Evidence map›Paper›PMID 42855586›Full record

ArticleEuropean journal of clinical nutrition2026

Nutritional intake on dialysis and non-dialysis days and the effect of intradialytic food provision among hemodialysis patients, a single-center study.

Haalah Shaaker, Andrew Davenport

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Article in European journal of clinical nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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2 authors.

Haalah ShaakerClinical Nutrition Department, King Abdulaziz University, Jeddah, Saudi Arabia. haalah.shaaker.21@ucl.ac.uk.ORCID http://orcid.org/0009-0006-3171-2205
Andrew DavenportCentre for Kidney and Bladder Health, Royal Free Hospital, University College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesPatients receiving hemodialysis (HD) are at risk of malnutrition due to the considerable time required to attend dialysis, which may reduce food intake on dialysis days (DDs). We assessed dietary intake on one DD and two non-dialysis days (NDDs) and the impact of intradialytic food consumption on nutritional status. SUBJECTS/

methodsWe conducted a cross-sectional study of 60 HD outpatients using the Global Leadership Initiative on Malnutrition criteria, dietary records, and bioimpedance analysis to assess nutritional intake and status.

resultsTheir mean age was 62 ± 14 years; 65% were male, 27% had sarcopenia, 67% were frail, and one-third were classified with malnutrition. Three-day averaged dietary records showed that only 8% met the Kidney Disease Outcomes Quality Initiative energy and protein recommendations; both were lower on the DD compared with NDDs: 14.8 (10.7-22.3) vs 16.3 (13.3-22.9) kcal/kg/day (p = 0.018) and 0.72 ± 0.35 vs 0.87 ± 0.38 g/kg/day (p = 0.001), respectively. Forty-three percent brought food on the DD, and their energy and protein intakes did not differ between the DD and NDDs. In contrast, those who did not bring food had lower energy (p < 0.001) and protein intakes (p < 0.001) on the DD. Patients who brought food did not experience any greater peri-dialytic hypotension (n = 10, 38% vs n = 14, 41%), despite lower extracellular water-to-total body water ratios (p = 0.007).

conclusionNutritional intake remains suboptimal in many hemodialysis patients, particularly on DDs. These findings suggest that providing or bringing food during dialysis may help improve or maintain nutritional intake. However, longitudinal studies are required to confirm these findings.

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