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Kistler B, Avesani CM, Burrowes JD, Chan M, Cuppari L, Hensley MK, Karupaiah T, Kilates MC, Mafra D, Manley K, Vennegoor M, Wang AYM, Lambert K, Sumida K, Moore LW, Kalantar-Zadeh K, Campbell KL. Dietitians Play a Crucial and Expanding Role in Renal Nutrition and Medical Nutrition Therapy. J Ren Nutr 2024; 34:91-94. [PMID: 38373524 DOI: 10.1053/j.jrn.2024.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2024] [Accepted: 02/13/2024] [Indexed: 02/21/2024] Open
Affiliation(s)
- Brandon Kistler
- Department of Nutrition Science, Purdue University, West Lafayette, Indiana.
| | - Carla Maria Avesani
- Nephrology Division, Baxter Novum, Department of Clinical Science, Intervention and Technology, Karolsinka Institutet, Stockholm, Sweden
| | | | - Maria Chan
- The St. George Hospital, Sydney, New South Wales, Australia
| | | | | | - Tilakavati Karupaiah
- School of Biosciences, Faculty of Health & Medical Science, Taylor's University Lakeside Campus, Subang Jaya, Malaysia
| | | | - Denise Mafra
- Federal University Fluminense, UFF, Niterói, Brazil
| | | | - Marianne Vennegoor
- Retired, Department of Renal Medicine, Guy's and St Thomas' Hospital NHS Foundation Trust, London, United Kingdom
| | - Angela Yee-Moon Wang
- Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong
| | - Kelly Lambert
- School of Medical, Indigenous and Health Sciences, University of Wollongong, Wollongong, New South Wales, Australia
| | - Keiichi Sumida
- Division of Nephrology, Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
| | - Linda W Moore
- Department of Surgery, Houston Methodist Hospital, Houston, Texas
| | - Kamyar Kalantar-Zadeh
- Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California; Division of Nephrology, Hypertension, and Transplantation, Harbor-UCLA and the Lundquist Institute, Torrence, California
| | - Katrina L Campbell
- Metro North Hospital and Health Service, Brisbane, Queensland, Australia
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Kupin WL, Cortes P, Dumler F, Feldkamp CS, Kilates MC, Levin NW. Effect on renal function of change from high to moderate protein intake in type I diabetic patients. Diabetes 1987; 36:73-9. [PMID: 3792665 DOI: 10.2337/diab.36.1.73] [Citation(s) in RCA: 29] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
The effects on renal function of moderate restriction in protein intake were studied in 14- to 20-yr-old type I diabetic patients who had no clinical renal disease or hypertension; matched normal subjects served as controls. After assessment of protein intake and renal function, studies were conducted at the completion of each of two consecutive dietary periods of 1 wk. Diets containing 3.5 and 1.5 g X kg-1 X day-1 protein were provided during the first and second periods, respectively. Baseline protein intakes were substantial in both controls (1.86 g X kg-1 X day-1) and diabetics (2.17 g X kg-1 X day-1). Baseline creatinine clearance was increased in diabetics (P = .043). At the end of the high-protein intake period, both diabetics and controls showed similar high values of glomerular filtration rate (GFR) and renal plasma flow (RPF). GFR and RPF decreased markedly (P less than .001) and to a similar degree in both groups after normal protein intake. GFR and RPF in diabetics were not higher than in controls at this point, but filtration fraction was increased in diabetics. Albumin excretion rates were similar in both groups and not influenced by renal function changes. GFR and RPF values correlated significantly with the quantity of protein intake, as estimated from the urea nitrogen appearance rate in both groups. The results suggest that the functional response to variations in protein intake is not altered in the diabetic kidney. In addition, increased renal function in diabetics may be related partly to the excessive protein content in commonly prescribed diabetic diets.(ABSTRACT TRUNCATED AT 250 WORDS)
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