{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:28:15Z","timestamp":1788136095642,"version":"build-2803163510"},"reference-count":24,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Chronic kidney disease (CKD) has always been a complicated global challenge, ranking as the 12th leading cause of death worldwide. Hemodialysis, being one of the most opted renal replacement therapies (RRTs) for patients with end-stage renal disease (ESRD), still possesses some limitations in preventing complications, such as malnutrition and mineral bone disease (CKD-MBD). While efforts have focused on controlling CKD-MBD parameters like calcium and phosphate, less attention has been given to dietary interventions. Moreover, the adoption of low-phosphorus diets for hemodialysis patients is very complex due to potential conflicts with the guideline-recommended high-protein dietary approach. This study sought to investigate the relationship between dietary phosphorus intake and nutritional status in CKD patients undergoing regular hemodialysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>This non-randomized cross-sectional study comprising 88 patients was conducted at the Hemodialysis Unit, RSUD Dr. Soetomo, Surabaya, East Java, using a three-day dietary record in March 2022. Relationships between variables were analyzed using Spearman and ANOVA tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result:<\/jats:title>\n                    <jats:p>\n                      No significant positive association was found between dietary calcium with corrected calcium levels (p = 0.988; r\n                      <jats:sub>s<\/jats:sub>\n                      = \u22120.002) and between dietary phosphorus with plasma phosphate levels (p = 0.082; r\n                      <jats:sub>s<\/jats:sub>\n                      = 0.187). However, Spearman's analysis revealed a weak but positive correlation between dietary phosphorus and nutritional status (p = 0.022; r\n                      <jats:sub>s<\/jats:sub>\n                      = 0.215*).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our study highlights a positive relationship between dietary phosphorus and nutritional status among hemodialysis patients, offering insights into potential strategies for optimizing patient care and outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2478\/rjim-2023-0029","type":"journal-article","created":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T06:49:12Z","timestamp":1700635752000},"page":"52-60","source":"Crossref","is-referenced-by-count":0,"title":["The hidden and complex relationship between dietary phosphorus and malnutrition in hemodialysis patients with chronic kidney disease"],"prefix":"10.2478","volume":"62","author":[{"given":"Clonia","family":"Milla","sequence":"first","affiliation":[{"name":"Medical Programme, Faculty of Medicine , Universitas Airlangga , Surabaya , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Widodo","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Faculty of Medicine , Universitas Airlangga , Surabaya , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teddy Heri","family":"Wardhana","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Faculty of Medicine , Universitas Airlangga , Surabaya , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2024,3,23]]},"reference":[{"key":"2026042914162405798_j_rjim-2023-0029_ref_001","doi-asserted-by":"crossref","unstructured":"BIKBOV B., PURCELL C.A., LEVEY A.S., SMITH M., ABDOLI A., ABEBE M. et al. 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