This is an intervention study of the effects of food preparation on the gut bacteria in patients with end stage renal disease on peritoneal dialysis. This is a dietary intervention consistent of consuming low amounts of advanced glycation end products (AGEs), the products of protein and sugar interaction during food processing and preparation using high direct heat.
Gut microbes can influence numerous aspects of human biology. Alterations in the function and composition of gut microbial flora (gut microbiota) have been linked to different diseases such as obesity, diabetes and inflammation. Advanced Glycation End products (AGEs) are formed via the Maillard reaction, which consists of a complex network of non-enzymatic reactions involving the carbonyl groups of reducing sugars which react with the amino groups of proteins. AGEs are produced in vivo and being consumed. They have been implicated in increased risk of different diseases including atherosclerosis, CAD and kidney diseases. In this study, the investigators are evaluating the effects of consuming a low AGE diet in participants on peritoneal dialysis on the gut bacteria and inflammation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
103
Icahn School of Medicine at Mount Sinai
New York, New York, United States
Skin AGE level
Change in AGE levels in the skin at 1 month compared to baseline will be measure using an AGE reader.
Time frame: baseline and 1 month
Serum AGE level
Change in serum AGE level at 1 month compared to baseline
Time frame: baseline and 1 month
Serum IL-2 level
Change in serum IL-2 level at 1 month compared to baseline
Time frame: baseline and 1 month
Serum CRP
Change in serum CRP level at 1 month compared to baseline
Time frame: baseline and 1 month
Serum IL-10
Change in serum IL-10 level at 1 month compared to baseline
Time frame: baseline and 1 month
Serum creatinine level
Change in serum creatinine level at 1 month compared to baseline
Time frame: baseline and 1 month
Serum blood urea nitrogen (BUN)
Change in serum BUN at 1 month compared to baseline
Time frame: baseline and 1 month
Serum p-cresol level
Change in serum p-cresol level at 1 month compared to baseline
Time frame: baseline and 1 month
Serum indoxyl sulfate
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Change in serum indoxyl sulfate level at 1 month compared to baseline
Time frame: baseline and 1 month
Serum vitamin D
Change in serum vitamin D level at 1 month compared to baseline
Time frame: baseline and 1 month