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. 2009 Jul 8;2009(3):CD002759. doi: 10.1002/14651858.CD002759.pub2

Castaneda 2001.

Methods RCT both groups were also on a low‐protein diet (run‐in period for 6 weeks to evaluate this); comparison was between low‐protein diet alone or low‐protein diet plus resistance training 
 Method of randomisation: not reported 
 Assessor blinding: blind for all assessments except strength 
 Participant blinding: yes, sham‐exercises 
 Loss to follow‐up: no 
 Intention‐to‐treat analysis: not stated 
 Post‐program follow up: no
Participants Location: USA 
 N = 26 
 Sample: patients with moderate chronic renal insufficiency, recruited from nephrology clinics 
 Age: mean 65 years (SD 9) 
 Inclusion criteria: older than 50 years of age; serum creatinine concentrations between 133‐422 umol/L (1.5 and 5.0 mg/dL); physician approval to follow a low protein diet; nephrologist confirmed diagnosis of chronic renal insufficiency 
 Exclusion criteria: myocardial infarction within the last 6 months; any unstable chronic condition; dementia; alcoholism; dialysis or previous renal; current resistance training; recent involuntary weight change (+/‐ 2kg); albumin level less than 30g/L; proteinuria greater than 10g/d; abnormal stress test on screening
Interventions PRT versus control 
 1. PRT plus low‐protein diet 
 Type of Ex: 2UL, 3LL 
 Equipment: machines (Keiser) 
 Intensity: 80% of 1RM 
 Frequency: Ex3 
 Reps/Sets: 8/3 
 Duration: 12 weeks 
 Setting: gym at research centre 
 Supervision: full 
 Adherence: 91% 
 2. Control Group: on low‐protein diet; performed 5‐8 sham exercises (gentle movements while standing sitting and bending) for upper and lower body
Outcomes Strength (1RM), 
 Peak oxygen consumption 
 Comments on adverse events: yes
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear