The Effect of Systemic Dietary Instruction on Management of Plasma Phosphorus Levels in Peritoneal Dialysis (PD) Patients
Recruitment status was Recruiting
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Purpose
Hyperphosphatemia is highly prevalent in PD patients, and it is an independent risk factor for all-cause and cardiovascular mortality in these patients. Effective treatments are limited in suppressing plasma phosphorous. Because of the nearly linear relationship between protein and phosphorus intake, high dietary protein intake (DPI, 1.2-1.3g/kg/d recommended by KDOQI) would load high phosphorus burden in PD patients. It is suggested that hyperphosphatemia is hard to avoid under such a DPI level, even as the patients take sufficient phosphorus blinders and receive high PD dosage. The present study is to investigate whether systemic dietary instruction would show effects on control of hyperphosphatemia in PD patients.
| Condition | Intervention |
|---|---|
|
Hyperphosphatemia |
Other: systemic dietary instruction |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
- Plasma phosphorus levels [ Time Frame: up to 1 year ] [ Designated as safety issue: No ]
- Plasma calcium levels [ Time Frame: up to one year ] [ Designated as safety issue: No ]
- Carotid artery intima-media thicknesses [ Time Frame: up to 1 year ] [ Designated as safety issue: No ]
- Plasma albumin levels [ Time Frame: up to 1 year ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 50 |
| Study Start Date: | January 2011 |
| Estimated Study Completion Date: | December 2012 |
| Estimated Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: interventional group |
Other: systemic dietary instruction
systemic dietary instruction based on continuous quality improvement (CQI) team-oriented approach
|
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Stable on PD for at least three month
- Aged from 18 to 75 years old
- Informed consent approval
Exclusion Criteria:
- Malnutrition (based on SGA results)
- Infection or inflammation within 1 month
- Concurrent wasting disease (i.e. cancer, tuberculosis)
Contacts and Locations| Contact: Na Jiang, MD | +86-21-53882014 | jiangjiang198311@163.com |
| China, Shanghai | |
| Shanghai Renji Hospital, Shanghai Jiaotong University School of Medicine | Recruiting |
| Shanghai, Shanghai, China, 200001 | |
| Contact: Huili Dai, MD +86-21-58752345 ext 3899 dhl_sh@163.com | |
| Study Director: | Jiaqi Qian, MD | SHANGHAI RENJI HOSPITAL |
More Information
No publications provided
| Responsible Party: | Huili Dai, Shanghai Jiaotong University School of Medicine |
| ClinicalTrials.gov Identifier: | NCT01329497 History of Changes |
| Other Study ID Numbers: | phosphorus |
| Study First Received: | April 4, 2011 |
| Last Updated: | April 15, 2011 |
| Health Authority: | China: Shanghai Jiaotong University |
Additional relevant MeSH terms:
|
Hyperphosphatemia Phosphorus Metabolism Disorders Metabolic Diseases |
ClinicalTrials.gov processed this record on May 19, 2013