Evidence map›Paper›PMID 38940972›Full record

ArticleDigestive diseases and sciences2024

Inadequate Dietary Education and Poor Adherence to a High Protein, Low Sodium Diet in Cirrhosis: Mixed Methods Approach.

Cristal Brown, Rabecca Hernandez, Ty Ford, Nazan Aksan, Clara DiVincenzo, Andrew J Muir

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Article in Digestive diseases and sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

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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

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Cristal BrownDell Medical School, University of Texas at Austin, 1601 Trinity St., Building B, Austin, TX, 78712, USA. cristal.brown@austin.utexas.edu.
Rabecca Hernandez *Dell Medical School, University of Texas at Austin, 1601 Trinity St., Building B, Austin, TX, 78712, USA.
Ty Ford *Dell Medical School, University of Texas at Austin, 1601 Trinity St., Building B, Austin, TX, 78712, USA.
Nazan AksanDell Medical School, University of Texas at Austin, 1601 Trinity St., Building B, Austin, TX, 78712, USA.
Clara DiVincenzoDell Medical School, University of Texas at Austin, 1601 Trinity St., Building B, Austin, TX, 78712, USA.
Andrew J MuirDivision of Gastroenterology, Department of Medicine, Duke University School of Medicine, 300 W Morgan St., Durham, NC, 27701, USA.

Funding

DUKE TRAINING GRANT IN DIGESTIVE DISEASES AND NUTRITIONT32DK007568 · NIDDK · DUKE UNIVERSITY · PI Katherine Garman, Rodger A. Liddle · 1988 to 2026
$5.6M
NIDDK NIH HHS T32 DK007568NIH HHS K12 TR004529-01
6 · The paper itself

Abstract

backgroundMalnutrition in cirrhosis is associated with poor outcomes, leading to guidelines for a high protein, low sodium diet; however, there is no guidance regarding the implementation of diet education in clinical practice.

methodsA mixed methods study enrolled 21 patients with cirrhosis and their caregivers. Semi-structured interviews on barriers and facilitators of dietary education and adherence were conducted. Demographic and clinical data were obtained, along with quantitative measures of dietary adherence, including 24-h food recall and spot urine sodium. Combined deductive and inductive coding was used to identify qualitative themes, along with a quantitative assessment of interviews. Quantitative data was reported using descriptive statistics with frequencies, mean and confidence intervals.

resultsParticipants were mostly male (16/21) with a mean age 57.8 years (SE 2.8) and MELD-Na 9 (SE 1.2). 4 themes emerged: 1. More than 50% of participants and caregivers endorsed no or inadequate diet education 2. They reported mostly negative experiences with dietary adherence with largest impact on social life 3. Facilitators of adherence included the presence of household support and fear of complications of cirrhosis 4. Overwhelmingly desired non-generic handouts and information. Dietary adherence was poor with only one participant meeting protein and sodium requirements based on food recall. Four participants who adhered to < 2000 mg sodium had inadequate daily caloric intake.

conclusionsDietary education is inadequate, and adherence to dietary recommendations is poor in patients with cirrhosis. Future studies should use these barriers and facilitators for intervention development.

Indexed as

Diet, Sodium-RestrictedLiver CirrhosisPatient ComplianceAgedCaregiversDiet, High-ProteinFemaleHumansMaleMalnutritionMiddle AgedPatient Education as TopicBehavioral nutritionFood recallLiver diseaseNutritional assessmentSalt intake

Identifiers

PMID38940972

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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.