Diet therapy along with nutrition education can improve renal function in people with stages 3–4 chronic kidney disease who do not have diabetes: a randomised controlled trial
The current trial investigates the effect of renal diet therapy and nutritional education on the estimated glomerular filtration rate (eGFR), blood pressure (BP) and depression among patients with chronic kidney disease (CKD). A total of 120 CKD patients (stages 3–4) (15
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| Veröffentlicht in: | British journal of nutrition 2023-06, Vol.129 (11), p.1877-1887 |
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| creator | Hamidianshirazi, Maryam Shafiee, Maryam Ekramzadeh, Maryam Torabi Jahromi, Mahsa Nikaein, Farzad |
| description | The current trial investigates the effect of renal diet therapy and nutritional education on the estimated glomerular filtration rate (eGFR), blood pressure (BP) and depression among patients with chronic kidney disease (CKD). A total of 120 CKD patients (stages 3–4) (15 |
| doi_str_mv | 10.1017/S0007114522002094 |
| format | Article |
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A total of 120 CKD patients (stages 3–4) (15<eGFR < 60) were randomised into an intensive nutrition intervention group (individualised renal diet therapy plus nutrition counselling: 0·75 g protein/kg/d and 30–35 kcal/kg/d with Na restriction) and a control group (routine and standard care) for 24 weeks. The primary outcome was the change in the eGFR. Secondary outcomes included changes in anthropometric measures, biochemistry (serum creatinine (Cr), uric acid, albumin, electrolytes, Ca, vitamin D, ferritin, blood urea nitrogen (BUN), and Hb), BP, nutritional status, depression and quality of life. The eGFR increased significantly in the intervention group compared with the control group (P < 0·001). Moreover, serum levels of Cr and the systolic and diastolic BP decreased significantly in the intervention group relative to the control group (P < 0·001, P < 0·001 and P = 0·020, respectively). The nutrition intervention also hindered the increase in the BUN level and the depression score (P = 0·045 and P = 0·028, respectively). Furthermore, the reduction in protein and Na intake was greater in the intervention group (P = 0·003 and P < 0·001, respectively). Nutritional treatment along with supportive education and counselling contributed to improvements in renal function, BP control and adherence to protein intake recommendations. A significant difference in the mean eGFR between the groups was also confirmed at the end of the study using ANCOVA (β = -5·06; 95 % CI (−8·203, −2·999)).]]></description><identifier>ISSN: 0007-1145</identifier><identifier>EISSN: 1475-2662</identifier><identifier>DOI: 10.1017/S0007114522002094</identifier><identifier>PMID: 35795914</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Alzheimer's disease ; Blood pressure ; Counseling ; Creatinine ; Diabetes ; Diabetes Mellitus ; Diet ; Dietitians ; Education ; Electrolytes ; Epidermal growth factor receptors ; Ferritin ; Glomerular Filtration Rate ; Heart failure ; Human and Clinical Nutrition ; Humans ; Hypertension ; Intervention ; Kidney - physiology ; Kidney diseases ; Kidneys ; Nutrition ; Nutrition education ; Nutrition research ; Nutrition therapy ; Nutritional status ; Patients ; Potassium ; Proteins ; Quality of Life ; Questionnaires ; Recipes ; Renal function ; Renal Insufficiency, Chronic - complications ; Renal Insufficiency, Chronic - therapy ; Serum levels ; Sodium - pharmacology ; Therapy ; Urea ; Uric acid ; Vitamin D</subject><ispartof>British journal of nutrition, 2023-06, Vol.129 (11), p.1877-1887</ispartof><rights>The Author(s), 2022. Published by Cambridge University Press on behalf of The Nutrition Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c416t-5a55bde819367a47569cfb8d85d84e38258319cfe894edbb91ef16a269fc69dd3</citedby><cites>FETCH-LOGICAL-c416t-5a55bde819367a47569cfb8d85d84e38258319cfe894edbb91ef16a269fc69dd3</cites><orcidid>0000-0002-7994-8405</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0007114522002094/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,776,780,27903,27904,55606</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35795914$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hamidianshirazi, Maryam</creatorcontrib><creatorcontrib>Shafiee, Maryam</creatorcontrib><creatorcontrib>Ekramzadeh, Maryam</creatorcontrib><creatorcontrib>Torabi Jahromi, Mahsa</creatorcontrib><creatorcontrib>Nikaein, Farzad</creatorcontrib><title>Diet therapy along with nutrition education can improve renal function in people with stages 3–4 chronic kidney disease who do not have diabetes: a randomised controlled trial</title><title>British journal of nutrition</title><addtitle>Br