insulin resistance metabolic syndrome
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Renal transplant recipients that are - 18 years or older - more than 6 months after renal transplantation with stable renal function (estimate glomerular filtration rate (eGFR) > 30 mL/min/1.73m2) - a systolic blood pressure * 130 mmHg - and at least two other features of metabolic syndrome according to the ATP III criteria
Exclusion criteria
Exclusion criteria: - Active medical illness, including rejection of the graft. - Psychopathology or serious cognitive impairment. - Necessity to follow specific dietary measures for health purposes that conflict with the study diets. - Use of insulin or sulfonylurea (SU)-derivates. - Language barrier. - Pregnancy or lactating. - Serum potassium > 5.0 mmol/L that requires dietary measures. - Moderate or severe malnutrition (Patient-Generated Subjective Global Assessment (PG-SGA) stage B or C). In this case, patient will be referred to a renal dietician.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary study outcomes are systolic blood pressure (SBP) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures includes other cardio-metabolic risk factors (lipids: triglycerides, low-density-lipoprotein cholesterol (LDL-C) and high-density-lipoprotein cholesterol (HDL-C); glucose metabolism (fasting glucose levels, insulin resistance, measured by the homeostatic model assessment of insulin resistance (HOMA-IR)), body composition (changes in weight, body mass index (BMI), waist circumference, fat and muscle tissue mass percentage by bio-electrical impendance assessment (BIA)), physical functioning (handgrip strength (HGS) and Five Times Sit To Stand Test), dietary intake (assessed by food diaries and 24-hour urine samples) and quality of life (QoL) . | — |
Countries
Netherlands