Dietary educational interventions for management of hyperphosphatemia in hemodialysis patients: a systematic review and meta-analysis

M. Karavetian, N. de Vries, R. Rizk, H. Elzein

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Strategies to enhance knowledge of and adherence to dietary guidelines for management of hyperphosphatemia in hemodialysis patients have been studied extensively over the past decade. This review is the first to compile all of them (2003-2013) and conduct a meta-analysis through calculation of effect size, with the aim of identifying the optimal nutrition education methods for effective management of hyperphosphatemia in hemodialysis patients. The following strategies were identified as being effective in changing dietary behavior: 1) use of self-evaluation and self-regulation techniques within educational tools, along with easy-to-apply skills; 2) individualized counseling by a renal dietitian provided just before the hemodialysis session; 3) high-intensity education; and 4) long duration of interventions. Future studies should focus on conducting randomized controlled trials with powered samples to help generate stronger evidence. (C) 2014 International Life Sciences Institute

Original languageEnglish
Pages (from-to)471-482
Number of pages12
JournalNutrition Reviews
Volume72
Issue number7
DOIs
Publication statusPublished - Jul 2014

Keywords

  • dietary education
  • hemodialysis
  • hyperphosphatemia management
  • RANDOMIZED CONTROLLED-TRIAL
  • CHRONIC KIDNEY-DISEASE
  • PRACTICE GUIDELINES
  • DIALYSIS PATIENTS
  • RENAL DIETITIANS
  • PHOSPHATE INTAKE
  • OUTCOMES
  • PROGRAM
  • POPULATION
  • PHOSPHORUS

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