J Nutr</addtitle><description><![CDATA[The current trial investigates the effect of renal diet therapy and nutritional education on the estimated glomerular filtration rate (eGFR), blood pressure (BP) and depression among patients with chronic kidney disease (CKD). A total of 120 CKD patients (stages 3–4) (15<eGFR < 60) were randomised into an intensive nutrition intervention group (individualised renal diet therapy plus nutrition counselling: 0·75 g protein/kg/d and 30–35 kcal/kg/d with Na restriction) and a control group (routine and standard care) for 24 weeks. The primary outcome was the change in the eGFR. Secondary outcomes included changes in anthropometric measures, biochemistry (serum creatinine (Cr), uric acid, albumin, electrolytes, Ca, vitamin D, ferritin, blood urea nitrogen (BUN), and Hb), BP, nutritional status, depression and quality of life. The eGFR increased significantly in the intervention group compared with the control group (P < 0·001). Moreover, serum levels of Cr and the systolic and diastolic BP decreased significantly in the intervention group relative to the control group (P < 0·001, P < 0·001 and P = 0·020, respectively). The nutrition intervention also hindered the increase in the BUN level and the depression score (P = 0·045 and P = 0·028, respectively). Furthermore, the reduction in protein and Na intake was greater in the intervention group (P = 0·003 and P < 0·001, respectively). Nutritional treatment along with supportive education and counselling contributed to improvements in renal function, BP control and adherence to protein intake recommendations. A significant difference in the mean eGFR between the groups was also confirmed at the end of the study using ANCOVA (β = -5·06; 95 % CI (−8·203, −2·999)).]]></description><subject>Alzheimer's disease</subject><subject>Blood pressure</subject><subject>Counseling</subject><subject>Creatinine</subject><subject>Diabetes</subject><subject>Diabetes Mellitus</subject><subject>Diet</subject><subject>Dietitians</subject><subject>Education</subject><subject>Electrolytes</subject><subject>Epidermal growth factor receptors</subject><subject>Ferritin</subject><subject>Glomerular Filtration Rate</subject><subject>Heart failure</subject><subject>Human and Clinical Nutrition</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Intervention</subject><subject>Kidney - physiology</subject><subject>Kidney diseases</subject><subject>Kidneys</subject><subject>Nutrition</subject><subject>Nutrition education</subject><subject>Nutrition research</subject><subject>Nutrition therapy</subject><subject>Nutritional status</subject><subject>Patients</subject><subject>Potassium</subject><subject>Proteins</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Recipes</subject><subject>Renal function</subject><subject>Renal Insufficiency, Chronic - complications</subject><subject>Renal Insufficiency, Chronic - therapy</subject><subject>Serum levels</subject><subject>Sodium - pharmacology</subject><subject>Therapy</subject><subject>Urea</subject><subject>Uric acid</subject><subject>Vitamin D</subject><issn>0007-1145</issn><issn>1475-2662</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kcGOFCEQhonRuLOrD-DFkHjx0i7QDQ3ezOqqySYe1HOHhupp1m5ogdbMzXfwSXwln2SZnVETjScK6qu_ivoRekTJM0poe_6eENJS2nDGCGFENXfQhjYtr5gQ7C7a7NPVPn-CTlO6LldJibqPTmreKq5os0E_XjrIOI8Q9bLDegp-i7-6PGK_5uiyCx6DXY2-jYz22M1LDF8AR_B6wsPqzW3KebxAWCY4VKest5Bw_fPb9wabMQbvDP7krIcdti6BTgUcA7YB-5DxqIuidbqHDOk51jhqb8NcQItN8DmGaSphmUhPD9C9QU8JHh7PM_Tx8tWHizfV1bvXby9eXFWmoSJXXHPeW5BU1aLVZSlCmaGXVnIrG6gl47Km5QmkasD2vaIwUKGZUIMRytr6DD096Jb_fl4h5a7MY2CatIewpo4JKQiXLWMFffIXeh3WWPZTKElULbnge4oeKBNDShGGbolu1nHXUdLt_ez-8bPUPD4qr_0M9nfFLwMLUB9F9dxHZ7fwp_f_ZW8AoautsQ</recordid><startdate>20230614</startdate><enddate>20230614</enddate><creator>Hamidianshirazi, Maryam</creator><creator>Shafiee, Maryam</creator><creator>Ekramzadeh, Maryam</creator><creator>Torabi Jahromi, Mahsa</creator><creator>Nikaein, Farzad</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7T5</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7994-8405</orcidid></search><sort><creationdate>20230614</creationdate><title>Diet therapy along with nutrition education can improve renal function in people with stages 3–4 chronic kidney disease who do not have diabetes: a randomised controlled trial</title><author>Hamidianshirazi, Maryam ; Shafiee, Maryam ; Ekramzadeh, Maryam ; Torabi Jahromi, Mahsa ; Nikaein, Farzad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c416t-5a55bde819367a47569cfb8d85d84e38258319cfe894edbb91ef16a269fc69dd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Alzheimer's disease</topic><topic>Blood pressure</topic><topic>Counseling</topic><topic>Creatinine</topic><topic>Diabetes</topic><topic>Diabetes