TY - JOUR
T1 - Post-intervention Adherence to the New Nordic Renal Diet among patients with chronic kidney disease, stages 3 and 4
AU - Hansen, Nikita Misella
AU - Kamper, Anne Lise
AU - Rix, Marianne
AU - Feldt-Rasmussen, Bo
AU - Sørensen, Mads Vaarby
AU - Berg, Peder
AU - Astrup, Arne
AU - Salomo, Louise
N1 - Funding Information:
This project has received financial funding from Augustinus Foundation (N/A), Gangsted Foundation (N/A), Helen and Ejnar Bjørnow Foundation (N/A), the Capital Region of Denmark’s Research Foundation (N/A) and the Danish Kidney Association (N/A).
Publisher Copyright:
© The Author(s), under exclusive licence to Springer Nature Limited 2024.
PY - 2024
Y1 - 2024
N2 - 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.
AB - 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.
U2 - 10.1038/s41430-024-01413-z
DO - 10.1038/s41430-024-01413-z
M3 - Letter
C2 - 38383708
AN - SCOPUS:85185458468
VL - 78
SP - 544
EP - 547
JO - European Journal of Clinical Nutrition
JF - European Journal of Clinical Nutrition
SN - 0954-3007
IS - 6
ER -