Table 8.
Summary renal function and kidney stones
Association of protein/effect (in RCT) | ||||||||
---|---|---|---|---|---|---|---|---|
Number of participants (age) Men (M), Women (W) |
|
Rating A B C |
||||||
Exposure/Intervention | Outcome variable | Study | Total | Animal | Vegetable | Strength of evidence: Convincing, probable, Suggestive, no conclusion | ||
Experimental normal (1.2 g/kg per day) or high protein intake (2.4 g/kg per day) | GFR | RC cross-over intervention study (61) | 24 men, average age 24 years |
POS | POS | NA | B | No conclusion |
Experimental normal (1 ≈ g/kg per day) or high protein intake (≈ 2 g/kg per day) in young and elderly. | GFR | Balance study (9) | 10 young (24 years), 10 elderly (70 years), 5 women in each group | POS (young) NS (elderly) |
NA | NA | B | |
Quintiles of estimated protein intake (24-h N) | eGFR | Cohort (11) | 6,000 with 24 h urinary albumin ≥ 10 mg/L. 2,592 with 24 h urinary albumin < 10 mg/L Average age: 50. |
NS | NA | NA | C | |
Protein intake (FFQ) in gram per day and in quintiles | eGFR | Cohort (60) | 1,624 W | NS INVERSE in women with mild kidney insufficiency at baseline |
NA | NA | C | |
Experimental normal (1.2 g/kg per day) or high protein intake (2.4 g/kg per day) | Microalbuminuria | Experimental study (61) | 24 men, average age: 24 years | POS | POS | NA | B | No conclusion |
Experimental normal (1.5 g/kg per day) or high protein intake (3.0 g/kg per day) | Microalbuminuria | Experimental study (63) | 24 men, average age: 24 years | NS | NA | NA | A | |
Quintiles of estimated protein intake (24 h N) | Microalbuminuria | Cohort (11) | 6,000 with 24 h urinary albumin ≥ 10 mg/L. 2,592 with 24 h urinary albumin < 10 mg/L Average age: 50 |
NS | NA | NA | C | |
Protein intake (FFQ) in gram per day and in quintiles) | Microalbuminuria | Cohort (60) | 1,624 W | NS | NA | NA | C | |
Spontaneous intake (FFQ) energy-adjusted gram per day and quintiles | Kidney stone | Cohort (64) | 96,245 W (27–44 years (average: 36 years) | NA | NS | NA | C | No conclusion |
Spontaneous intake (FFQ) energy-adjusted in quintiles | Kidney stone | Cohort (65) | 45,619 M. Average age not given, range of age groups: 40–≥ 70 years | NA | POS (Increase in group BMI <25, not overall) | NA | C |