Evidence map›Paper›PMID 42189410›Full record

ArticleClinical and experimental nephrology2026

Effects of processed low-protein brown rice on patients with chronic kidney disease.

Keika Adachi, Marie Yasuda, Makiko Ida, Yoichi Oshima, Tatsuhiko Azegami, Ayumi Yoshifuji, Rina Osada, Izumi Oki, Junichro Irie, Takeshi Kanda and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article in Clinical and experimental nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

13 authors.

Keika AdachiDivision of Endocrinology, Metabolism and Nephrology Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Marie YasudaDivision of Endocrinology, Metabolism and Nephrology Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Makiko IdaDivision of Endocrinology, Metabolism and Nephrology Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Yoichi OshimaDivision of Endocrinology, Metabolism and Nephrology Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Tatsuhiko AzegamiDivision of Endocrinology, Metabolism and Nephrology Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Ayumi YoshifujiDivision of Endocrinology, Metabolism and Nephrology Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Rina OsadaSchool of Medicine, Dietary Management Office, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Izumi OkiSchool of Medicine, Dietary Management Office, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Junichro IrieDivision of Diabetes, Department of Medicine Ⅱ, Kansai Medical University, 2-5-1 Shinmachi, Hirakata, Osaka, 573-1010, Japan.
Takeshi KandaDivision of Nephrology, Shimane University Hospital, 89-1, Enya-Cho, Izumo-Shi, Shimane, 693-8501, Japan.
Ryo TakemuraBiostatistics Unit, Clinical and Translational Research Center, Keio University Hospital, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Kaori HayashiDivision of Endocrinology, Metabolism and Nephrology Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Shu WakinoDepartment of Nephrology, Institute of Biomedical Sciences, Tokushima University Graduate School, 3-18-5 Kuramoto-cho, Tokushima city, Tokushima, 770-8503, Japan. shuwakino@tokushima-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlterations in gut microbiota are prevalent in patients with chronic kidney disease (CKD) and are associated with pathogenic phenotypes, including the progression of kidney damage and defecation conditions. We developed a fermented low-protein brown rice (LPBR), a whole grain unpolished rice, and examined its effects on renal function, defecation condition, and gut microbiota composition in CKD patients.

methodsIn this 3-month, single-arm study, 30 outpatients with stage 3 - 4 CKD were recruited and received a dietary intervention with LPBR. Changes in the defecation condition were evaluated using the Constipation Scoring System (CSS) and the Bristol Stool Form Scale. Alterations in urinary protein excretion and estimated glomerular filtration rate (eGFR) as well as stool condition were assessed as primary outcomes.

resultsAmong the 29 participants with CKD, intervention with LPBR led to a significant improvement in CSS scores (P = 0.023), a reduction in urinary protein excretion (P = 0.050), and a decrease in eGFR levels (P = 0.044). Fecal acetic acid increased (P = 0.024) and the abundance of Bifidobacterium longum in the gut microbiota increased (P = 0.094). Changes in Bifidobacterium longum were positively associated with alterations in fecal acetic acid levels and CCS scores. Additionally, changes in fecal acetic acid were positively associated with changes in eGFR and Bristol stool scores.

conclusionThe trend toward increased Bifidobacterium longum abundance and elevated acetic acid production with LPBR intake may contribute to the attenuation of CKD complications. Our findings suggest that LPBR intervention may offer beneficial effects for CKD patients.

Indexed as

Gastrointestinal MicrobiomeKidneyOryzaRenal Insufficiency, ChronicAgedConstipationDefecationDiet, Protein-RestrictedFecesFemaleFermentationGlomerular Filtration RateHumansMaleMiddle AgedProteinuriaBrown riceChronic kidney diseaseDefecationDietary interventionGut microbiota

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.