Observational studyNutrients2026
Mediterranean-like Dietary Pattern and Serum Phosphorus in Hemodialysis: Beyond Food Phosphorus Content.
Observational study in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDisturbances in mineral and bone metabolism are common in hemodialysis (HD) patients, increasing the risk of hyperphosphatemia. Dietary phosphorus restriction remains a cornerstone of management, often leading to stringent dietary recommendations. This study aimed to explore whether adopting a Mediterranean-like dietary pattern (Med-LDP), compared to a Western-like dietary pattern (West-LDP) was associated with serum phosphorus levels.
methodsThis cross-sectional multicenter study included 564 HD patients from 37 dialysis centers. Dietary intake was assessed using a food frequency questionnaire, and dietary patterns were identified through principal component analysis based on 22 food groups. Associations between dietary patterns, phosphorus intake, and serum phosphorus levels were evaluated using correlations tests and linear regression analyses adjusted for demographic, clinical, nutritional, and dialysis-related factors.
resultsTwo different dietary patterns were identified: a "Mediterranean-like" pattern characterized by a higher intake of vegetables, legumes, fruit, starchy products, fish, olive oil, eggs, bakery products, and alcohol; and a "Western-like" characterized by a higher intake of soft drinks, red meat, fried and salted foods, fast food, and caffeine. Despite significantly higher intakes of energy, protein, carbohydrates, phosphorus, potassium, and fiber, patients following the Med-LDP exhibited lower serum phosphorus levels, calcium-phosphorus product, and PTHi concentrations. No differences were observed in serum potassium levels. The correlation between phosphorus intake and serum phosphorus was weak and not statistically significant. The West-LDP was positively associated with serum phosphorus levels and remained an independent predictor after adjustment for potential confounders. However, after further adjustment for the prescribed dosages of phosphate binders, vitamin D supplementation and analogs, as well as calcimimetics, the association was no longer statistically significant.
conclusionsHD patients following a Med-LDP exhibited lower serum phosphorus levels despite a higher phosphorus intake. These findings suggest that the overall dietary pattern may be a more important determinant of phosphorus homeostasis than total phosphorus intake alone.
Indexed as
Identifiers
What OpenQuestion holds
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.