Saves the questions and what to expect into your notes, next to the visit they belong to.
Keep this study
Lead
Changi General Hospital
Age
21–79
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
1. Age 21-79 (Only adults who can give consent will be recruited. Older adults aged 80 are not included to reduce the risk of confounding due to age-related frailty, sarcopenia and multimorbidity. Additionally, older adults may have different nutritional needs and energy requirements)
2. CKD stage 3-4 (baseline eGFR 15-60ml/min/1.72m2 for the past 6 months)
3. Willingness to see a dietitian and follow either a standard CKD diet or a predominantly plant-based CKD diet
4. On maximum tolerated dose of ACE-inhibitors (Angiotensin converting enzyme inhibitors) or ARB (Aldosterone receptor blocker) as determined by Renal Physician in charge
5. Able to provide informed consent
You may not be if
Transplant patients (who will tend to have more variable trajectories, immunosuppression related challenges etc which may make this study less feasible)
Pregnant or lactating patients (who have different nutritional requirements than the standard CKD patients)
Patients who were on any special diet for at least 1 month prior to recruitment (inclusive of
long-term vegans or vegetarians) - excluded because they already have stable dietary habits
Age \<21 or \>/= 80 (Avoid growing children who have different nutritional requirements and advanced elderly who are more likely to have malnutrition or sarcopenia due to other pre-existing causes)
Those who have seen a dietitian for CKD previously
Patients with severe ischemic heart disease, decompensated liver cirrhosis, malabsorptive diseases or malignancy
Patients with BMI \<18.5 or \>40
Patients with glomerulonephritis, genetic kidney disease or polycystic kidney disease
Baseline serum potassium 5.0 and above
Patients who are unable to modify their diet due to socio-economic issues.
Exclude patients with acute kidney injury (AKI) in the past 6 months prior to study (unstable renal disease
Clareo Health | Feasibility, Safety and Efficacy of a Predominantly Plant-based Diet in an Asian Population With Chronic Kidney Disease
