Evidence map›Paper›PMID 20650653›Full record

ArticleJournal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation2011

Association between adherence to folic acid supplements and serum folate, and plasma homocysteine among hemodialysis patients.

June Leung, Johanna Dwyer, Patricia Hibberd, Paul Jacques, William Rand, Michael V Rocco, HEMO Study Group

Abstract read
In one paragraph

Article in Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

June LeungGerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts 02111, USA. june.leung@tufts.edu
Johanna Dwyer
Patricia Hibberd
Paul Jacques
William Rand
Michael V Rocco
HEMO Study Group
Tufts University · USJean Mayer Human Nutrition Research Center on Aging · USWake Forest University · US

Funding

HEMODIALYSIS OUTCOME STUDY--DATA COORDINATING CENTERU01DK046143 · NIDDK · CLEVELAND CLINIC FOUNDATION · PI BECK, GERALD J · 1992 to 2005
$3.1M
Midcareer Investigator Award in Patient-Oriented Research (K24)K24AT003683 · NCCIH · TUFTS MEDICAL CENTER · PI HIBBERD, PATRICIA L · 2006 to 2015
$1.9M
NCCIH NIH HHS K24 AT003683NIDDK NIH HHS U01 DK046143
6 · The paper itself

Abstract

objectiveTo examine the relationship between adherence to prescribed folic acid supplements and folic acid intake, serum folate and plasma homocysteine in hemodialysis patients. The effects of change in adherence patterns from enrollment to 1 year later on changes in these same measures were also assessed.

designSecondary data analysis.

participantsEighty-six hemodialysis patients who participated in the Hemodialysis (HEMO) Study's Homocysteine ancillary study.

main outcome measuresFolic acid supplement intake, serum folate, and plasma homocysteine.

resultsEighty-eight percent of patients at enrollment and 91% 1 year later were adherent to prescribed folic acid supplements. Nonadherers had lower intakes of folic acid at both enrollment and 1 year later and lower serum folate levels at enrollment. Percent change was significantly different between the 3 adherence change groups for folic acid intake (P = .001) and plasma homocysteine (P < .001) from enrollment to 1 year later. The nonadherent group at enrollment had the lowest intakes and serum folate levels, and the highest plasma homocysteine levels. When they became adherent 1 year later, they had the greatest change in folic acid intake (5,461%; P = .03), coupled with a 69% increase in serum folate (P = .04) and a 29% decrease in plasma homocysteine (P = .03).

conclusionsHemodialysis patients who were nonadherent to folic acid supplement prescriptions had low folic acid intakes, low serum folates, and high homocysteine levels. When their adherence improved, folic acid intakes rose, serum folates increased, and plasma homocysteine levels decreased, although mild hyperhomocysteinemia persisted.

Indexed as

Dietary SupplementsPatient ComplianceRenal DialysisAdministration, OralAdultAgedFemaleFolic AcidHomocysteineHumansHyperhomocysteinemiaMaleMiddle AgedMulticenter Studies as TopicRandomized Controlled Trials as TopicVitamin B 12Folic AcidHomocysteineVitamin B 12Vitamin B 6

Identifiers

PMID20650653
PMCPMC2962929
OpenAlexW2043238368

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.