Effect of increased protein intake on renal acid load and renal hemodynamic responses.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.