Oral Nutritional Supplement Adherence and Nutritional Outcomes in Hemodialysis Patients-A Prospective Study.

ABSTRACT: Background/Objectives: Protein-energy wasting (PEW) affects up to 75% of hemodialysis (HD) patients, yet adherence to oral nutritional supplements (ONSs) remains poorly understood. This study evaluated ONS adherence patterns, associated socio-demographic and psychological factors, and clinical outcomes over 24 months in chronic HD patients. Methods: A 24-month prospective study was conducted in 101 HD patients. Adherence was assessed using the 4-item Morisky Medication Adherence Scale (MMAS-4), and depressive symptoms with the Beck Depression Inventory (BDI). Nutritional status was evaluated using the Malnutrition-Inflammation Score (MIS) and anthropometric measurements. Laboratory markers were obtained. Individualized nutritional education was provided at each visit. Resu

SUBMITTER: Katalinic L 

PROVIDER: S-EPMC12693438 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature