Acid-Base Balance Disorder, Metabolic Acidosis
Conditions
Keywords
acid-base balance, energy metabolism, protein-rich diet, alkaline supplementation, calorimetry, microdialysis, randomized placebo-controlled trial
Brief summary
Metabolism is controlled by macro- and micronutrients. Protein-rich diets should lead to latent acidosis at tissue level with further negative implications. Food supplements with alkaline salts are available and popular pretending to prevent these changes. Within a randomized double-blind placebo-controlled trial, the investigators tested the hypotheses 1) that a 4-week protein-rich diet induces a latent tissue acidosis and 2) an alkaline supplement can compensate this. Acid-base balance and important metabolic parameters were determined before and after 4 weeks of supplementation by peripheral blood samples, indirect calorimetry and muscle microdialysis before and after a protein-rich test meal.
Interventions
blood and tissue alkalinisation
no blood and tissue alkalinisation
Sponsors
Study design
Eligibility
Inclusion criteria
* slightly reduced kidney function (GFR 60-89 ml/min) * Body mass index 20.0 - 29.9 kg/m2 * normal daily diet composition: 45-50, 35-40, and 15 E% from carbs, fats and proteins, respectively
Exclusion criteria
* sorbitol-/fructose-intolerance * intake of antacidic drugs * vegetarians, vegans * intake of any nutritional supplements * any cardiovascular, pulmonary, endocrine or metabolic diseases * any drug abuse * intake of any anticoagulant drugs
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in muscle dialysate lactate-pyruvate ratio | before and after 4-weeks of supplementation at baseline (after a 12 hours overnight fast) and 60, 120, and 180 minutes after a protein-enriched test meal | surrogate measure for muscle tissue pH |