American Journal of Kidney Diseases
Volume 51, Issue 5 , Pages 748-758 , May 2008

Randomized Controlled Trial of Nutritional Counseling on Body Composition and Dietary Intake in Severe CKD

  • Katrina L. Campbell, PhD

      Affiliations

    • Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia
    • Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Brisbane, Australia
    • Corresponding Author InformationAddress correspondence to Katrina L. Campbell, PhD, Department of Nutrition and Dietetics, King's College London, 150 Stamford St, London, SE1 9NH, UK.
    • ,
  • Susan Ash, PhD

      Affiliations

    • Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia
    • Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Brisbane, Australia
    • ,
  • Peter S.W. Davies, PhD

      Affiliations

    • Children's Nutrition Research Centre, Royal Children's Hospital, University of Queensland, Brisbane, Australia
    • ,
  • Judith D. Bauer, PhD

      Affiliations

    • Wesley Research Institute, The Wesley Hospital, Brisbane, Australia.

Received 19 June 2007 ,Accepted 26 December 2007.

References 

  1. Heimburger O, Qureshi AR, Blaner WS, Berglund L, Stenvinkel P. Hand-grip muscle strength, lean body mass, and plasma proteins as markers of nutritional status in patients with chronic renal failure close to start of dialysis therapy. Am J Kidney Dis. 2000;36:1213–1225
  2. Stenvinkel P, Barany P, Chung SH, Lindholm B, Heimburger O. A comparative analysis of nutritional parameters as predictors of outcome in male and female ESRD patients. Nephrol Dial Transplant. 2002;17:1266–1274
  3. Bolton WK. Renal Physicians Association clinical practice guideline: Appropriate patient preparation for renal replacement therapy: Guideline number 3. J Am Soc Nephrol. 2003;14:1406–1410
  4. Ash S, Campbell KL, MacLaughlin H, et al. Evidence based practice guidelines for nutritional management of chronic kidney disease. Nutr Diet. 2006;63(suppl 2):S35–S45
  5. Barrett BJ, Parfrey PS, Morgan J, et al. Prediction of early death in end-stage renal disease patients starting dialysis. Am J Kidney Dis. 1997;29:214–222
  6. Churchill D, Taylor WD, Keshaviah PR. Adequacy of dialysis and nutrition in continuous peritoneal dialysis: Association with clinical outcomes (Canada-USA (CANUSA) Peritoneal Dialysis Study Group). J Am Soc Nephrol. 1996;7:198–207
  7. Ikizler TA, Greene JH, Wingard RL, Parker RA, Hakim RM. Spontaneous dietary protein intake during progression of chronic renal failure. J Am Soc Nephrol. 1995;6:1386–1391
  8. National Kidney Foundation. K/DOQI Clinical Practice Guideline for Nutrition in Chronic Renal Failure. Am J Kidney Dis. 2000;39(suppl 2):S1–S140
  9. Fouque D, Laville M, Boissel JP. Low protein diets for chronic kidney disease in non diabetic adults. (Cochrane Review) Cochrane Database Syst Rev. 2006;CD001892
  10. Fouque D, Wang P, Laville M, Boissel JP. Low protein diets for chronic renal failure in non diabetic adults. (Cochrane Review) Cochrane Database Syst Rev. 2000;CD001892
  11. Pedrini MT, Levey AS, Lau J, Chalmers TC, Wang PH. The effect of dietary protein restriction on the progression of diabetic and nondiabetic renal diseases: A meta-analysis. Ann Intern Med. 1996;124:627–632
  12. Kasiske B, Lakatua J, Ma J, Louis T. A meta-analysis of the effects of dietary protein restriction on the rate of decline in renal function. Am J Kidney Dis. 1998;31:954–961
  13. Fouque D, Laville M, Boissel JP, Chifflet R, Labeeuw M, Zech PY. Controlled low protein diets in chronic renal-insufficiency—Metaanalysis. BMJ. 1992;304:216–220
  14. Johnson DW. Dietary protein restriction as a treatment for slowing chronic kidney disease progression: The case against. Nephrol. 2006;11:58–62
