The investigators propose to determine the impact of high-protein beverages on protein status and inflammation markers among CKD patients undergoing hemodialysis. A 12-week double-blind randomized cross-over trial will be used in which participants (n=22) will consume a 4-ounce high protein supplement with either whey (20 g total protein) or soy (20 g total protein). Outcomes of interest include serum urea nitrogen and inflammation markers (CRP and IL-6). The findings will contribute to the knowledge gap regarding the effect of different protein types in CKD populations which can be translated to the development of affordable supplements to prevent malnutrition in adults with non-communicable diseases.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
DOUBLE
Enrollment
15
Participants will receive 120 mls of soy protein isolate (total of 20 g protein) to consume 3x/week after dialysis treatment for 4 weeks.
Participants will receive 120 mls of whey protein isolate (total of 20 g protein) to consume 3x/week after dialysis treatment for 4 weeks.
University of Florida
Gainesville, Florida, United States
C-reactive protein
Collection of serum C-reactive protein to identify a change from pre-post to analyze the effect protein isolates had on inflammation markers.
Time frame: Up to 12 weeks of the study
IL-6
Collection of serum IL-6 to identify a change from pre-post to analyze the effect protein isolates had on inflammation markers.
Time frame: Up to 12 weeks of the study
Normalized protein catabolic rate
Analysis of nPCR to identify a change from pre-post to analyze the effect protein isolates had on nPCR.
Time frame: Up to 12 weeks of the study
Isoflavones - Serum values of Genistin and Daidzin
Collection of serum isoflavones (genistin and daidzin) to identify a change from pre-post to analyze the effect soy protein isolate had on inflammation markers that will be assessed via HPLC.
Time frame: Up to 12 weeks of the study
Uremic toxins - serum p-cresol sulfate and indoxyl sulfate
Collection of serum uremic toxins (p-cresol sulfate and indoxyl sulfate) to identify a change from pre-post to analyze the effect soy protein isolate had on inflammation markers that will be assessed via LC/MS.
Time frame: Up to 12 weeks of the study
Serum Amino acid profiles of essential and non-essential amino acids
Collection of serum amino acid profile of essential and non-essential amino acids to identify a change from pre-post to analyze the effect amino acids had on inflammation markers that will be assessed via LC/MS.
Time frame: Up to 12 weeks of the study
Malnutrition Inflammation Score
Assessment of malnutrition at baseline and post-intervention to determine nutritional status. There are a total of 10 questions that participants will answer. Scores are from as low as 0 to as high for 3 for each question. A score of 0 indicates normal whereas a score of 30 indicates severe malnutrition.
Time frame: Up to 12 weeks of the study
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