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Effect of increased protein intake on renal acid load and renal hemodynamic responses.

Physiological reports
March 1, 2016
Karianna F M Teunissen-Beekman et al. (7 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the effects of maltodextrin versus increased protein intake on renal function, blood pressure, and related parameters in overweight individuals with elevated blood pressure.

Results Summary

The study found that maltodextrin intake did not significantly affect renal function, blood pressure, or related parameters compared to protein intake, except for a lower postprandial filtration fraction in the protein group. No adverse effects on kidney function were observed with maltodextrin.

Population

Overweight individuals with untreated elevated blood pressure and normal kidney function.

Effective Dosage

60 g/day

Duration

4 weeks

Interactions

None mentioned

Extracted Claims (15)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Increased protein intake versus maltodextrin intake for 4 weeks
decrease
blood pressure
-
-
lowers
#1
high-protein diets
decrease
renal function
-
-
reduce
#2
a mix of protein isolates (60 g/day) for 4 weeks
increase
24-hour urinary potential renal acid load (uPRAL)
overweight individuals with untreated elevated blood pressure and normal kidney function
-
was significantly higher
#3
protein-supplemented breakfast after 4 weeks of supplementation
decrease
postprandial filtration fraction
subgroup (maltodextrin N = 27, protein mix N = 25)
-
decreased further
#4
4 weeks on an increased protein diet (25% of energy intake)
increase
renal acid load
-
-
increased
#5
4 weeks on an increased protein diet (25% of energy intake)
no change
renal function
-
-
did not affect
#6
a moderate increase in protein intake by consumption of a protein mix for 4 weeks
no change
kidney function
overweight and obese individuals with normal kidney function
-
causes no (undesirable) effects
#7
protein mix versus maltodextrin for 4 weeks
no change
fasting and postprandial levels of glomerular filtration rate
subgroup (maltodextrin N = 27, protein mix N = 25)
-
did not differ
#8
protein mix versus maltodextrin for 4 weeks
no change
fasting and postprandial levels of effective renal plasma flow
subgroup (maltodextrin N = 27, protein mix N = 25)
-
did not differ
#9
protein mix versus maltodextrin for 4 weeks
no change
fasting and postprandial levels of plasma renin
subgroup (maltodextrin N = 27, protein mix N = 25)
-
did not differ
#10
protein mix versus maltodextrin for 4 weeks
no change
fasting and postprandial levels of aldosterone
subgroup (maltodextrin N = 27, protein mix N = 25)
-
did not differ
#11
protein mix versus maltodextrin for 4 weeks
no change
fasting and postprandial levels of angiotensin-converting enzyme
subgroup (maltodextrin N = 27, protein mix N = 25)
-
did not differ
#12
protein mix versus maltodextrin for 4 weeks
no change
fasting and postprandial levels of pH
subgroup (maltodextrin N = 27, protein mix N = 25)
-
did not differ
#13
protein mix versus maltodextrin for 4 weeks
no change
fasting and postprandial levels of bicarbonate
subgroup (maltodextrin N = 27, protein mix N = 25)
-
did not differ
#14
protein mix versus maltodextrin for 4 weeks
no change
postprandial changes, except for filtration fraction
-
-
did not differ
#15
Abstract

Increased protein intake versus maltodextrin intake for 4 weeks lowers blood pressure. Concerns exist that high-protein diets reduce renal function. Effects of acute and 4-week protein intake versus maltodextrin intake on renal acid load, glomerular filtration rate and related parameters were compared in this study. Seventy-nine overweight individuals with untreated elevated blood pressure and normal kidney function were randomized to consume a mix of protein isolates (60 g/day) or maltodextrin (60 g/day) for 4 weeks in energy balance. Twenty-four-hour urinary potential renal acid load (uPRAL) was compared between groups. A subgroup (maltodextrin N = 27, protein mix N = 25) participated in extra test days investigating fasting levels and postprandial effects of meals supplemented with a moderate protein- or maltodextrin-load on glomerular filtration rate, effective renal plasma flow, plasma renin, aldosterone, pH, and bicarbonate. uPRAL was significantly higher in the protein group after 4 weeks (P ≤ 0.001). Postprandial filtration fraction decreased further after the protein-supplemented breakfast than after the maltodextrin-supplemented breakfast after 4 weeks of supplementation (P ≤ 0.001). Fasting and postprandial levels of glomerular filtration rate, effective renal plasma flow, renin, aldosterone, angiotensin-converting enzyme, pH and bicarbonate did not differ between groups. In conclusion, 4 weeks on an increased protein diet (25% of energy intake) increased renal acid load, but did not affect renal function. Postprandial changes, except for filtration fraction, also did not differ between groups. These data suggest that a moderate increase in protein intake by consumption of a protein mix for 4 weeks causes no (undesirable) effects on kidney function in overweight and obese individuals with normal kidney function.

Medical Subject Headings (MeSH)
Acid-Base EquilibriumBlood PressureDietary ProteinsDouble-Blind MethodFemaleGlomerular Filtration RateHemodynamicsHumansKidneyMaleMiddle AgedObesityPolysaccharidesRenal Circulation
Study Links
Quality Scores
Safety85
Efficacy70/10
Quality90/10
Citation Metrics
Total Citations10
Citations/Year1.1
Relative Citation Ratio0.50
NIH Percentile27.1%
Research Impact Scores
APT Score0.25
Weight Score1.91
Normalized Score0.80
Related Supplements
Effect of increased protein intake on renal acid load and re... | Panacea Index