Effects of Homemade Oral Nutrition Supplements for Patients on Hemodialysis With Protein-energy Wasting

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-70
SponsorUniversiti Malaysia Sabah

About this trial

The goal of this clinical trial is to learn if homemade oral nutrition supplements works to treat protein energy wasting in patients on hemodialysis. It will also learn about the cost-effectiveness of homemade oral nutrition supplements. The main questions it aims to answer are:

* Does homemade oral nutrition supplements improve the nutritional status of patients on hemodialysis with protein energy wasting? * What is the cost-effectiveness of homemade oral nutrition supplements?

Researchers will compare homemade oral nutrition supplements to commercial oral nutrition supplements to see if homemade oral nutrition supplements works to treat protein energy wasting in patients on hemodialysis.

Participants will:

* Take homemade or commercial oral nutrition supplements every day for 6 months * Have assessment of nutritional status performed by researchers every three monthly

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

on maintenance HD dialysis treatment (thrice weekly and 4-hour per session) for at least three months

age 18 - 70 year old

diagnosed with protein energy wasting using the malnutrition inflammation score (≥ 5)

Disqualifiers

a history of poor adherence to HD treatment (frequently miss the HD treatment for more than one session every month)

a history of frequent hospitalization (more than once in the past one month)

on regular oral nutrition supplements

diagnosed with malignancy

Trial design

Design model

Parallel

Treatments tested in this trial

  • Homemade oral nutrition supplements

    Other intervention

    The homemade oral nutrition supplement is made of soy milk, whey protein powder, vegetable oil, and fruit juices

  • Commercial oral nutrition supplements

    Other intervention

    The commercial oral nutrition supplement is kidney-specific oral nutrition supplement that is high in energy and protein, but low in electrolytes and fluid

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: Homemade oral nutrition supplementsExperimental treatment 1 intervention
Group B: Commercial oral nutrition supplementsActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Changes from baseline in Malnutrition Inflammation Score at 3-month and 6-month

The Malnutrition Inflammation Score is a composite score used to determine protein energy wasting. It consists of 10 questions, each rated on a scale from 0 to 3. The total score ranges from 0 to 30, with higher scores indicating more severe malnutrition and inflammation. A score of 5 or above suggests the presence of protein-energy wasting.

Time frame
Baseline, 3-month, and 6-month

Secondary outcomes

1

Changes from baseline in skeletal muscle mass at 3-month and 6-month

The skeletal muscle mass will be measured using a bio-impedance spectroscopy ro determine muscle mass and fat mass

Time frame
Baseline, 3-month, and 6-month
2

Changes from baseline in body fat mass at 3-month and 6-month

The body fat mass will be measured using a bio-impedance spectroscopy ro determine muscle mass and fat mass

Time frame
Baseline, 3-month, and 6-month
3

Changes from baseline in energy intake at 3-month and 6-month

The energy intake will be assessed using 24-hour diet recall forms

Time frame
Baseline, 3-month, and 6-month
4

Changes from baseline in protein intake at 3-month and 6-month

The protein intake will be assessed using 24-hour diet recall forms

Time frame
Baseline, 3-month, and 6-month

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Universiti Malaysia Sabah

Lead sponsor

National Kidney Foundation Malaysia

Collaborator

This trial is not recruiting at the moment. You can still explore other options: