Document Detail


Exercise improves albumin fractional synthetic rate in chronic hemodialysis patients.
MedLine Citation:
PMID:  17180156     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine whether exercise augments the improvements in fractional synthetic rate (FSR) of albumin observed with nutrition alone. DESIGN: Randomized crossover study. Each patient randomly participated in two protein metabolism kinetic studies using primed-constant infusion of (13C) leucine 2 h before, during and 2 h after hemodialysis. Plasma enrichments of (13C) leucine and (13C) ketoisocaproate were examined to determine the FSR of albumin. SETTING: General Clinical Research Center at Vanderbilt University Medical Center. SUBJECTS: Five chronic hemodialysis (CHD) patients. INTERVENTIONS: Intra-dialytic parenteral nutrition (IDPN) with or without exercise. RESULTS: Exercise performance during hemodialysis significantly improves the FSR of albumin beyond what is observed with IDPN alone (26.2+/-3.1% per day versus 17.7+/-1.9% per day, P<0.05). CONCLUSION: Exercise improves albumin fractional synthetic rate beyond what is observed with IDPN alone in the acute setting in CHD patients.
Authors:
L B Pupim; P J Flakoll; T A Ikizler
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2006-12-20
Journal Detail:
Title:  European journal of clinical nutrition     Volume:  61     ISSN:  0954-3007     ISO Abbreviation:  Eur J Clin Nutr     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-02     Completed Date:  2007-06-25     Revised Date:  2007-12-03    
Medline Journal Info:
Nlm Unique ID:  8804070     Medline TA:  Eur J Clin Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  686-9     Citation Subset:  IM    
Affiliation:
Department of Medicine, Division of Nephrology, Vanderbilt University School of Medicine, Nashville, TN, USA.
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MeSH Terms
Descriptor/Qualifier:
Albumins / metabolism
Caproates / pharmacokinetics*
Carbon Isotopes
Cross-Over Studies
Exercise / physiology*
Female
Humans
Kidney Failure, Chronic / blood,  therapy*
Leucine / pharmacokinetics*
Male
Middle Aged
Parenteral Nutrition
Renal Dialysis*
Serum Albumin / analysis*
Grant Support
ID/Acronym/Agency:
DK-20593/DK/NIDDK NIH HHS; K24-DK62849/DK/NIDDK NIH HHS; M01 RR-00095/RR/NCRR NIH HHS; R01-DK45604/DK/NIDDK NIH HHS
Chemical
Reg. No./Substance:
0/Albumins; 0/Caproates; 0/Carbon Isotopes; 0/Serum Albumin; 61-90-5/Leucine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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