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The aim of this study is to evaluate the effects and efficacy of dietary sodium restriction by mean of a new healthcare approach in patients with immunoglobulin A nephropathy. The test persons in the intervention group are actively supported to adhere to a restricted sodium diet with a structured education program in combination with regular sodium excretion monitoring.
Patients in the intervention group receive regular sodium-restriction education by a dietician, which entails introducing food types and cooking skills, quantifying salt intake with a special spoon and recording detailed interactive food diary. Sodium excretion was measured using one 24-hour urine collection regularly to assess dietary compliance and enable feedback. The test persons with sodium excretion higher than 90mmol/24h will receive intensive education. Test persons in the control group receive standard care. After 2 weeks in study, all test persons visit the outpatient clinic for measurements and data collection. Within 3 months of total study duration, data collection and measurements take place at the end of every month.
At each timepoint blood and 24-hourly urine is collected, test persons fill out questionnaires.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention:education and monitoring | Experimental | regular education programs supported by a dietician in combination with urine sodium monitoring as a feedback |
|
| control | No Intervention | regular care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| education and monitoring | Behavioral | regular education programs supported by a dietician in combination with urine sodium monitoring as a feedback |
|
| Measure | Description | Time Frame |
|---|---|---|
| 24 hour urine protein excretion | 24 hour urine protein excretion after 3 months | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| 24 hour urine sodium excretion | 24 hour urine sodium excretion after 3 months | 3 months |
| blood pressure | blood pressure after 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Huixian Li | Contact | 17792905602 | 17792905602 | lihuixian_muye@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Huixian Li | First Affiliated Hospital Xi'an Jiaotong University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| First affiliated hospital of Xi'an Jiaotong University | Recruiting | Xi'an | Shaanxi | 710061 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38299639 | Derived | Tunnicliffe DJ, Reid S, Craig JC, Samuels JA, Molony DA, Strippoli GF. Non-immunosuppressive treatment for IgA nephropathy. Cochrane Database Syst Rev. 2024 Feb 1;2(2):CD003962. doi: 10.1002/14651858.CD003962.pub3. |
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| ID | Term |
|---|---|
| D005922 | Glomerulonephritis, IGA |
| ID | Term |
|---|---|
| D005921 | Glomerulonephritis |
| D009393 | Nephritis |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
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| ID | Term |
|---|---|
| D004522 | Educational Status |
| ID | Term |
|---|---|
| D012959 | Socioeconomic Factors |
| D011154 | Population Characteristics |
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| 3 months |
| estimated Glomerular Filtration Rate change | estimated Glomerular Filtration Rate change after 3 months | 3 months |
| Psychological well-being | Psychological well-being will be assessed with multiple choice questionnaires | 3months |
| D052776 |
| Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |