{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T02:11:58Z","timestamp":1783649518297,"version":"3.55.0"},"reference-count":53,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T00:00:00Z","timestamp":1765411200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Chronic kidney disease (CKD) represents a major global public health challenge. Diet plays a central role in CKD management, with guidelines emphasizing individualized intake of energy, macronutrients, and micronutrients in combination with medical treatment. In recent years, increasing attention has been directed toward diet quality and the degree of food processing, particularly the consumption of ultra-processed foods (UPFs), which have been linked to adverse metabolic and renal outcomes. However, limited data are available on the real-life dietary patterns of individuals with CKD who have not yet received structured nutritional counseling. This study aims to describe the dietary habits of adults with CKD compared to healthy controls, in order to better understand nutritional challenges and identify potential targets for dietary intervention in CKD management. Methods: 73 subjects (46.6% M) were enrolled; they attended the Outpatients Clinic of the I.P. \u201cDiet Therapy in transplantation, renal failure and chronic pathology\u201d, University of Naples Federico II. Subjects were divided into two groups based on the presence\/absence of CKD, established on the basis of a glomerular filtration rate (eGFR) &lt; 60 mL\/min\/1.73 m2. Each participant was evaluated for biochemical parameters, anthropometric measurements, body composition, and dietary assessment. Results: CKD group showed a lower caloric intake compared to Control Group. In particular, lipid intake was significantly higher in Control Group whereas carbohydrates intake was higher in CKD Group. No difference was found between the two groups regarding daily protein intake. Dietary sodium and salt intake was found to be lower in CKD Group compared to Control Group and the latter showed a lower omega-6\/omega-3 ratio. Interestingly, the consumption of UPF was higher in Control Group compared to CKD Group. Conclusions: This study offers a snapshot of the dietary habits of a cohort from Southern Italy CKD stage 3\u20135 patients, showing that even in the absence of specific nutritional guidance, individuals were able to implement small lifestyle changes such as UPF and salt intake reduction. However, critical nutritional imbalances in CKD patients show the limits of self-managed diets, highlighting the need for structured nutritional support.<\/jats:p>","DOI":"10.3390\/nu17243864","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T11:17:27Z","timestamp":1765451847000},"page":"3864","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Real-World Snapshot of Dietary Patterns in Subjects Living with Chronic Kidney Disease"],"prefix":"10.3390","volume":"17","author":[{"given":"Mariana","family":"Di Lorenzo","sequence":"first","affiliation":[{"name":"Physiology Nutrition Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via Sergio Pansini 5, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3768-4480","authenticated-orcid":false,"given":"Maria Serena","family":"Lonardo","sequence":"additional","affiliation":[{"name":"Physiology Nutrition Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via Sergio Pansini 5, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0282-1422","authenticated-orcid":false,"given":"Mariastella","family":"Di Lauro","sequence":"additional","affiliation":[{"name":"Physiology Nutrition Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via Sergio Pansini 5, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Chiurazzi","sequence":"additional","affiliation":[{"name":"Physiology Nutrition Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via Sergio Pansini 5, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Fiorenza","family":"de Giovanni di Santa Severina","sequence":"additional","affiliation":[{"name":"Physiology Nutrition Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via Sergio Pansini 5, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcella","family":"Capuano","sequence":"additional","affiliation":[{"name":"Physiology Nutrition Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via Sergio Pansini 5, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruna","family":"Guida","sequence":"additional","affiliation":[{"name":"Physiology Nutrition Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via Sergio Pansini 5, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rossella","family":"Trio","sequence":"additional","affiliation":[{"name":"Physiology Nutrition Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via Sergio Pansini 5, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2343-5069","authenticated-orcid":false,"given":"Daniela","family":"Pacella","sequence":"additional","affiliation":[{"name":"Department of Public Health, University of Naples Federico II, Via Sergio Pansini 5, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Memoli","sequence":"additional","affiliation":[{"name":"Nephrology Unit, Pellegrini Hospital, Via Portamedina alla Pignasecca, 41, 80134 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simona","family":"Esposito","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, LUM University, Strada Statale 100 km 18, Casamassima, 70010 Bari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,12,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Hill, N.R., Fatoba, S.T., Oke, J.L., Hirst, J.A., O\u2019Callaghan, C.A., Lasserson, D.S., and Hobbs, F.D.R. (2016). Global prevalence of chronic kidney disease\u2014A systematic review and meta-analysis. