Key result
Personalized nutritional counseling fails to reduce interdialytic weight gain vs standard guidance in hemodialysis patients.
Why the study?
Interdialytic weight gain increases cardiovascular risk in hemodialysis patients, but adherence to dietary guidance is low and data on personalizing nutritional education are limited.
Does individualized nutritional guidance based on learning style reduce interdialytic weight gain in chronic hemodialysis patients?
RCT (n=21)
Crossover
No
Does individualized nutritional guidance based on learning style reduce interdialytic weight gain in chronic hemodialysis patients?
Absolute Event Rate: 2.53% vs 2.48%
p-value: p=0.55
Personalizing nutritional counseling based on patient learning styles did not significantly reduce interdialytic weight gain or blood pressure in chronic hemodialysis patients.
Standard guidance suffices for IDWG control in hemodialysis; challenges learning-style personalization of nutritional counseling.
INTRODUCTION: Interdialytic weight gain (IDWG) is a risk factor for cardiovascular complications and mortality in hemodialysis (HD) patients. Sodium and fluid intake are important modifiable risk factors for these outcomes, and the role of the nutritionist as educator is essential in this process. However, patient adherence is often low, representing a significant challenge. Recent recommendations suggest personalizing the education process, but there is limited data on how to effectively carry out this adaptation. The present study aimed to assess the effectiveness of a personalized nutritional intervention based on learning style using the VARK tool with the goal of reducing IDWG in HD patients. OBJECTIVE: This was a randomized crossover clinical trial. Patients in the intervention group received individualized nutritional guidance based on their learning style, as determined by the VARK questionnaire. The control group received standard guidance without any personalization or educational materials. RESULTS: A total of 21 chronic HD patients participated in the study. On average, the baseline IDWG in the population was 2.61 ± 1.08 liters, and we did not observe any significant pattern of change in either IDWG (p = 0.55) or systolic blood pressure (p = 0.44) over the study period. CONCLUSION: Tailored nutritional counseling based on the patient's learning style did not lead to an improvement in IDWG in our population.
No takes yet. Share an insight, caveat, or question.
Almeida et al. (2025) conducted an RCT in Chronic hemodialysis (n=21). Personalized nutritional counseling based on VARK learning style vs. Standard verbal nutritional guidance was evaluated on Interdialytic weight gain (kg) (p=0.55). Personalized nutritional counseling based on the patient's learning style did not significantly reduce interdialytic weight gain compared to standard guidance in chronic hemodialysis patients.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: