Trial reportJournal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation2016
No Difference in Average Interdialytic Weight Gain Observed in a Randomized Trial With a Technology-Supported Behavioral Intervention to Reduce Dietary Sodium Intake in Adults Undergoing Maintenance Hemodialysis in the United States: Primary Outcomes of the BalanceWise Study.
Trial report in Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 9 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 9 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- The effect of nutrition education interventions on dialysis patients' outcomes: a systematic review and meta-analysis.Annals of medicine · 2026Pooled it
- Enhancing treatment adherence in dialysis patients through digital health interventions: a systematic review and meta-analysis of randomized controlled trials.Renal failure · 2025Pooled it
- The Effect of Nutrition Education on Intradialytic Weight Gain in Haemodialysis Patients: Systematic Review and Meta-Analysis.Nursing open · 2025Pooled it
- Interventions for improving health literacy in people with chronic kidney disease.The Cochrane database of systematic reviews · 2022Pooled it
- Reducing salt intake: a systematic review and meta-analysis of behavior change interventions in adults.Nutrition reviews · 2022Pooled it
- Altered dietary salt intake for people with chronic kidney disease.The Cochrane database of systematic reviews · 2021Pooled it
- eHealth interventions for people with chronic kidney disease.The Cochrane database of systematic reviews · 2019Pooled it
- The effect of dietary salt on blood pressure in individuals receiving chronic dialysis: a systematic review and meta-analysis of randomised controlled trials.Journal of human hypertension · 2019Pooled it
- Features and Effects of Information Technology-Based Interventions to Improve Self-Management in Chronic Kidney Disease Patients: a Systematic Review of the Literature.Journal of medical systems · 2017Pooled it
- Determinants and the Role of Self-Efficacy in a Sodium-Reduction Trial in Hemodialysis Patients.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2019Trial
- Monitoring Sodium Intake With a Salt Meter in Hemodialysis Patients.Kidney international reports · 2025Article
- Impact of Nutrition Education on Various Health-Related Components of Hemodialysis Patients: A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- Lifestyle interventions delivered by eHealth in chronic kidney disease: A scoping review.PloS one · 2024Article
- Home-delivered meals as an adjuvant to improve volume overload and clinical outcomes in hemodialysis.Clinical kidney journal · 2022Article
- Effects of the Combination of Auricular Acupressure and a Fluid-Restriction Adherence Program on Salivary Flow Rate, Xerostomia, Fluid Control, Interdialytic Weight Gain, and Diet-Related Quality of Life in Patients Undergoing Hemodialysis.International journal of environmental research and public health · 2021Article
- Thirst in patients on chronic hemodialysis: What do we know so far?International urology and nephrology · 2020Review
- Article
- The relationship of volume overload and its control to hypertension in hemodialysis patients.Seminars in dialysis · 2019Review
- Quantifying the Time Used for Renal Dietitian's Responsibilities: A Pilot Study.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2019Observational
- Article
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 1 country.
Funding
Abstract
objectiveTo evaluate the efficacy of behavioral counseling combined with technology-based self-monitoring for sodium restriction in hemodialysis (HD) patients.
designRandomized clinical trial. SUBJECTS: English literate adults undergoing outpatient, in-center intermittent HD for at least 3 months.
interventionsOver a 16-week period, both the intervention and the attention control groups were shown 6 educational modules on the HD diet. The intervention group also received social cognitive theory-based behavioral counseling and monitored their diets daily using handheld computers.
main outcome measuresAverage daily interdialytic weight gain (IDWGA) was calculated for every week of HD treatment over the observation period by subtracting the post-dialysis weight at the previous treatment time (t-1) from the pre-dialysis weight at the current treatment time (t), dividing by the number of days between treatments. Three 24-hour dietary recalls were obtained at baseline, 8 weeks, and 16 weeks and evaluated using the Nutrient Data System for Research.
resultsA total of 179 participants were randomized, and 160 (89.4%) completed final measurements. IDWGA did not differ significantly by treatment group at any time point considered (P > .79 for each). A significant differential change in dietary sodium intake observed at 8 weeks (-372 mg/day; P = .05) was not sustained at 16 weeks (-191 mg/day; P = .32).
conclusionThe BalanceWise Study intervention appeared to be feasible and acceptable to HD patients although IDWGA was unchanged and the desired behavioral changes observed at 8 weeks were not sustained. Unmeasured factors may have contributed to the mixed findings, and further research is needed to identify the appropriate patients for such interventions.
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