  15. Aparicio M, Chauveau P, Combe C. Low protein diets and outcome of renal patients. J Nephrol. 2001;14:433–439
  16. Kellet E, Smith A, Schmerlaib Y. The Australian Guide to Healthy Eating—Background Information for Nutrition Educators. Canberra, Australia: Canberra ATC, Commonwealth Department of Health and Family Services; 1998;
  17. Milas N, Nowalk MP, Akpele L, et al. Factors associated with adherence to the dietary protein intervention in the Modification of Diet in Renal Disease Study. J Am Diet Assoc. 1995;95:1295–1300
  18. Gillies BP, Caggiula AW, Chiavacci AT, et al. Nutrition intervention program of the Modification of Diet in Renal Disease Study: A self-management approach. J Am Diet Assoc. 1995;95:1288–1294
  19. Doleck TA, Olson MB, Caggiula AW, et al. Registered dietitian time requirements in the Modification of Diet in Renal Disease Study. J Am Diet Assoc. 1995;95:1307–1312
  20. Voss D. The CARI guidelines: Nutrition and growth in kidney disease. Nephrol. 2005;10(suppl 5):S177–S203
  21. American Dietetic Association. Chronic Kidney Disease (non-dialysis) Medical Nutrition Therapy Protocol: Medical Nutrition Therapy Evidence-Based Guides for Practice. Chicago, IL: American Dietetic Association; 2002;
  22. Wiggins K. Guidelines for Nutritional Care of Renal Patients (Renal Dietitians Dietetic Practice Group, American Dietetic Association). Chicago, IL: American Dietetic Association; 2002;
  23. Ellis KJ. Human body composition: In vivo methods. Physiol Rev. 2000;80:649–680
  24. Dolson GM, Ellis KJ, Johnson ML, Adrogue HJ. Incidence and consequences of total body potassium depletion in chronic hemodialysis patients. Front Biosci. 2003;1:126–132
  25. Moore F. Energy and the maintenance of the body cell mass. JPEN J Parenter Enteral Nutr. 1980;4:228–260
  26. Wang Z, Zhu S, Wang J, Pierson RN, Heymsfield SB. Whole-body skeletal muscle mass: Development and validation of total-body potassium prediction models. Am J Clin Nutr. 2003;77:76–82
  27. Woodrow G, Oldroyd B, Wright A, et al. The measurement of total body potassium in patients on peritoneal dialysis. Perit Dial Int. 2001;21(suppl 3):S163–S167
  28. Ottery F. Patient-generated Subjective Global Assessment. In:  McCallum P,  Polisena C editor. The Clinical Guide to Oncology Nutrition. Chicago, IL: American Dietetic Association; 2000;p. 11–23
  29. Campbell KL, Ash S, Bauer J, Davies PSW. Critical review of nutrition assessment tools to measure malnutrition in chronic kidney disease. Nutr Diet. 2007;64:23–30
  30. Levey AS, Bosch JP, Lewis JB, Greene T, Rogers N, Roth D. A more accurate method to estimate glomerular filtration rate from serum creatinine: A new prediction equation (Modification of Diet in Renal Disease Study Group). Ann Intern Med. 1999;130:461–470
  31. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. J Chronic Dis. 1987;40:373–383
  32. Tchekmedyian N, Zahyna D, Halpert C, Heber D. Assessment and maintenance of nutrition in older cancer patients. Oncology (Huntingt). 1992;6:105–111
  33. Cederholm T, Jagren C, Hellstrom K. Outcome of protein-energy malnutrition in elderly medical patients. Am J Med. 1995;98:67–74
  34. Cohn SH, Vartsky D, Yasumura S, Vaswani AN, Ellis KJ. Indexes of body cell mass: Nitrogen versus potassium. Am J Physiol Endocrinol Metab. 1983;244:E305–E310
  35. Castaneda C, Charnley J, Evans W, Crim M. Elderly women accommodate to a low-protein diet with losses of body cell mass, muscle function, and immune response. Am J Clin Nutr. 1995;62:30–39
  36. Arora N, Rochester D. Respiratory muscle strength and maximal voluntary ventilation in undernourished patients. Am Rev Respir Dis. 1982;126:5–8
  37. Lawson JA, Lazarus R, Kelly JJ. Prevalence and prognostic significance of malnutrition in chronic renal insufficiency. J Ren Nutr. 2001;11:16–22
  38. Cliffe M, Bloodworth LL, Jibani MM. Can malnutrition in predialysis patients be prevented by dietetic intervention?. J Ren Nutr. 2001;11:161–165
  39. Kopple JD. Dietary protein and energy requirements in ESRD patients. Am J Kidney Dis. 1998;32(suppl 4):S97–S104
  40. Mandayam S, Mitch WE. Dietary protein restriction benefits patients with chronic kidney disease. Nephrol. 2006;11:53–57
  41. Meloni C, Morosetti M, Suraci C, et al. Severe dietary protein restriction in overt diabetic nephropathy: Benefits or risks?. J Ren Nutr. 2002;12:96–101
  42. Castaneda C, Gordon PL, Uhlin KL, et al. Resistance training to counteract the catabolism of a low-protein diet in patients with chronic renal insufficiency (A randomized, controlled trial). Ann Intern Med. 2001;135:965–976
  43. Leon J, Majerle A, Soinski J, Kushner I, Ohri-Vachaspati P, Sehgal A. Can a nutrition intervention improve albumin levels among hemodialysis patients? (A pilot study). J Ren Nutr. 2001;11:9–15
  44. Leon JB, Albert JM, Gilchrist G, et al. Improving albumin levels among hemodialysis patients: A community-based randomized controlled trial. Am J Kidney Dis. 2006;48:28–36
  45. Brennan BL, Letteri JM, Cohn SH, Ellis KJ. Serial measurements of body composition and total body mineral content in dialysis and nondialysis patients with renal failure. Miner Electrolyte Metab. 1987;13:451–461
  46. Kopple J, Berg R, Houser H, Steinman T, Teschan P. Nutritional status of patients with different levels of chronic renal insufficiency (Modification of Diet in Renal Disease (MDRD) Study Group). Kidney Int Suppl. 1989;27:S184–S194
  47. Visnegarwala F, Raghavan SS, Mullin CM, et al. Sex differences in the associations of HIV disease characteristics and body composition in antiretroviral-naive persons. Am J Clin Nutr. 2005;82:850–856
  48. Kotler DP, Thea DM, Heo M, et al. Relative influences of sex, race, environment, and HIV infection on body composition in adults. Am J Clin Nutr. 1999;69:432–439
  49. Roubenoff R, Hughes VA, Dallal GE, et al. The effect of gender and body composition method on the apparent decline in lean mass-adjusted resting metabolic rate with age. J Gerontol A Biol Sci Med Sci. 2000;55:M757–M760
  50. Newman AB, Haggerty CL, Goodpaster B, et al. Strength and muscle quality in a well-functioning cohort of older adults: The Health, Aging and Body Composition Study. J Am Geriatr Soc. 2003;51:323–330
  51. Kyle U, Genton L, Hans D, Karsegard L, Slosman D, Pichard C. Age-related differences in fat-free mass, skeletal muscle, body cell mass and fat mass between 18 and 94 years. Eur J Clin Nutr. 2001;55:663–672
  52. Chung ML, Moser DK, Lennie TA, et al. Gender differences in adherence to the sodium-restricted diet in patients with heart failure. J Card Fail. 2006;12:628–634
  53. Buckelew S, Shutty M, Hewett J, Landon T, Morrow K, Frank R. Health locus of control, gender differences and adjustment to persistent pain. Pain. 1990;42:287–294
  54. Go AS, Chertow GM, Fan DJ, McCulloch CE, Hsu CY. Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. N Engl J Med. 2004;351:1296–1305
  55. Keith D, Nichols G, Gullion C, Brown J, Smith D. Longitudinal follow-up and outcomes among a population with chronic kidney disease in a large managed care organization. Arch Intern Med. 2004;164:659–663

 Trial registration: www.anzctr.org.au; study number: ACTRN012606000493549.

 Originally published online as doi:10.1053/j.ajkd.2007.12.015 on February 29, 2008.

PII: S0272-6386(08)00003-6

doi: 10.1053/j.ajkd.2007.12.015

American Journal of Kidney Diseases
Volume 51, Issue 5 , Pages 748-758 , May 2008

Article Tools

* Image Usage & Resolution