MedPath

Measurement of the Energy Metabolism of Peritoneal Dialysis Patients

Not Applicable
Conditions
Renal Failure
Interventions
Behavioral: automated DP
Behavioral: Calorimetric chamber
Registration Number
NCT03347305
Lead Sponsor
University Hospital, Clermont-Ferrand
Brief Summary

The daily energy expenditure of patients treated with peritoneal dialysis could be increased compared to the general population and promote the development of a state of undernutrition. Conversely, the absorption of glucose by transperitoneal route could contribute to the occurrence of a metabolic syndrome.

The main objective is to compare DE and its variations according to the conditions (rest, sleep, meals, physical activity) in patients treated with automated DP compared to controls, in a calorimetric chamber.

Detailed Description

The daily energy expenditure of patients treated with peritoneal dialysis could be increased compared to the general population and promote the development of a state of undernutrition. Conversely, the absorption of glucose by transperitoneal route could contribute to the occurrence of a metabolic syndrome.

The main objective is to compare DE and its variations according to the conditions (rest, sleep, meals, physical activity) in patients treated with automated DP compared to controls, in a calorimetric chamber.

Recruitment & Eligibility

Status
UNKNOWN
Sex
Male
Target Recruitment
24
Inclusion Criteria
  • Patients Group DPA

    • Male patients
    • Aged 18 to 70 years
    • With end-stage renal disease
    • Treated by automatic peritoneal
    • Social security cover
    • Without acute events in the 3 months prior to inclusion
    • PCR < 30 mg/L
    • Written informed consent
    • Baecke activity score from 5 to 10

Healthy Volunteers

  • Male patients
  • Aged 18 to 70 years
  • Patients matched by lean body mass (± 2 kgs) and age (± 5 years)
  • Having a glomerular filtration rate estimated with the formula CKD-EPI creatinine > 60 mL / min / 1.73 m 2
  • PCR < 3 mg/L
  • Social security cover
  • Written informed consent
  • Baecke activity score from 5 to 10
Exclusion Criteria
  • • - Female

    • Type 1 or 2 diabetes requiring a antidiabetic treatment
    • Decompensated heart failure
    • Smoking more than 5 cigarettes a day
    • Alcoholic patients, drinking more than 3 glass of alcohol a day
    • Patient Corticotherapy in progress
    • Patient with evolutive acute pathology
    • Person who has participated in another study within the last 30 days or is in period of exclusion on the National File of Healthy Volunteers

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Patients Group DPAautomated DPThe main objective is to compare DE and its variations according to the conditions (rest, sleep, meals, physical activity) in patients treated with automated DP compared to controls, in a calorimetric chamber
Healthy VolunteersCalorimetric chamberThe main objective is to compare DE and its variations according to the conditions (rest, sleep, meals, physical activity) in patients treated with automated DP compared to controls, in a calorimetric chamber
Primary Outcome Measures
NameTimeMethod
Energy expenditure measured by indirect calorimetry in a calorimetric chamberat day 1

Energy expenditure measured by indirect calorimetry in a calorimetric chamber

Secondary Outcome Measures
NameTimeMethod
Actimetryat day 1

Estimated ambulatory energy expenditure from heart rate

respiratory quotient (RQ)at day1

Nature of the oxidized nutrients determined from the measurement of the respiratory quotient

HGPOat day 1

Charges of blood insulin concentration, and glucose in response to oral glucose load

Trial Locations

Locations (1)

CHU Clermont-Ferrand

🇫🇷

Clermont-Ferrand, France

© Copyright 2025. All Rights Reserved by MedPath