| Title |
6-tips diet: a simplified dietary approach in patients with chronic renal disease. A clinical randomized trial
|
|---|---|
| Published in |
Clinical and Experimental Nephrology, October 2015
|
| DOI | 10.1007/s10157-015-1172-5 |
| Pubmed ID | |
| Authors |
Antonio Pisani, Eleonora Riccio, Vincenzo Bellizzi, Donatella Luciana Caputo, Giusi Mozzillo, Marco Amato, Michele Andreucci, Bruno Cianciaruso, Massimo Sabbatini |
| Abstract |
The beneficial effects of dietary restriction of proteins in chronic kidney disease are widely recognized; however, poor compliance to prescribed low-protein diets (LPD) may limit their effectiveness. To help patients to adhere to the dietary prescriptions, interventions as education programmes and dietary counselling are critical, but it is also important to develop simple and attractive approaches to the LPD, especially when dietitians are not available. Therefore, we elaborated a simplified and easy to manage dietary approach consisting of 6 tips (6-tip diet, 6-TD) which could replace the standard, non-individualized LPD in Nephrology Units where dietary counselling is not available; hence, our working hypothesis was to evaluate the effects of such diet vs a standard moderately protein-restricted diet on metabolic parameters and patients' adherence. In this randomized trial, 57 CKD patients stage 3b-5 were randomly assigned (1:1) to receive the 6-TD (Group 6-TD) or a LPD containing 0.8 g/kg/day of proteins (Group LPD) for 6 months. The primary endpoint was to evaluate the effects of the two different diets on the main "metabolic" parameters and on patients' adherence (registration number NCT01865526). Both dietary regimens were associated with a progressive reduction in protein intake and urinary urea excretion compared to baseline, although the decrease was more pronounced in Group 6-TD. Effects on serum levels of urea nitrogen and urinary phosphate excretion were greater in Group 6-TD. Plasma levels of phosphate, bicarbonate and PTH, and urinary NaCl excretion remained stable in both groups throughout the study. 44 % of LPD patients were adherent to the dietary prescription vs 70 % of Group 6-TD. A simplified diet, consisting of 6 clear points easily managed by CKD patients, produced beneficial effects either on the metabolic profile of renal disease and on patients' adherence to the dietary plan, when compared to a standard LPD. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Practitioners (doctors, other healthcare professionals) | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 110 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 110 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 17 | 15% |
| Student > Bachelor | 16 | 15% |
| Professor > Associate Professor | 8 | 7% |
| Student > Ph. D. Student | 8 | 7% |
| Student > Postgraduate | 7 | 6% |
| Other | 16 | 15% |
| Unknown | 38 | 35% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 29 | 26% |
| Nursing and Health Professions | 18 | 16% |
| Biochemistry, Genetics and Molecular Biology | 6 | 5% |
| Business, Management and Accounting | 2 | 2% |
| Agricultural and Biological Sciences | 2 | 2% |
| Other | 9 | 8% |
| Unknown | 44 | 40% |
Attention Score in Context
This research output has an Altmetric Attention Score of 7. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 October 2015.
All research outputs
#4,791,369
of 23,849,058 outputs
Outputs from Clinical and Experimental Nephrology
#98
of 769 outputs
Outputs of similar age
#61,980
of 281,053 outputs
Outputs of similar age from Clinical and Experimental Nephrology
#2
of 12 outputs
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So far Altmetric has tracked 769 research outputs from this source. They receive a mean Attention Score of 3.7. This one has done well, scoring higher than 86% of its peers.
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