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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Older patients with diabetes undergoing hemodialysis face high risks of malnutrition and poor prognosis. Thus, effective self-management is essential. Conventional dietary education often fails. Hence, we developed the Diet-Related Life Skills Scale (DLSS), a validated tool assessing psychosocial abilities related to dietary self-care. The total DLSS score reportedly predicts self-care behavior. However, the insights into whether all subscales have uniform effects or whether associations differ by patient age remain unclear. Thus, this study aimed to examine the pathways linking DLSS subscales to self-care and to investigate whether these pathways differ between early-older (65–74 years) and late-older (≥ 75 years) adults.
This cross-sectional study included patients aged ≥65 years with diabetic nephropathy undergoing maintenance hemodialysis. We included those who provided informed consent, but excluded those who could not respond to questionnaires because of advanced cancer, dementia, or similar conditions. We assessed the DLSS’ seven subscales: Dialogue, Planning, Self-adjustment, Trust, Empathy, Renal-protective Thinking, and Motivation. Patients’ self-care behavior and Geriatric Nutritional Risk Index (GNRI) were also measured. Multi-group standard error of mean (SEM) was conducted for the early-older and late-older groups. Additionally, model fit was evaluated using chi-squared test (χ²), comparative fit index (CFI), and root mean square error of approximation (RMSEA).
This study included 127 patients, with 98 men and 29 women. Their mean age was 74.1 ± 5.8 years, and the mean dialysis duration was 80.6 ± 56.5 months. The SEM showed an excellent fit (χ²/df = 1.21, CFI = 0.995, RMSEA = 0.057). Age-specific associations emerged. In early-older adults, the Planning subscale negatively predicted self-care (β = − 0.350, p = 0.049), and Motivation showed a negative trend (β = −0.368, p = 0.055). In late-older adults, only Motivation was the significant negative predictor of self-care (β = −0.467, p = 0.035). Meanwhile, the pathway from self-care to GNRI was nonsignificant in both groups (p > 0.50).
The associations between dietary life skills and self-care were not uniformly positive but differed by age group, with counterintuitive negative effects. Higher planning skills in the early-old group and stronger motivation in the late-old group were unexpectedly related to lower self-care scores. Thus, strong planning skills may contribute to overly rigid dietary restriction, which could hinder nutritional outcome improvement. Age- and skill-specific intervention strategies are therefore needed. Patients with high skills may paradoxically be more vulnerable to self-induced malnutrition; hence, instead of focusing on restriction, education should emphasize nutritional quality, flexibility, and resilience.
