Evidence map›Paper›PMID 27527663›Full record

Trial reportJournal of veterinary internal medicine2016

The Effect of Moderate Dietary Protein and Phosphate Restriction on Calcium-Phosphate Homeostasis in Healthy Older Cats.

R F Geddes, V Biourge, Y Chang, H M Syme, J Elliott

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of veterinary internal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

R F GeddesDepartment of Clinical Science and Services, Royal Veterinary College, North Mymms, Hatfield, UK. rgeddes@rvc.ac.uk.
V BiourgeRoyal Canin SAS, Aimargues, France.
Y ChangDepartment of Comparative Biological Sciences, Royal Veterinary College, Camden, London, UK.
H M SymeDepartment of Clinical Science and Services, Royal Veterinary College, North Mymms, Hatfield, UK.
J ElliottDepartment of Comparative Biological Sciences, Royal Veterinary College, Camden, London, UK.
Royal Veterinary College · GBRoyal Academy of Engineering · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDietary phosphate and protein restriction decreases plasma PTH and FGF-23 concentrations and improves survival time in azotemic cats, but has not been examined in cats that are not azotemic. HYPOTHESIS: Feeding a moderately protein- and phosphate-restricted diet decreases PTH and FGF-23 in healthy older cats and thereby slows progression to azotemic CKD. ANIMALS: A total of 54 healthy, client-owned cats (≥ 9 years).

methodsProspective double-blinded randomized placebo-controlled trial. Cats were assigned to test diet (protein 76 g/Mcal and phosphate 1.6 g/Mcal) or control diet (protein 86 g/Mcal and phosphate 2.6 g/Mcal) and monitored for 18 months. Changes in variables over time and effect of diet were assessed by linear mixed models.

resultsA total of 26 cats ate test diet and 28 cats ate control diet. There was a significant effect of diet on urinary fractional excretion of phosphate (P = 0.045), plasma PTH (P = 0.005), and ionized calcium concentrations (P = 0.018), but not plasma phosphate, FGF-23, or creatinine concentrations. Plasma PTH concentrations did not significantly change in cats fed the test diet (P = 0.62) but increased over time in cats fed the control diet (P = 0.001). There was no significant treatment effect of the test diet on development of azotemic CKD (3 of 26 (12%) test versus 3 of 28 (11%) control, odds ratio 1.09 (95% CI 0.13-8.94), P = 0.92). CONCLUSIONS AND CLINICAL IMPORTANCE: Feeding a moderately protein- and phosphate-restricted diet has effects on calcium-phosphate homeostasis in healthy older cats and is well tolerated. This might have an impact on renal function and could be useful in early chronic kidney disease.

Indexed as

AgingAnimal FeedAnimal Nutritional Physiological PhenomenaAnimalsCalciumCatsDietDietary ProteinsDouble-Blind MethodDrug Administration ScheduleFibroblast Growth Factor-23Fibroblast Growth FactorsHomeostasisParathyroid HormonePhosphatesCalciumDietary ProteinsFibroblast Growth Factor-23Fibroblast Growth FactorsParathyroid HormonePhosphatesCKDFelineFGF-23NutritionPTHRenal/Urinary tract

Identifiers

PMID27527663
PMCPMC5032885
OpenAlexW2512706972

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.