Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Original Article

Volume 9, Number 7, July 2017, pages 630-637


Dietary Modification Trial in Community-Dwelling Japanese Elderly: A Pilot Study

Figure

Figure 1.
Figure 1. Flow diagram according to selection and non-continuation.

Tables

Table 1. Characteristics and Baseline Parameters of All Groups
 
Salt reduction (n = 18)Dietary fiber (n = 21)Protein reduction (n = 11)P value
Data were expressed as median (25th percentile - 75th percentile). *Data were expressed as median (minimum - maximum). Kruskal-Wallis test and Chi-square test for categorical variables were performed for comparison of three groups. MNA-SF: mini-nutritional assessment short form; TMIG-IC: Tokyo Metropolitan Institute of Gerontology Index of Competence; TG: triglyceride; eGFR: estimated glomerular filtration rate; RBC: red blood cell count; WBC: white blood cell count.
Age (years)71.5 (69.8 - 78.0)72.0 (70.5 - 77.5)76.0 (72.0 - 80.0)0.367
Sex (men/women)6:125:164:70.708
BMI (kg/m2)24.1 (20.4 - 25.6)24.5 (22.4 - 27.0)24.6 (21.2 - 26.5)0.762
MNA-SF (points)12.5 (11.0 - 14.0)13.0 (11.0 - 14.0)13.0 (10.0 - 14.0)0.894
TMIG-IC (points)13.0 (12.0 - 13.0)12.0 (11.0 - 13.0)12.0 (10.0 - 14.0)0.145
Charlson comorbidity index
  0 - 2 points12 (66.7%)17 (80.9%)7 (63.6%)0.479
  3 - 5 points6 (33.3%)4 (19.0%)4 (36.4%)
Waist circumference (cm)
  Men (n = 4/4/2)95.3 (84.5 - 98.7)89.9 (78.5 - 95.3)91.1 (86.1 - 99.0)*0.692
  Women (n = 8/7/5)89.2 (75.3 - 93.3)86.9 (79.7 - 97.4)90.9 (82.5 - 95.7)0.779
Body fat (%)27.2 (23.4 - 31.2)25.3 (20.2 - 29.2)30.2 (22.6 - 32.6)0.730
Total energy consumption (kcal/day)1,574 (1,489 - 1,884)1,627 (1,424 - 1,687)1,394 (1,349 - 1,592)0.048
Number of steps7,374 (3,172 - 9,925)5,278 (2,573 - 7,940)3,454 (973 - 5,899)0.061
Albumin (g/dL)4.5 (4.2 - 4.7)4.2 (4.1 - 4.5)4.1 (3.8 - 4.4)0.219
Total cholesterol (mg/dL)191.5 (173.3 - 210.5)193.5 (173.3 - 226.8)188.0 (156.0 - 251.0)0.842
TG (mg/dL)93.5 (72.0 - 125.5)118.0 (90.0 - 149.0)120.0 (79.0 - 219.0)0.286
Creatinine (mg/dL)0.8 (0.6 - 0.9)0.6 (0.5 - 0.8)1.4 (1.2 - 1.9)< 0.001
Na (mEq/L) (n = 12/10/6)141.0 (140.3 - 142.3)141.5 (140.3 - 144.8)142.0 (138.5 - 143.3)0.912
Cl (mEq/L) (n = 12/9/6)103.0 (101.0 - 104.0)103.0 (101.3 - 104.0)102.5 (101.3 - 104.8)0.997
K (mEq/L) (n = 16/15/11)4.3 (4.1 - 4.5)4.1 (3.8 - 4.4)4.7 (4.4 - 5.0)0.006
eGFR (mL/min/1.73 m2)68.0 (52.3 - 77.1)76.3 (64.1 - 89.6)29.8 (22.9 - 35.1)< 0.001
RBC (× 104/μL)435.5 (394.3 - 446.0)435 (399.8 - 463.0)385.0 (343.0 - 427.0)0.018
Hemoglobin (g/dL)13.7 (12.4 - 14.4)13.1 (11.9 - 14.1)11.4 (10.2 - 13.0)0.013
CRP (mg/dL) (n = 19/18/10)0.08 (0.05 - 0.14)0.11 (0.05 - 0.16)0.14 (0.05 - 0.43)0.561
WBC (× 102/μL)55.0 (34.0 - 61.0)54.0 (46.5 - 72.3)59.0 (49.0 - 68.0)0.538

 

Table 2. Change in Variables at 3 and 6 Months in the Salt Reduction Group (n = 14)
 
Baseline3 months6 monthsP value
Data were expressed as median (25th percentile - 75th percentile). Friedman tests were performed for comparison of 3 time point. TG: triglyceride.
BMI (kg/m2)23.8 (20.2 - 25.3)23.6 (20.1 - 25.3)23.6 (20.6 - 25.2)0.458
Body fat (%)27.2 (23.4 - 31.2)23.7 (18.5 - 31.2)22.5 (18.8 - 28.3)0.045
Total energy consumption (kcal)1,681 (1,519 - 1,894)1,633 (1,469 - 1,915)1,604 (1,420 - 1,892)0.307
Albumin (g/dL) (n = 8)4.7 (4.1 - 4.9)4.6 (4.3 - 4.8)4.6 (4.2 - 4.9)0.727
Total cholesterol (mg/dL) (n = 7)190 (154 - 209)189 (157 - 206)179 (158 - 197)0.368
TG (mg/dL) (n = 8)95.5 (60.0 - 120.0)73.0 (60.3 - 97.0)68.5 (60.3 - 103.3)0.093
Energy intake (kcal/day)1,703 (1,450 - 1,896)1,703 (1,471 - 1,969)1,739 (1,453 - 1,813)0.292
Energy intake (kcal/kg IBW/day/day)27.9 (25.7 - 32.3)28.3 (26.5 - 33.4)27.8 (24.4 - 32.4)0.116
Protein (g/kg IBW/day)1.26 (1.19 - 1.42)1.23 (1.03 - 1.48)1.10 (1.00 - 1.27)0.092
Protein (% energy)17.0 (16.0 - 19.5)17.0 (14.5 - 19.4)15.0 (13.5 - 19.5)0.226
Fat (% energy)29.2 (25.2 - 32.5)30.0 (27.5 - 33.0)27.0 (19.3 - 31.5)0.118
Carbohydrate (% energy)52.0 (48.5 - 59.4)52.0 (50.0 - 56.0)57.0 (51.5 - 66.3)0.025
Fiber (g)21.2 (17.9 - 22.4)17.6 (12.6 - 21.6)17.7 (12.1 - 20.7)0.041
NaCl (g)9.6 (8.9 - 12.7)8.0 (7.1 - 9.6)8.1 (7.4 - 8.8)0.005
Systolic pressure (mm Hg) (n = 10)135 (126 - 145)122 (120 - 138)125 (119 - 133)0.085
Diastolic pressure (mm Hg) (n = 10)73 (69 - 80)70 (66 - 75)67 (60 - 77)0.172

 

Table 3. Change in Variables at 3 and 6 Months in the Dietary Fiber Group (n = 11)
 
Baseline3 months6 monthsP value
Data were expressed as median (25th percentile - 75th percentile). Friedman tests were performed for comparison of 3 time point. TG: triglyceride.
BMI (kg/m2)24.4 (22.4 - 26.2)24.8 (22.4 - 26.6)24.7 (22.4 - 26.8)0.225
Body fat (%)25.6 (23.0 - 29.7)24.5 (19.8 - 37.2)24.0 (20.8 - 37.6)0.614
Total energy consumption (kcal/day)1,584 (1,394 - 1,697)1,555 (1,378 - 1,700)1,584 (1,420 - 1,655)0.307
Albumin (g/dL)4.2 (4.0 - 4.6)4.3 (4.0 - 4.5)4.3 (4.0 - 4.5)0.703
Total cholesterol (mg/dL)209 (173 - 243)194 (183 - 227)190 (167 - 207)0.045
TG (mg/dL)103 (86 - 164)101 (76 - 126)96 (65 - 134)0.850
Energy intake (kcal/day)1,799 (1,447 - 1,895)1,689 (1,539 - 1,916)1,639 (1,487 - 1,757)0.264
Energy intake (kcal/kg IBW/day)32.2 (23.9 - 35.1)30.0 (27.9 - 31.3)28.8 (24.1 - 33.0)0.264
Protein (g/kg IBW/day)1.30 (1.06 - 1.56)1.25 (1.06 - 1.56)1.19 (1.03 - 1.57)0.913
Protein (% energy)17.0 (15.7 - 18.0)17.0 (14.0 - 18.0)16.1 (13.0 - 20.0)0.976
Fat (% energy)27.9 (22.2 - 28.0)28.0 (21.0 - 32.3)28.0 (24.0 - 34.6)0.509
Carbohydrate (% energy)55.0 (53.5 - 62.0)55.0 (50.4 - 59.3)52.0 (49.0 - 59.0)0.695
Fiber (g)13.4 (11.0 - 17.2)15.3 (11.1 - 19.1)15.5 (9.9 - 17.6)0.695
NaCl (g)9.4 (7.5 - 11.4)8.6 (7.3 - 10.2)7.3 (5.8 - 8.8)0.078
Systolic pressure (mm Hg) (n = 10)122 (110 - 140)123 (113 - 137)114 (107 - 121)0.179
Diastolic pressure (mm Hg) (n = 10)72 (60 - 85)69 (60 - 77)67 (52 - 79)0.139

 

Table 4. Change in Variables at 3 and 6 Months in the Protein Reduction Group (n = 10)
 
Baseline3 months6 monthsP value
Data were expressed as median (25th percentile - 75th percentile). Friedman tests were performed for comparison of 3 time point. TG: triglyceride; BUN: blood urea nitrogen; eGFR: estimated glomerular filtration rate.
BMI (kg/m2) (n = 9)22.5 (20.5 - 25.6)22.1 (20.5 - 24.3)22.8 (20.6 - 24.3)0.674
Body fat (%) (n = 5)31.2 (23.6 - 33.9)30.8 (23.7 - 34.8)30.0 (24.3 - 33.1)0.819
Total energy consumption (kcal/day) (n = 5)1,385 (1,345 - 1,625)1,483 (1,395 - 1,629)1,474 (1,367 - 1,574)0.041
Albumin (g/dL) (n = 6)4.0 (3.8 - 4.3)3.9 (3.8 - 4.4)4.0 (3.7 - 4.1)0.819
Total cholesterol (mg/dL) (n = 8)178 (159 - 239)180 (160 - 201)192 (152 - 207)0.687
TG (mg/dL) (n = 6)122 (79 - 156)100 (70 - 220)104 (52 - 221)1.000
BUN (mg/dL) (n = 9)30.7 (27.8 - 44.8)29.4 (26.8 - 43.4)31.2 (26.4 - 37.2)0.717
Creatinine (mg/dL) (n = 8)1.3 (1.1 - 2.1)1.3 (1.0 - 2.2)1.2 (1.0 - 2.0)0.417
K (mEq/L) (n = 7)4.7 (4.4 - 5.5)4.7 (4.1 - 5.6)4.0 (4.0 - 5.1)0.607
eGFR (mL/min/1.73 m2) (n = 9)31.0 (21.5 - 37.1)30.0 (21.8 - 44.2)29.3 (22.0 - 43.7)0.368
RBC (× 104/μL) (n = 7)385 (348 - 396)352 (342 - 379)365 (330 - 389)0.163
Hemoglobin (g/dL) (n = 7)11.4 (11.0 - 12.5)10.9 (10.7 - 11.9)11.6 (9.8 - 11.8)0.276
Energy intake (kcal/day)1,630 (1,510 - 1,824)1,517 (1,411 - 1,574)1,524 (1,460 - 1,576)0.012
Energy intake (kcal/kg IBW/day)31.2 (29.7 - 34.4)27.8 (26.5 - 31.8)27.5 (26.0 - 31.6)0.004
Protein (g/kg IBW/day)1.24 (1.06 - 1.46)1.20 (0.88 - 1.42)1.20 (0.96 - 1.28)0.417
Protein (% energy)17.0 (13.0 - 18.0)15.0 (13.3 - 18.0)17.0 (15.2 - 17.5)0.819
Fat (% energy)28.0 (20.5 - 32.0)27.0 (24.0 - 30.0)26.0 (19.7 - 29.0)0.307
Carbohydrate (% energy)57.0 (52.5 - 62.2)56.0 (54.6 - 59.8)57.0 (56.8 - 63.5)0.207
K (mg)2,395 (1,787 - 2,941)1,937 (1,166 - 2,565)2,418 (1,965 - 2,658)0.072
Fiber (g)12.9 (8.9 - 17.7)10.9 (7.0 - 15.2)12.8 (11.0 - 20.4)0.175
NaCl (g)8.2 (5.8 - 10.5)7.3 (5.0 - 8.4)8.5 (6.2 - 9.1)0.836
Systolic pressure (mm Hg) (n = 7)140 (120 - 145)130 (122 - 138)140 (128 - 152)0.565
Diastolic pressure (mm Hg) (n = 7)70 (60 - 140)80 (70 - 122)80 (70 - 152)0.141