ArticleInternational journal of environmental research and public health2020
Understanding How Nutrition Literacy Links to Dietary Adherence in Patients Undergoing Maintenance Hemodialysis: A Theoretical Exploration Using Partial Least Squares Structural Equation Modeling.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06956872 (Clinical Effectiveness of MyNutriKidney® for Dietary Self-management in Chronic Kidney Disease Patients), which is not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Clinical Effectiveness of MyNutriKidney® for Dietary Self-management in Chronic Kidney Disease Patients: Protocol for a Pragmatic Randomized Controlled Trial
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The relationship between health literacy, food literacy, and dietary choices-a systematic review.Frontiers in public health · 2026Pooled it
- Prevalence and influencing factors of malnutrition in maintenance hemodialysis patients in China: a systematic review.Frontiers in public health · 2026Pooled it
- Pooled it
- Family-centered empowerment approach to optimize phosphate management among hemodialysis patients: an experimental study.BMC nephrology · 2023Trial
- Diet Versus Exercise in Cardiometabolic Disease: Are Two Always Better Than One?Current cardiology reports · 2026Review
- Review
- Personalized nutrition in haemodialysis: a scoping review of studies published between 2015 and 2025.Clinical kidney journal · 2026Review
- The Relationship Between Quality of Discharge Teaching and Oral Nutritional Supplementation Adherence in Postoperative Patients With Gastric Cancer: A Chain Mediated Role of Readiness for Hospital Discharge and Medication Beliefs.Journal of clinical nursing · 2026Article
- Food Insecurity Determinants, Coping Strategies, and Association With Nutritional Status Among Hemodialysis Patients in Pahang, Malaysia: Protocol for a Mixed Methods Study.JMIR research protocols · 2026Article
- Maintenance hemodialysis patients' nutritional literacy and its relationship with frailty: a cross-sectional study based on latent profile analysis.Frontiers in nutrition · 2026Article
- Exploring predictors of low nutritional literacy in maintenance hemodialysis patients: a machine learning and network analysis approach.Frontiers in public health · 2026Article
- Association between nutritional literacy and cancer anorexia among gastrointestinal cancer patients: a moderated mediation analysis on the roles of self-efficacy and family support.Frontiers in oncology · 2026Article
- Knowledge, Attitudes, and practices regarding the anti-inflammatory diet among the general population.Frontiers in nutrition · 2026Article
- Nutritional indicators and fluid self-efficacy among hemodialysis patients in the Qassim region, Saudi Arabia: a multicenter descriptive cross-sectional study.Frontiers in nutrition · 2026Article
- Technological nursing interventions on nutritional status of middle-aged and older adults undergoing hemodialysis: A systematic review.International journal of nursing sciences · 2025Article
- Factors Contributing to Non-Adherence to Treatment Among Adult Patients with Long-Term Haemodialysis: An Integrative Review.Nursing reports (Pavia, Italy) · 2025Review
- Knowledge, attitudes, and practices of Lebanese licensed dietitians regarding hyperphosphatemia management in patients undergoing hemodialysis in a Lebanese Governorate.BMC nephrology · 2025Article
- Factors influencing dietary compliance among patients with gestational diabetes mellitus: a retrospective analysis.American journal of translational research · 2025Article
- Phosphorus Knowledge and Dietary Intake of Phosphorus of US Adults Undergoing Dialysis.Nutrients · 2024Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Dietary non-adherence is pervasive in the hemodialysis (HD) population. Health literacy is a plausible predictor of dietary adherence in HD patients, but its putative mechanism is scarcely studied. Thus, this study aimed to establish the causal model linking nutrition literacy to dietary adherence in the HD population. This was a multi-centre, cross-sectional study, involving 218 randomly selected multi-ethnic HD patients from nine dialysis centres in Klang Valley, Malaysia. Dietary adherence and self-management skills were assessed using validated End-Stage Renal Disease Adherence Questionnaire and Perceived Kidney/Dialysis Self-Management Scale, respectively. Validated self-developed scales were used to gauge nutrition literacy, dietary knowledge and Health Belief Model constructs. Relationships between variables were examined by multiple linear regressions and partial least squares structural equation modeling. Limited nutrition literacy was evident in 46.3% of the HD patients, associated with older age, lower education level, and shorter dialysis vintage. Dietary adherence rate was at 34.9%. Nutrition literacy (
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Registered trials
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.