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Acid-Base Balance, Metabolism and Minerals

Not Applicable
Completed
Conditions
Metabolic Acidosis
Acid-Base Balance Disorder
Registration Number
NCT04229069
Lead Sponsor
Charite University, Berlin, Germany
Brief Summary

Metabolism is controlled by macro- and micronutrients. Protein-rich diets should lead to latent acidosis at tissue level with further negative implications. Food supplements with alkaline salts are available and popular pretending to prevent these changes.

Within a randomized double-blind placebo-controlled trial, the investigators tested the hypotheses 1) that a 4-week protein-rich diet induces a latent tissue acidosis and 2) an alkaline supplement can compensate this. Acid-base balance and important metabolic parameters were determined before and after 4 weeks of supplementation by peripheral blood samples, indirect calorimetry and muscle microdialysis before and after a protein-rich test meal.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • slightly reduced kidney function (GFR 60-89 ml/min)
  • Body mass index 20.0 - 29.9 kg/m2
  • normal daily diet composition: 45-50, 35-40, and 15 E% from carbs, fats and proteins, respectively
Exclusion Criteria
  • sorbitol-/fructose-intolerance
  • intake of antacidic drugs
  • vegetarians, vegans
  • intake of any nutritional supplements
  • any cardiovascular, pulmonary, endocrine or metabolic diseases
  • any drug abuse
  • intake of any anticoagulant drugs

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Change in muscle dialysate lactate-pyruvate ratiobefore and after 4-weeks of supplementation at baseline (after a 12 hours overnight fast) and 60, 120, and 180 minutes after a protein-enriched test meal

surrogate measure for muscle tissue pH

Secondary Outcome Measures
NameTimeMethod

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