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0158765"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"57","DOI":"10.4103\/0366-6999.196564","article-title":"Association of Chronic Kidney Disease with Coronary Heart Disease and Stroke Risks in Patients with Type 2 Diabetes Mellitus","volume":"130","author":"Sun","year":"2017","journal-title":"Chin. Med. J."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"132405","DOI":"10.4061\/2011\/132405","article-title":"Hypertension in Chronic Kidney Disease: Navigating the Evidence","volume":"2011","author":"Tedla","year":"2011","journal-title":"Int. J. Hypertens."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1007\/s12020-016-1014-6","article-title":"Diabetes mellitus as a risk factor for incident chronic kidney disease and end-stage renal disease in women compared with men: A systematic review and meta-analysis","volume":"55","author":"Shen","year":"2017","journal-title":"Endocrine"},{"key":"ref_5","unstructured":"(2025, September 02). National Kidney Foundation Diabetes\u2014A Major Risk Factor for Kidney Disease. Available online: https:\/\/www.kidney.org\/atoz\/content\/diabetes."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.pop.2008.01.008","article-title":"Chronic Kidney Disease and Its Complications","volume":"35","author":"Thomas","year":"2008","journal-title":"Prim. Care Clin. Off. Pract."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1093\/ndt\/gfw452","article-title":"Cigarette smoking and chronic kidney disease in the general population: A systematic review and meta-analysis of prospective cohort studies","volume":"32","author":"Xia","year":"2017","journal-title":"Nephrol. Dial. Transplant."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"2464","DOI":"10.1093\/ndt\/gfp114","article-title":"Alcohol consumption and 5-year onset of chronic kidney disease: The AusDiab study","volume":"24","author":"White","year":"2009","journal-title":"Nephrol. Dial. Transplant."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1038\/nrneph.2016.187","article-title":"Physical inactivity: A risk factor and target for intervention in renal care","volume":"13","author":"Zelle","year":"2017","journal-title":"Nat. Rev. Nephrol."},{"key":"ref_10","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":"ref_11","doi-asserted-by":"crossref","unstructured":"Ajjarapu, A.S., Hinkle, S.N., Li, M., Francis, E.C., and Zhang, C. (2019). Dietary Patterns and Renal Health Outcomes in the General Population: A Review Focusing on Prospective Studies. Nutrients, 11.","DOI":"10.3390\/nu11081877"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1765","DOI":"10.1056\/NEJMra1700312","article-title":"Nutritional Management of Chronic Kidney Disease","volume":"377","author":"Fouque","year":"2017","journal-title":"N. Engl. J. Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"S117","DOI":"10.1016\/j.kint.2023.10.018","article-title":"KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease","volume":"105","author":"Stevens","year":"2024","journal-title":"Kidney Int."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Boyar, L., White, C.M., Vanderlee, L., Bhawra, J., and Hammond, D. (2025). Can kids identify unprocessed fruit as healthier than an ultra-processed sugar-sweetened beverage? Functional versus self-reported nutrition knowledge and dietary intake among youth from six countries: Findings from the International Food Policy Study. BMC Nutr., 11.","DOI":"10.1186\/s40795-025-01109-y"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1007\/s11906-020-1020-1","article-title":"Diet and Kidney Function: A Literature Review","volume":"22","author":"Geleijnse","year":"2020","journal-title":"Curr. Hypertens. Rep."},{"key":"ref_16","first-page":"28","article-title":"NOVA. The star shines bright","volume":"7","author":"Monteiro","year":"2016","journal-title":"World Nutr."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"2239","DOI":"10.1007\/s00394-021-02786-8","article-title":"Chronic diseases are first associated with the degradation and artificialization of food matrices rather than with food composition: Calorie quality matters more than calorie quantity","volume":"61","author":"Fardet","year":"2022","journal-title":"Eur. J. Nutr."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Rauber, F., Da Costa Louzada, M.L., Steele, E., Millett, C., Monteiro, C.A., and Levy, R.B. (2018). Ultra-Processed Food Consumption and Chronic Non-Communicable Diseases-Related Dietary Nutrient Profile in the UK (2008\u20132014). Nutrients, 10.","DOI":"10.3390\/nu10050587"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1017\/S1368980017000234","article-title":"The UN Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing","volume":"21","author":"Monteiro","year":"2018","journal-title":"Public Health Nutr."},{"key":"ref_20","first-page":"527","article-title":"The Food System. Processing. The big issue for disease, good health, well-being","volume":"3","author":"Monteiro","year":"2012","journal-title":"World Nutr."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Maugeri, A., Barchitta, M., Fiore, V., Rosta, G., Favara, G., La Mastra, C., La Rosa, M.C., Magnano San Lio, R., and Agodi, A. (2019). Determinants of Adherence to the Mediterranean Diet: Findings from a Cross-Sectional Study in Women from Southern Italy. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16162963"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"l1451","DOI":"10.1136\/bmj.l1451","article-title":"Ultra-processed food intake and risk of cardiovascular disease: Prospective cohort study (NutriNet-Sant\u00e9)","volume":"365","author":"Srour","year":"2019","journal-title":"BMJ"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Di Lorenzo, M., Aurino, L., Cataldi, M., Cacciapuoti, N., Di Lauro, M., Lonardo, M., Gautiero, C., and Guida, B. (2024). A Close Relationship Between Ultra-Processed Foods and Adiposity in Adults in Southern Italy. Nutrients, 16.","DOI":"10.3390\/nu16223923"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Kityo, A., and Lee, S.A. (2022). The Intake of Ultra-Processed Foods and Prevalence of Chronic Kidney Disease: The Health Examinees Study. Nutrients, 14.","DOI":"10.3390\/nu14173548"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1186\/s41043-025-00799-1","article-title":"Ultra-processed foods and risk of declined renal function: A dose\u2013response meta-analysis of 786,216 participants","volume":"44","author":"Awlqadr","year":"2025","journal-title":"J. Health Popul. Nutr."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Cacciapuoti, N., Lonardo, M.S., Di Lauro, M., Di Lorenzo, M., Aurino, L., Pacella, D., and Guida, B. (2024). Effects of Dietary Intervention on Nutritional Status in Elderly Individuals with Chronic Kidney Disease. Nutrients, 16.","DOI":"10.3390\/nu16050632"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"e70207","DOI":"10.1002\/mnfr.70207","article-title":"Effect of Nutraceutical Supplementation and Mediterranean Hypocaloric Diet on Calculated Steatosis Indices and Inflammation: Clinical and In Vitro Evidences","volume":"69","author":"Pipicelli","year":"2025","journal-title":"Mol. Nutr. Food Res."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.clnu.2018.05.024","article-title":"ESPEN guideline on clinical nutrition and hydration in geriatrics","volume":"38","author":"Volkert","year":"2019","journal-title":"Clin. Nutr."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1016\/j.amjcard.2007.09.109","article-title":"Usefulness of the Triglyceride\u2013High-Density Lipoprotein Versus the Cholesterol\u2013High-Density Lipoprotein Ratio for Predicting Insulin Resistance and Cardiometabolic Risk (from the Framingham Offspring Cohort)","volume":"101","author":"Kannel","year":"2008","journal-title":"Am. J. Cardiol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"604","DOI":"10.7326\/0003-4819-150-9-200905050-00006","article-title":"A New Equation to Estimate Glomerular Filtration Rate","volume":"150","author":"Levey","year":"2009","journal-title":"Ann. Intern. Med."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ejim.2024.05.033","article-title":"2024 European Society of Hypertension clinical practice guidelines for the management of arterial hypertension","volume":"126","author":"Kreutz","year":"2024","journal-title":"Eur. J. Intern. Med."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1053\/j.jrn.2010.05.013","article-title":"Design and Development of a Dialysis Food Frequency Questionnaire","volume":"21","author":"Kovesdy","year":"2011","journal-title":"J. Ren. Nutr."},{"key":"ref_33","unstructured":"CREA 2019 (2025, September 23). Linee Guida per Un Asana Alimentazione-Revisione 2018, Available online: https:\/\/www.crea.gov.it\/web\/alimenti-e-nutrizione\/-\/linee-guida-per-una-sana-alimentazione-2018."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1080\/09637486.2021.1880552","article-title":"Reproducibility and validity of a food-frequency questionnaire (NFFQ) to assess food consumption based on the NOVA classification in adults","volume":"72","author":"Dinu","year":"2021","journal-title":"Int. J. Food Sci. Nutr."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Dinu, M., Tristan Asensi, M., Pagliai, G., Lotti, S., Martini, D., Colombini, B., and Sofi, F. (2022). Consumption of Ultra-Processed Foods Is Inversely Associated with Adherence to the Mediterranean Diet: A Cross-Sectional Study. Nutrients, 14.","DOI":"10.3390\/nu14102073"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.clnu.2022.11.016","article-title":"Food processing and risk of central nervous system tumours: A preliminary case\u2013control analysis from the MEditerranean DIet in relation to CancEr of brAin (MEDICEA) study","volume":"42","author":"Esposito","year":"2023","journal-title":"Clin. Nutr."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Mart\u00ednez-Gonz\u00e1lez, M.A., Garc\u00eda-Arellano, A., Toledo, E., Salas-Salvad\u00f3, J., Buil-Cosiales, P., Corella, D., Covas, M.I., Schr\u00f6der, H., Ar\u00f3s, F., and G\u00f3mez-Gracia, E. (2012). A 14-Item Mediterranean Diet Assessment Tool and Obesity Indexes among High-Risk Subjects: The PREDIMED Trial. PLoS ONE, 7.","DOI":"10.1371\/journal.pone.0043134"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1093\/ajcn\/nqac073","article-title":"Ultraprocessed food consumption and kidney function decline in a population-based cohort in the Netherlands","volume":"116","author":"Cai","year":"2022","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1053\/j.ajkd.2023.01.452","article-title":"Ultraprocessed Foods and Kidney Disease Progression, Mortality, and Cardiovascular Disease Risk in the CRIC Study","volume":"82","author":"Sullivan","year":"2023","journal-title":"Am. J. Kidney Dis."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1723","DOI":"10.1093\/ckj\/sfad103","article-title":"Ultraprocessed foods and chronic kidney disease\u2014Double trouble","volume":"16","author":"Avesani","year":"2023","journal-title":"Clin. Kidney J."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Podkowi\u0144ska, A., and Formanowicz, D. (2020). Chronic Kidney Disease as Oxidative Stress- and Inflammatory-Mediated Cardiovascular Disease. Antioxidants, 9.","DOI":"10.3390\/antiox9080752"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1007\/s40620-023-01817-3","article-title":"From ultra-processed foods towards healthy eating for CKD patients: A proposal of educational infographics","volume":"37","author":"Padial","year":"2023","journal-title":"J. Nephrol."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Avesani, C.M., Cecchini, V., Sabatino, A., Lindholm, B., Stenvinkel, P., Canella, D., and Picard, K. (2025). Ultra-Processed Foods and Food Additives in CKD. Clin. J. Am. Soc. Nephrol.","DOI":"10.2215\/CJN.0000000789"},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Kushwaha, R., Vardhan, P.S., and Kushwaha, P.P. (2023). Chronic Kidney Disease Interplay with Comorbidities and Carbohydrate Metabolism: A Review. Life, 14.","DOI":"10.3390\/life14010013"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"24322","DOI":"10.1038\/s41598-025-09602-x","article-title":"The addition of sweetness reduces aversion to high salt concentrations in patients with chronic kidney disease","volume":"15","author":"Kohama","year":"2025","journal-title":"Sci. Rep."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Tan, S.Y., Tuli, P., Thio, G., Noel, B., Marshall, B., Yu, Z., Torelli, R., Fitzgerald, S., Chan, M., and Tucker, R.M. (2022). A Systematic Review of Salt Taste Function and Perception Impairments in Adults with Chronic Kidney Disease. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph191912632"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1111\/sdi.12348","article-title":"Dietary Restrictions in Dialysis Patients: Is There Anything Left to Eat?","volume":"28","author":"Tortorici","year":"2015","journal-title":"Semin. Dial."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"112156","DOI":"10.1016\/j.nut.2023.112156","article-title":"Distinct associations between dietary omega-3 and omega-6 fatty acids intake with chronic kidney disease in adults with and without diabetes: A cross-sectional study","volume":"115","author":"Hara","year":"2023","journal-title":"Nutrition"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"439","DOI":"10.2147\/PPA.S348227","article-title":"Food Literacy and Its Associated Factors in Non-Dialysis Patients with Chronic Kidney Disease in China: A Cross-Sectional Study","volume":"16","author":"Duan","year":"2022","journal-title":"Patient Prefer. Adherence"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1038\/s41581-021-00498-0","article-title":"Pathophysiological mechanisms leading to muscle loss in chronic kidney disease","volume":"18","author":"Wang","year":"2022","journal-title":"Nat. Rev. Nephrol."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1053\/j.jrn.2013.01.001","article-title":"Etiology of the Protein-Energy Wasting Syndrome in Chronic Kidney Disease: A Consensus Statement From the International Society of Renal Nutrition and Metabolism (ISRNM)","volume":"23","author":"Carrero","year":"2013","journal-title":"J. Ren. Nutr."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1159\/000502011","article-title":"Salt and Water Retention Is Associated with Microinflammation and Endothelial Injury in Chronic Kidney Disease","volume":"143","author":"Mitsides","year":"2019","journal-title":"Nephron"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"2169","DOI":"10.1016\/j.numecd.2023.06.015","article-title":"Combined use of handgrip strength and hemoglobin as markers of undernutrition in patients with stage 3-5 chronic kidney disease","volume":"33","author":"Lonardo","year":"2023","journal-title":"Nutr. Metab. Cardiovasc. Dis."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/17\/24\/3864\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T11:26:22Z","timestamp":1765452382000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/17\/24\/3864"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,11]]},"references-count":53,"journal-issue":{"issue":"24","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["nu17243864"],"URL":"https:\/\/doi.org\/10.3390\/nu17243864","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,11]]}}}