Unique ID issued by UMIN | UMIN000025214 |
---|---|
Receipt number | R000029002 |
Scientific Title | Effects of the nutritional supplementation in combination with exercise therapy for hemodialysis patients complicated with sarcopenia: a randomized parallel-group pilot study |
Date of disclosure of the study information | 2016/12/10 |
Last modified on | 2017/11/30 03:10:33 |
Effects of the nutritional supplementation in combination with exercise therapy for hemodialysis patients complicated with sarcopenia: a randomized parallel-group pilot study
Effects of the nutritional supplementation in combination with exercise therapy for hemodialysis patients complicated with sarcopenia
Effects of the nutritional supplementation in combination with exercise therapy for hemodialysis patients complicated with sarcopenia: a randomized parallel-group pilot study
Effects of the nutritional supplementation in combination with exercise therapy for hemodialysis patients complicated with sarcopenia
Japan |
Hemodialysis patients complicated with sarcopenia
Nephrology | Geriatrics |
Others
NO
To compare the effect of exercise plus nutritional supplementation with that of exercise alone on body composition, muscle function and nutritional status in sarcopenic patients receiving hemodialysis
Safety,Efficacy
An amount change of the fat free mass
1. the value change of the skeletal muscle index, lower limb muscle mass, skeletal muscle mass, body cell mass, phase angle and body fat percentage
2. the amount change of the grip strength and knee extension strength
3. the value change of Short Physical Performance Battery(SPPB)
4. the value change of the Geriatric Nutrition Risk Index(GNRI) and Malnutrition-Inflammation Score(MIS)
5. the variation change in the biochemical parameters
6. the value change of the single-pool Kt/Vurea, normalized protein catabolic rate(nPCR) and the creatinine generation rate % (%CGR)
7. the incidence ratio of adverse events
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
NO
NO
Institution is not considered as adjustment factor.
NO
No need to know
2
Treatment
Food | Behavior,custom |
Exercise therapy with combination of nutritional supplementation: Dietary supplements such as energy of 276kcal, protein of 6.3g, branched-chain amino acid of 1.54g are taken in each day for 12 weeks with the exercise therapy of intervention 2.
Exercise therapy: At the first half of hemodialysis which conducted three times a week, A resistance exercise for 20 to 30 minutes in each time, the level is from mild to moderate as the subjective exercise intensity(11 to 13 in Borg index) is worked out for 12 weeks.
18 | years-old | <= |
Not applicable |
Male and Female
Subjects were enrolled after meeting all the following criteria.
1. Patients have undergone hemodialysis or hemodiafiltration three times a week for more than three months
2. Out-patients
3. Patients, 18 years age or older at the time of submitting written informed consent
4. Patients, after receiving a sufficient explanation upon participation in this study, agreed the consent document in full understanding and with a free will were enrolled as a subject
5. Patients who were diagnosed sarcopenia and pre-sarcopenia in the standard of Asian Working Group for sarcopenia(AWGS)
Persons, met any of the following criteria were excluded.
1. Patients not ensured of an adequate dialysis(below 1.2 in single-pool Kt/Vurea)
2. Patients with cardiovascular disease such as heart failure likely worsening within one week, unstable angina pectoris, myocardial ischemia induced with a low threshold value by slow walking on the level ground(2METS), a candidate for surgery of severe valvular disease, and exercise-induced arrhythmias
3. Patients with an acute systemic disease or fever
4. Patients with complicated severe hypertension, over 180mmHg systolic blood pressure or 100mmHg in diastolic blood pressure
5. Patients having complications with type 1 diabetes, poorly controlled type 2 diabetes and diabetic retinopathy
6. Patients having complication with severe liver disease
7. Patients having an allergy to milk and soy
8. Patients having complication with mental illness causing a communication difficulty
9. patients having a cardiac pacemaker implantation
10. Patients having a history of hospitalization less than one month before the enrollment
11. Additionally, patients, whose principal researcher determined unfit as a subject for the study
15
1st name | |
Middle name | |
Last name | Yasunori Suzuki |
Kyoto Katsura Hospital
Department of Nephrology
17 Yamadahirao-cho, Nishikyo-ku, Kyoto, 615-8256, Japan
075-391-5811
yasunori-suzuki@katsura.com
1st name | |
Middle name | |
Last name | Yasunori Suzuki |
Kyoto Katsura Hospital
Dialysis Center
17 Yamadahirao-cho, Nishikyo-ku, Kyoto, 615-8256, Japan
075-391-5811
yasunori-suzuki@katsura.com
Department of Nephrology, Kyoto Katsura Hospital
None
Self funding
NO
2016 | Year | 12 | Month | 10 | Day |
Published
Completed
2016 | Year | 11 | Month | 01 | Day |
2017 | Year | 01 | Month | 26 | Day |
2016 | Year | 12 | Month | 10 | Day |
2017 | Year | 11 | Month | 30 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029002