Mellitus</topic><topic>Diet</topic><topic>Dietitians</topic><topic>Education</topic><topic>Electrolytes</topic><topic>Epidermal growth factor receptors</topic><topic>Ferritin</topic><topic>Glomerular Filtration Rate</topic><topic>Heart failure</topic><topic>Human and Clinical Nutrition</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Intervention</topic><topic>Kidney - physiology</topic><topic>Kidney diseases</topic><topic>Kidneys</topic><topic>Nutrition</topic><topic>Nutrition education</topic><topic>Nutrition research</topic><topic>Nutrition therapy</topic><topic>Nutritional status</topic><topic>Patients</topic><topic>Potassium</topic><topic>Proteins</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Recipes</topic><topic>Renal function</topic><topic>Renal Insufficiency, Chronic - complications</topic><topic>Renal Insufficiency, Chronic - therapy</topic><topic>Serum levels</topic><topic>Sodium - pharmacology</topic><topic>Therapy</topic><topic>Urea</topic><topic>Uric acid</topic><topic>Vitamin D</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hamidianshirazi, Maryam</creatorcontrib><creatorcontrib>Shafiee, Maryam</creatorcontrib><creatorcontrib>Ekramzadeh, Maryam</creatorcontrib><creatorcontrib>Torabi Jahromi, Mahsa</creatorcontrib><creatorcontrib>Nikaein, Farzad</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hamidianshirazi, Maryam</au><au>Shafiee, Maryam</au><au>Ekramzadeh, Maryam</au><au>Torabi Jahromi, Mahsa</au><au>Nikaein, Farzad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diet therapy along with nutrition education can improve renal function in people with stages 3–4 chronic kidney disease who do not have diabetes: a randomised controlled trial</atitle><jtitle>British journal of nutrition</jtitle><addtitle>Br J Nutr</addtitle><date>2023-06-14</date><risdate>2023</risdate><volume>129</volume><issue>11</issue><spage>1877</spage><epage>1887</epage><pages>1877-1887</pages><issn>0007-1145</issn><eissn>1475-2662</eissn><abstract><![CDATA[The current trial investigates the effect of renal diet therapy and nutritional education on the estimated glomerular filtration rate (eGFR), blood pressure (BP) and depression among patients with chronic kidney disease (CKD). A total of 120 CKD patients (stages 3–4) (15<eGFR < 60) were randomised into an intensive nutrition intervention group (individualised renal diet therapy plus nutrition counselling: 0·75 g protein/kg/d and 30–35 kcal/kg/d with Na restriction) and a control group (routine and standard care) for 24 weeks. The primary outcome was the change in the eGFR. Secondary outcomes included changes in anthropometric measures, biochemistry (serum creatinine (Cr), uric acid, albumin, electrolytes, Ca, vitamin D, ferritin, blood urea nitrogen (BUN), and Hb), BP, nutritional status, depression and quality of life. The eGFR increased significantly in the intervention group compared with the control group (P < 0·001). Moreover, serum levels of Cr and the systolic and diastolic BP decreased significantly in the intervention group relative to the control group (P < 0·001, P < 0·001 and P = 0·020, respectively). The nutrition intervention also hindered the increase in the BUN level and the depression score (P = 0·045 and P = 0·028, respectively). Furthermore, the reduction in protein and Na intake was greater in the intervention group (P = 0·003 and P < 0·001, respectively). Nutritional treatment along with supportive education and counselling contributed to improvements in renal function, BP control and adherence to protein intake recommendations. A significant difference in the mean eGFR between the groups was also confirmed at the end of the study using ANCOVA (β = -5·06; 95 % CI (−8·203, −2·999)).]]></abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>35795914</pmid><doi>10.1017/S0007114522002094</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-7994-8405</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Alzheimer's disease Blood pressure Counseling Creatinine Diabetes Diabetes Mellitus Diet Dietitians Education Electrolytes Epidermal growth factor receptors Ferritin Glomerular Filtration Rate Heart failure Human and Clinical Nutrition Humans Hypertension Intervention Kidney - physiology Kidney diseases Kidneys Nutrition Nutrition education Nutrition research Nutrition therapy Nutritional status Patients Potassium Proteins Quality of Life Questionnaires Recipes Renal function Renal Insufficiency, Chronic - complications Renal Insufficiency, Chronic - therapy Serum levels Sodium - pharmacology Therapy Urea Uric acid Vitamin D |
| title | Diet therapy along with nutrition education can improve renal function in people with stages 3–4 chronic kidney disease who do not have diabetes: a randomised controlled trial |
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