The goal of this clinical trial is to determine whether a plant-focused diet improves nutritional and health outcomes of malnourished adults undergoing peritoneal dialysis (PD). It will also learn about the safety of this diet in this population.
The main questions it aims to answer are:
1. Does a plant-focused diet improve nutritional status compared to a standard kidney diet in PD patients? 2. What changes occur in anthropometric, biochemical, and dietary measures over 6 months?
Researchers will compare the plant-focused diet to a standard-of-care renal diet to see which is more effective in improving nutrition in PD patients.
Participants will:
* Be randomly assigned to follow the plant-focused diet or the standard diet. * Be monitored for 6 months through in-person visits (aligned with their routine clinic appointments) and virtual check-ins via messages or calls. * Have their progress monitored for changes in outcomes such as nutrition, blood tests, kidney function, and quality of life.
Adult outpatients (>18 years old), attending HTCM PD clinic visits
Have undergone peritoneal dialysis for at least 6 months
Have a serum albumin level <40 g/L
Have a BMI of < 25 kg/m2
Have been hospitalized for the past 3 months
Have ongoing infection/sepsis
Has undergone surgery in the past 6 months
Have high inflammatory diseases, malignancy, or cancer
National University of Malaysia
Lead sponsor