- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02792530
Daily Sodium Intake in Anuric Hemodialysis Patients and Interdialytic Weight Gain
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Inter Dialytic Weight Gain (IDWG) ascribed to fluid retention is one of the major clinical problem that patients in hemodialysis need to cope with between 2 subsequent hemodialysis especially in patients with no residual renal function. Fluid retention is associated with morbid conditions such as lower-extremity edema, ascites, pulmonary vascular congestion or edema, hypertension, and worsening heart failure. Gain weight above 2 kg between 2 subsequent hemodialysis found to be in higher risk of all-cause mortality and cardiovascular death .Lowering daily sodium intake found to mitigate fluid retention ,however there are only a few researches that check it. 2IDWG also associated with poorer quality of life. Dietary sodium restriction recommendation since the beginning of hemodialysis are based on association of this restriction with balance of hypertension and fluid retention. Sodium intake recommended for patients in hemodialysis is limited to 2 grams a day. Nevertheless, there are only a few studies that examine the efficiency of this restriction because of the complexity of measurement of sodium intake. One recently published study which used a 24-h recall to measure sodium intake, found a direct correlation between IDGW and mortality form any reason. In spite of this complexity, IDWG has been found to be in a direct relation with patients' nutrition status.
One of sodium-related issues is malnutrition. Malnutrition in dialysis is a risk factor for patients' morbidity and mortality. Higher sodium intake is associated with higher calorie and protein intake, while adherence to restriction of sodium intake is poor in hemodialysis. This is a reason for high importance to study effects of sodium restriction in people with more than 2.5 kg (or 4% of dry body weight) IDWG while following up their nutritional status
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Benaya Rozen Zvi,., Ph.D
- Phone Number: 972-50-8773766
- Email: bnaiar@clalit.org.il
Study Contact Backup
- Name: Merav Jacobson Naftali
- Phone Number: 972-50-7778369
- Email: merav.j.n@gmail.com
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adults >18 years providing signed informed consent.
- Any patient more than 3 months in hemodialysis who reach his assigned dry weight.
- Intradialytic weight gain of more than 2.5 liters or 4% of dry body weight in two mid-week sessions.
- residual renal function of less than 200 ml per 24 hr.
- expected to stay on hemodialysis for at least 6 month.
Exclusion Criteria:
- Malnutrition as assessed by SGA: score C.
- Dementia
- Active malignancy
- Active infection
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: arm 1
Unuric hemodialytic patients who accumulate above 2.5 (4%) in intradialytic intervals before the nutritional intervention.
|
Dietary consultation for sodium restriction to decrease dietary intake to 2 grams/day less than the patients consume currently
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Reduction in intradialytic weight gain (IDWG)
Time Frame: between baseline and 6 weeks
|
Reduction in the weight gain at 2 subsequent hemodialysis in KG/
|
between baseline and 6 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
dietary sodium intake.
Time Frame: at baseline and 6 weeks
|
as measured by food recall assesment
|
at baseline and 6 weeks
|
Change in CRP values
Time Frame: between baseline and 6 weeks
|
between baseline and 6 weeks
|
|
Changes in subjective global assesment (SGA)
Time Frame: between baseline and 6 weeks
|
SGA is a nutritional assesment measure
|
between baseline and 6 weeks
|
change in predialysis blood pressure
Time Frame: between baseline and 6 weeks
|
between baseline and 6 weeks
|
|
Changes in quality of life
Time Frame: between baseline and 6 weeks
|
assessed by SF 36
|
between baseline and 6 weeks
|
number of hypotensive episode during dialysis
Time Frame: at baseline and 6 weeks
|
define as drop of more than 20 mm hg systolic blood pressure from baseline
|
at baseline and 6 weeks
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 0654-15-RMC
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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