End stage kidney disease requiring maintenance hemodialysis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adult prevalent hemodialysis patients who fulfill the following criteria will be included in the study: 1) Serum albumin concentration of< (or =) 3.8mg/dl 2) Body mass index of > (or =) 19 and <23 kg/m2 3) Dry weight 6 months ago is within 95-105% of current one 4) Normalized protein equivalent of nitrogen appearance (nPNA) of < 1.2g/kg/day 5) Those who have undergone maintenance hemodialysis for more than 2 years 6) Those who have given written informed consent on the use of their data for the study
Exclusion criteria
Exclusion criteria: 1) Those with severe heart or liver disease 3) Those at perioperative stages, or those with severe infection or serious injury 4) Those with food allergy 5) Those who are considered not eligible for the study by attending doctors due to any medical reasons
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in protein intake estimated by normalized protein nitrogen appearance (nPNA) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Objective score of nutrition on dialysis 2) Body composition estimates using direct segmental multi-frequency bioelectrical impedance analysis (Inbody720, Biospace, Tokyo, Japan) 3) Self-reported adherence to the allocated supplement 4) Change in dietary patterns assessed by brief-type self- administered diet history questionnaire 5) Laboratory parameters associated with bone and mineral disorder (e.g. calcium, phosphate, parathyroid hormone, and fibroblast growth hormone 23 6) Uric acid 7) Gastrointestinal symptoms such as appetite loss, abdominal pain, diarrhea and constipation | — |
Countries
Japan
Contacts
Niigata University Graduate School of Medical and Dental Sciences Department of Applied Molecular Medicine