The role of a low protein diet supplemented with ketoanalogues on kidney progression in pre-dialysis chronic kidney disease patients.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
19 09 2023
Historique:
received: 27 06 2023
accepted: 13 09 2023
medline: 21 9 2023
pubmed: 20 9 2023
entrez: 19 9 2023
Statut: epublish

Résumé

In slowing kidney progression, numerous pre-dialysis chronic kidney disease (CKD) patients could not adhere to the well-established dietary pattern, including a very low protein diet, 0.3-0.4 g/kg/day, plus a full dose ketoanalogues (KAs) of amino acids. We evaluated the role of a low protein diet (LPD), 0.6-0.8 g/kg/day, combined with KAs (LPD-KAs) on CKD progression. We extracted data in the retrospective cohort using electronic medical records (n = 38,005). Participants with LPD-KAs for longer than six months were identified. An unmatched control group, LPD alone, was retrieved from the same database. Cox proportional hazard models were performed to examine the associations between LPD-KAs and outcomes. The primary outcome was either a rapid estimated glomerular filtration rate (eGFR) decline > 5 mL/min/1.73m

Identifiants

pubmed: 37726370
doi: 10.1038/s41598-023-42706-w
pii: 10.1038/s41598-023-42706-w
pmc: PMC10509207
doi:

Substances chimiques

Dietary Proteins 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

15459

Informations de copyright

© 2023. Springer Nature Limited.

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Auteurs

Saravanee Ariyanopparut (S)

Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Kamonchanok Metta (K)

Division of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Yingyos Avihingsanon (Y)

Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Division of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Somchai Eiam-Ong (S)

Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Division of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Piyawan Kittiskulnam (P)

Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. piyawankitti@gmail.com.
Division of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. piyawankitti@gmail.com.
Division of Internal Medicine-Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, 10330, Thailand. piyawankitti@gmail.com.

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