Protocol summary

Study aim
Determining the effect of diet based on the Global Diet Quality Score (GDQS) compared to the control diet (the diet of hemodialysis patients) on the levels of creatinine (Cr), blood urea nitrogen (BUN) and serum electrolytes in people with chronic diseases Kidney under hemodialysis: a randomized clinical trial study
Design
A randomized, parallel, controlled clinical trial. The number of 50 eligible participants to participate in the study will be divided into one of 2 intervention and control groups (n=25) using a simple randomization method
Settings and conduct
This study will be done in Shahid Rahmonun and Goodarz Hospital, Yazd. A total of 50 eligible people will be randomly assigned to 2 groups for 3 months to receive GDQS or standard dietary recommendations. At the beginning of the study and after 3 months from the start of the study, creatinine, blood urea nitrogen, serum electrolytes will be evaluated. Due to the nature of the study, blinding was not done.
Participants/Inclusion and exclusion criteria
Adults with the age range of 18 to 70 years and undergoing hemodialysis treatment (at least 2 times a week) for at least 1 months and more who complete the consent form to enter the study. Exclusion criteria: pregnant and lactating women, people with a history of Cancer, liver disease, cognitive or psychological disorder, immunodeficiency, AIDS and severe inflammatory disease.
Intervention groups
Individuals will receive the GDQS diet. Participants will learn the GDQS diet in 12 face-to-face sessions. They will also receive GDQS dietary advice during the course. Control group: subjects will receive standard diet. Participants will be taught the standard diet in 12 face-to-face sessions. They will also receive standard dietary advice throughout the course. The duration of intervention and study will be 3 months
Main outcome variables
creatinine, blood urea nitrogen, serum electrolytes

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20210427051098N5
Registration date: 2023-12-11, 1402/09/20
Registration timing: prospective

Last update: 2023-12-11, 1402/09/20
Update count: 0
Registration date
2023-12-11, 1402/09/20
Registrant information
Name
Sayyed Saeid Khayyatzadeh
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 35 3820 9100
Email address
khayyatzadeh@yahoo.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-12-22, 1402/10/01
Expected recruitment end date
2024-09-22, 1403/07/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Investigating the effect of Global Diet Quality Score (GDQS) compared to the control diet (diet for hemodialysis patients) on the levels of creatinine (Cr), blood urea nitrogen (BUN) and serum electrolytes in individuals with chronic kidney disease under hemodialysis: A randomized clinical trial study
Public title
Investigating the effect of diet based on the global diet quality score in hemodialysis
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Individuals under hemodialysis (at least 2 times a week) for at least 1 months or more Completion of informed consent
Exclusion criteria:
History of cancer Suffering from hepatitis Suffering from liver cancer Taking medications for liver disease Having a specific perception or psychological disorder Immunodeficiency AIDS Suffering from a severe inflammatory disease Pregnancy Lactation
Age
From 18 years old to 70 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size: 50
Randomization (investigator's opinion)
Randomized
Randomization description
After determining the eligible people and receiving ethical consent, people will be divided into two groups (intervention: GDQS-based diet or control: standard diet) by random allocation method. At first, each person will receive a unique code. Then all the codes will enter the Random Allocation software. Software inputs will include the total number of samples and the number of treatment groups (intervention and control). The output of the software will include random numbers assigned for both groups. The distribution ratio of people will be 1 to 1. Each person has an equal chance to be placed in each of the groups, and the participants cannot predict which group they will be placed in. Randomization will be done as a block classification based on gender (male and female) and BMI (higher and lower than 25) and in a block with a block size equal to 6.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Shahid Sadoughi University of Medical Sciences
Street address
hahid Sadoughi University of Medical Sciences and Health Services Campus- Shohadaye Gomnam Blvd- Alem Square- Yazd
City
Yazd
Province
Yazd
Postal code
8915173160
Approval date
2023-11-25, 1402/09/04
Ethics committee reference number
IR.SSU.SPH.REC.1402.103

