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- Title
Post-intervention Adherence to the New Nordic Renal Diet among patients with chronic kidney disease, stages 3 and 4.
- Authors
Hansen, Nikita Misella; Kamper, Anne-Lise; Rix, Marianne; Feldt-Rasmussen, Bo; Sørensen, Mads Vaarby; Berg, Peder; Astrup, Arne; Salomo, Louise
- Abstract
The New Nordic Renal Diet (NNRD) is a meal pattern reduced in phosphorus, protein, and sodium for patients with moderate chronic kidney disease. The NNRD showed improvements in metabolic, and physiological outcomes after 26-weeks intervention. In the original study, participants were randomized to NNRD (n = 30), or control (habitual diet) (n = 30). The aim of this study was to explore adherence to the NNRD 3 months after cessation of intervention (follow-up). Fifty-seven participants completed the follow-up visit, which consisted of fasting blood samples and 24 h urine samples. At follow-up, there was no longer a significant reduction in 24 h urine phosphorus excretion in the NNRD group. From intervention to follow-up, 24 h urine phosphorus increased by 63 mg in the NNRD group, vs. −24.1 mg in the control group, between-group difference 87.1 mg (−10.1, 184.3, p = 0.08). Our findings show that more active intervention is needed to support adherence and maintain beneficial effects of the NNRD.
- Subjects
SCANDINAVIA; TREATMENT of chronic kidney failure; PATIENT compliance; BLOOD testing; RESEARCH funding; TERMINATION of treatment; KIDNEY diseases; URINE collection &; preservation; SOCIAL support; DIET therapy; DIET; FASTING; PATIENT aftercare
- Publication
European Journal of Clinical Nutrition, 2024, Vol 78, Issue 6, p544
- ISSN
0954-3007
- Publication type
Article
- DOI
10.1038/s41430-024-01413-z