title: Nutritional education for the management of osteodystrophy (nemo) in patients on haemodialysis: a randomised controlled trial.
abstract: OBJECTIVE
  To examine the effect of self-management dietary counselling (SMDC) on adherence to dietary management of hyperphosphatemia among haemodialysis patients.
  
  
  METHODS
  An eight-week cluster based randomised control trial.
  
  
  METHODS
  122 stable adult patients were recruited from an HD unit in Sidon, Lebanon. Study groups were: full intervention (A) (n = 41), partial intervention (B) (n = 41) and control (C) (n = 40).
  
  
  METHODS
  Group (A) received SMDC, Group (B) received educational games only and Group (C) did not receive any research intervention.
  
  
  METHODS
  Serum phosphorus (P), Calcium Phosphate product (Ca × P) and two questionnaires: patient knowledge (PK) and dietary non-adherence (PDnA) to P reduced diet.
  
  
  RESULTS
  Group A experienced a significant improvement in mean (± SD) P (6.54 ± 2.05 - 5.4 ± 1.97 mg/dl), Ca × P (58 ± 17 - 49 ± 12), PK scores (50 ± 17 - 69 ± 25%) and PDnA scores (21.4 ± 4.0 - 18.3 ± 2.0). Group B experienced a significant improvement in Ca × P (52 ± 14-45 ± 16). Group C did not experience any significant change post intervention.
  
  
  CONCLUSIONS
  Our findings demonstrate the importance of patient-tailored counselling on serum P management.
authors.affiliation: American University of Beirut, Nutrition and Dietetics, Beirut, Lebanon.
authors.forename: Mirey
authors.initials: M
authors.lastname: Karavetian
authors.forename: Sana
authors.initials: S
authors.lastname: Ghaddar
mesh_terms: D000328:Adult; D000368:Aged; D002118:Calcium / Q000097:blood; D012080:Chronic Kidney Disease-Mineral and Bone Disorder / Q000097:blood / Q000178:diet therapy* / Q000451:nursing*; D003906:Developing Countries; D004311:Double-Blind Method; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D054559:Hyperphosphatemia / Q000097:blood / Q000178:diet therapy / Q000451:nursing; D007676:Kidney Failure, Chronic / Q000097:blood / Q000178:diet therapy* / Q000451:nursing*; D008297:Male; D009752:Nutritional Status; D010353:Patient Education as Topic; D010710:Phosphates / Q000097:blood; D016226:Phosphorus, Dietary / Q000008:administration & dosage; D006435:Renal Dialysis / Q000451:nursing*
chemical_list: D010710:Phosphates; D016226:Phosphorus, Dietary; D002118:Calcium