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ORIGINAL CONTRIBUTION Effect of Food Additives on Hyperphosphatemia Among Patients With End-stage Renal Disease A Randomized Controlled Trial Catherine Sullivan, MS, RD, LD Context High dietary phosphorus intake has deleterious consequences for renal pa- Srilekha S. Sayre, MS, RD, LD tients and is possibly harmful for the general public as well. To prevent hyperphos- phatemia, patients with end-stage renal disease limit their intake of foods that are natu- Janeen B. Leon, MS, RD, LD rally high in phosphorus. However, phosphorus-containing additives are increasingly Rhoderick Machekano, MPH, PhD being added to processed and fast foods. The effect of such additives on serum phos- phorus levels is unclear. Thomas E. Love, PhD Objective To determine the effect of limiting the intake of phosphorus-containing David Porter, BA food additives on serum phosphorus levels among patients with end-stage renal Marquisha Marbury, AAS disease. Ashwini R. Sehgal, MD Design, Setting, and Participants Cluster randomized controlled trial at 14 long- term hemodialysis facilities in northeast Ohio. Two hundred seventy-nine patients with elevated baseline serum phosphorus levels (5.5 mg/dL) were recruited between May NDIVIDUALS WITH MODERATE TO and October 2007. Two shifts at each of 12 large facilities and 1 shift at each of 2 severe
JAMA – American Medical Association
Published: Feb 11, 2009
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