Effect of Protein-Restricted Diet on Nitrogen Balance and Residual Renal Function in Peritoneal Dialysis (PD) Patients
Effect of Protein-Restricted Diet on Nitrogen Balance and Residual Renal Function in PD Patients
研究概览
详细说明
Dietary protein is the major source of nitrogen excreted as urea by the kidney, and a decreased protein intake has been associated with a retardation of kidney function loss in non-dialysis chronic kidney disease (CKD) patients. While a low protein diet is recommended to end-stage renal disease (ESRD) patients before the start of dialysis to preserve residual renal function(RRF), current therapy recommendations in dialysis are for a normal protein intake of no less than 1.2 g of protein/kg ideal body weight (IBW)/day to prevent protein-energy wasting (PEW).
We hypothesized that a lower protein intake would be safe and able to slow the loss of RRF also in dialysis patients and conducted two prospective, randomized trials involving a total of 94 peritoneal dialysis (PD) patients to test our hypothesis.
研究类型
注册 (实际的)
阶段
- 不适用
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- age 18-80 years
- stable peritoneal dialysis since at least 1 month
- with renal function
Exclusion Criteria:
- a high probability (assessed by the recruiting physician) of receiving a kidney transplant within one year
- overt infection within the last month
- poor compliance in previous dietary prescriptions or irregular check-ups
- persistent anorexia, vomiting or diarrhea within the last month
- a CRP of more than 30 mg/dL
- presence of wasting diseases such as cancer or tuberculosis
学习计划
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
有源比较器：1
low protein diet
|
diets contain protein in the range of 0.6-0.8 or 1.0-1.2
g/kg/d
其他名称：
|
|
有源比较器：2
low protein diet with keto acids
|
diets contain protein in the range of 0.6-0.8 or 1.0-1.2
g/kg/d
其他名称：
|
|
有源比较器：3
high protein diet
|
diets contain protein in the range of 0.6-0.8 or 1.0-1.2
g/kg/d
其他名称：
|
研究衡量的是什么？
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
nitrogen balance,residual renal function and nutritional status
大体时间：10 day and 1 year
|
10 day and 1 year
|
合作者和调查者
调查人员
- 首席研究员：Yao Qiang, MD, Ph.D、Renji Hospital
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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