed University Dubai United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Hiligsmann","sequence":"additional","affiliation":[{"name":"Department of Health Services Research CAPHRI School of Public Health and Primary Care Maastricht University Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. 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