Health conditions studied

1

Description of health condition studied
individuals with chronic kidney disease under hemodialysis
ICD-10 code
I95.3
ICD-10 code description
Hypotension of hemodialysis

Primary outcomes

1

Description
Creatinine
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Pars Azmoun biochemical kit

2

Description
Blood urea nitrogen (BUN)
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Pars Azmoun biochemical kit

3

Description
Serum Albumin
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Pars Azmoun biochemical kit

4

Description
Alkaline phosphatase
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Pars Azmoun biochemical kit

5

Description
Parathormone
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Pars Azmoun biochemical kit

6

Description
Total bilirubin
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Pars Azmoun biochemical kit

7

Description
Direct bilirubin
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Pars Azmoun biochemical kit

8

Description
Sodium
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Pars Azmoun biochemical kit

9

Description
Potassium
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Pars Azmoun biochemical kit

10

Description
Phosphorus
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Pars Azmoun biochemical kit

11

Description
Calcium
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Pars Azmoun biochemical kit

12

Description
Fasting Blood Glucose
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Pars Azmoun biochemical kit

13

Description
Total cholesterol
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Pars Azmoun biochemical kit

14

Description
Triglyceride
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Pars Azmoun biochemical kit

15

Description
Depression
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Validated hospital anxiety and depression questionnaire

16

Description
Anxiety
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Validated hospital anxiety and depression questionnaire

17

Description
Sleep quality
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Validated Pittsburgh questionnaire

18

Description
Quality of Life
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Validated KDQOL-36 questionnaire

19

Description
Fatigue
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Piper's validated fatigue questionnaire and scale

Secondary outcomes

1

Description
Weight
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Weighting scale

2

Description
Body Mass Index (BMI)
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Body composition analyzer

3

Description
Waist circumference
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Tape measure

4

Description
Hips circumference
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Tape measure

5

Description
Fat mass
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Body composition analyzer

6

Description
Fat free mass
Timepoint
Before the intervention, 12 weeks after the intervention
Method of measurement
Body composition analyzer

7

Description
Blood pressure
Timepoint
Before the intervention, 12 weeks after the interventio
Method of measurement
Measurement of systolic and diastolic blood pressure (mmHg)

Intervention groups

1

Description
Intervention group: In the GDQS-based diet group, people undergoing hemodialysis treatment will receive GDQS diet training for 12 weeks (one training session per week) and each session will last 10 minutes. The amount of prescribed energy intake for people is calculated according to the Harris-Benedict equation. (22) If the body mass index of people is less than 25, the current weight of people is used to calculate energy; But if the body mass index is more than 25, the adjusted weight of people according to the body mass index of 25 is used to calculate energy. In the control group, the standard diet of hemodialysis patients will be set for the patients and they will be taught by nutrition experts.The GDQS is a completely food-based measure of 25 food groups: 16 healthy food groups, 7 unhealthy food groups, and 2 food groups (red meat, full-fat dairy) that are unhealthy if consumed in excess. For the 24 GDQS food groups, three ranges of intake are defined (in grams per day) and used in scoring the metric: low, moderate, and high. For a food group (full-fat dairy), four ranges of consumption are used: low, medium, high, and very high.The diet will be adjusted based on the recommendations of GDQS according to the amount of energy needed by the person. In designing this diet, get more dark green leafy vegetables, cabbage family, orange root vegetables (carrots, sweet potatoes, acorns, pumpkins, and pumpkins) and other vegetables, orange fruits (persimmons, apricots, nectarines, cantaloupe and.), citrus fruits and other fruits, legumes, nuts and seeds, poultry meat, lamb and fish, whole grains, liquid oils, low-fat dairy products, and eggs and reducing the intake of root vegetables and white tubers ( All kinds of turnips and radishes, yolks and .), processed meats, refined grains and toasted bread, sweets, and drinks sweetened with sugar, ice cream, juices and fried foods and especially high-fat dairy products and red meat are emphasized. In the training sessions, the GDQS dietary recommendations will be fully explained to the individuals. These recommendations will be based on the economic status people's access to food and the status of some other diseases such as digestive diseases. People can communicate with experts through phone calls or messengers during the 12 weeks of intervention.
Category
N/A

2

Description
Control group: In the control group, the standard diet will be designed based on the dietary guidelines of the people undergoing hemodialysis treatment for the people in the control group. The percentage of protein intake will be considered as 1.2 grams per kilogram of people's weight, and after calculating the percentage of protein, the percentage of other macronutrients will also be determined, and based on that, the standard diet will be designed. Individuals can stay in touch with experts through phone calls or messengers during the 12 weeks of intervention. The number of training sessions in the standard diet group will be 12 sessions
Category
N/A

Recruitment centers

1

Recruitment center
Name of recruitment center
Shahid Rahnamoon Hospital
Full name of responsible person
Sayyed Saeid Khayyatzadeh
Street address
Emergency Alley, Shahid Beheshti Square, Farrokhi Street, Yazd Province
City
Yazd
Province
Yazd
Postal code
8913814396
Phone
+98 35 3312 2002
Email
rahnamoon@ssu.ac.ir
Web page address
https://www.web.ssu.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Yazd University of Medical Sciences
Full name of responsible person
Amin Salehi Abargouei
Street address
Vice President of Research and Technology of Shahid Sadoughi University of Medical Sciences, Imam Reza Research Educational Complex, Student Blvd, Imam Hossein Square, Yazd City
City
Yazd
Province
Yazd
Postal code
891618863
Phone
+98 35 3623 8506
Email
dvc.research@ssu.ac.ir
Grant name
Dr. Amin Salehi Abargouei/ Vice Chancellor of Research and Technology, Shahid Sadoughi University of Medical Sciences, Yazd
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
No
Title of funding source
Yazd University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Yazd University of Medical Sciences
Full name of responsible person
Sara Bagherpour
Position
Master student in nutrition science
Latest degree
Bachelor
Other areas of specialty/work
Nutrition
Street address
Department of Nutrition, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Alam Square, Yazd City
City
Yazd
Province
Yazd
Postal code
8915173160
Phone
+98 35 3149 2228
Email
sarabagherpour1376@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Yazd University of Medical Sciences
Full name of responsible person
Sayyed Saeid Khayyatzadeh
Position
Assistant Professor
Latest degree
Ph.D.
Other areas of specialty/work
Nutrition
Street address
Department of Nutrition, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Alam Square, Yazd City
City
Yazd
Province
Yazd
Postal code
891618863
Phone
+98 35 3149 2228
Email
khayyatzadeh@yahoo.com

Person responsible for updating data

Contact
Name of organization / entity
Yazd University of Medical Sciences
Full name of responsible person
Sara Bagherpour
Position
Master Student in nutrition science
Latest degree
Bachelor
Other areas of specialty/work
Nutrition
Street address
Department of Nutrition, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Alam Square, Yazd City
City
Yazd
Province
Yazd
Postal code
8915173160
Phone
+98 35 3149 2228
Email
sarabagherpour1376@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Not applicable
Title and more details about the data/document
primary outcome will be available at the end of study
When the data will become available and for how long
From January 2024
To whom data/document is available
Academic institutions
Under which criteria data/document could be used
Academic institutes can send their official request to the email of the scientific director of the project. the data will be sent after confirmation of ethics committee of shahid sadoughi university of medical sciences. It is not possible to perform statistical analysis on the data.
From where data/document is obtainable
Sayyed Saeid Khayyatzadeh Assistant professor of nutrition in Shahid Sadoughi university of medical sciences Khayyatzadeh@yahoo.com 00983538209100
What processes are involved for a request to access data/document
Academic institutes can send their official request to the email of the scientific director of the project. The data will be sent after confirmation of ethics committee of Shahid Sadoughi university of medical sciences
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