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The aim of this study was to explore the changes in nutritional status before dialysis initiation and to identify modifiable risk factors of nutritional status decline in older adults with advanced renal disease. The European Quality Study on treatment in advanced chronic kidney disease (EQUAL) is a prospective, observational cohort study involving six European countries. We included 1,103 adults 65years with incident estimated glomerular filtration rate 20mL/min/1.73 m not on dialysis, attending nephrology care. Nutritional status
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