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Cited by 17Thyroid Disorders and TreatmentsDialysis and Renal Disease ManagementHormonal and reproductive studies

The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.

Influence of Low Protein Diet on Nonthyroidal Illness Syndrome in Chronic Renal Failure

Rosolowska-Huszcz, Danuta, Kozlowska, Lucyna, Rydzewski, Andrzej·2005·Endocrine
DOI 10.1385/endo:27:3:283
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Abstract

Renal failure causes alterations in thyroid hormone metabolism known as nonthyroidal illness syndrome. In the present study we have examined the effect of a low protein diet (LPD) on circulating levels of hormones of the pituitary-thyroid axis, and tumor necrosis factor alpha (TNF-alpha) in patients with chronic renal failure. Seventeen subjects with conservatively treated chronic renal failure (estimated creatinine clearance 39.5+/-11.1 mL/min) were studied before and after 8 wk of dietary intervention (0.6 g/kg of ideal body mass protein, 30% of calories derived from fat, 62% of calories derived from carbohydrates, and 10 mg/kg of phosphorus). Body fat and fat-free mass remained unchanged. Urea and TNF-alpha serum concentrations significantly decreased, whereas T3 and total and free T4 serum concentrations increased significantly. Triiodothyronine level after treatment correlated negatively with baseline urea level. Changes in T3, T4, and fT4 serum concentrations as well as calculated peripheral deiodinase activity correlated negatively with their baseline values. Alterations in TNF-alpha correlated positively with protein intake, whereas changes in T4 and T4/TSH were inversely related to vegetal protein intake. In conclusion, low protein, low phosphorus diet, which is often prescribed to patients with moderate impairment of renal function, exerts a beneficial effect on low T3 syndrome coexisting with renal failure. The effect of low protein diet on the pituitary-thyroid axis is dependent on the degree of renal functional impairment and LPD-induced decrease in TNF-alpha may also contribute to the observed effects of dietary treatment.

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Metadata

Authors
Rosolowska-Huszcz, D., Kozlowska, L., & Rydzewski, A.
Affiliations
Jan Kochanowski University (PL)
ORCID
Rydzewski, Andrzej
Venue
Endocrine
Publisher
Springer Science and Business Media LLC
Published
2005
Volume
27
Issue
3
Pages
283-288
ISSN
0969-711X (ISSN-L)
DOI
10.1385/endo:27:3:283
OpenAlex
W2034020871
Cited by
17
References
37
Citations by year
2023: 1 · 2021: 1 · 2020: 2 · 2017: 1 · 2016: 1 · 2013: 2 · 2012: 2
FWCI
1.03
Type
journal article
Language
en
Open access
closed
Locations
  • Endocrine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
  • Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
Keywords
low-protein diet, low T3 syndrome, chronic kidney disease, thyroid hormone metabolism, TNF-α, triiodothyronine, thyroxine, pituitary-thyroid axis, urea, protein restriction, phosphate limitation
MeSH terms
Adult, Aged, Body Weight, Creatinine, Humans, Iodide Peroxidase, Kidney Failure, Chronic, Male, Middle Aged, Thyroid Gland, Thyrotropin, Thyroxine, Triiodothyronine, Tumor Necrosis Factor-alpha, Urea, Body Mass Index, Diet, Protein-Restricted

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CoChat. (2026). Citation check: Influence of Low Protein Diet on Nonthyroidal Illness Syndrome in Chronic Renal Failure. https://app.cochat.ai/papers/10.1385/endo:27:3:283
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Rosolowska-Huszcz, D., Kozlowska, L., & Rydzewski, A. (2005). Influence of Low Protein Diet on Nonthyroidal Illness Syndrome in Chronic Renal Failure. Endocrine. https://doi.org/10.1385/endo%3A27%3A3%3A283

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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