Kidney Week

Abstract: SA-PO0898

Weight Status and Dining-Out Habits in Recruited Participants of the Plant-Focused Nutrition in Diabetic Kidney Disease (PLAFOND) Randomized Controlled Trial

Session Information

• Health Maintenance, Nutrition, and Metabolism
  October 24, 2026 | Location: Exhibit Hall A, Convention Center
  Abstract Time: 10:00 AM - 12:00 PM

Category: Health Maintenance, Nutrition, and Metabolism

• 1500 Health Maintenance, Nutrition, and Metabolism

Authors

• Jerman, Nikki, The Lundquist Institute, Torrance, California, United States

Nikki Jerman

• Rhee, Connie, VA Greater Los Angeles Healthcare System, Los Angeles, California, United States

Connie Rhee, MD, MS

• Bross, Rachelle, The Lundquist Institute, Torrance, California, United States

Rachelle Bross, MS, PhD, RD, RDN

• Cervantes, Mackenzie Kerr, The Lundquist Institute, Torrance, California, United States

Mackenzie Kerr Cervantes, MS

• Tran, Diana, The Lundquist Institute, Torrance, California, United States

Diana Tran, MPH

• Lopez Pena, Erika, The Lundquist Institute, Torrance, California, United States

Erika Lopez Pena

• Iloenyosi, Sean, The Lundquist Institute, Torrance, California, United States

Sean Iloenyosi

• Landa, Janet, The Lundquist Institute, Torrance, California, United States

Janet Landa

• Chao, Justin, The Lundquist Institute, Torrance, California, United States

Justin Chao

• Chu, Katelyn Michelle, The Lundquist Institute, Torrance, California, United States

Katelyn Michelle Chu

• Tan, Christian M., The Lundquist Institute, Torrance, California, United States

Christian M. Tan

• Moreno Garcia, Ashley Yvonne, The Lundquist Institute, Torrance, California, United States

Ashley Yvonne Moreno Garcia

• Moreno, Nathalie D., The Lundquist Institute, Torrance, California, United States

Nathalie D. Moreno

• Chen, Yanjun, The Lundquist Institute, Torrance, California, United States

Yanjun Chen

• Batch, Kendall J., The Lundquist Institute, Torrance, California, United States

Kendall J. Batch

• Narasaki, Yoko, University of California Los Angeles David Geffen School of Medicine, Los Angeles, California, United States

Yoko Narasaki, MS, PhD

• Simon, Lewis, The Lundquist Institute, Torrance, California, United States

Lewis Simon, PhD, MPH

• Kopple, Joel D., The Lundquist Institute, Torrance, California, United States

Joel D. Kopple, MD, FASN

• Dukkipati, Ramanath B., The Lundquist Institute, Torrance, California, United States

Ramanath B. Dukkipati, MD

• Shah, Anuja P., The Lundquist Institute, Torrance, California, United States

Anuja P. Shah, MD

• Kalantar-Zadeh, Kamyar, The Lundquist Institute, Torrance, California, United States

Kamyar Kalantar-Zadeh, MD, DrMed, PhD, MPH, FASN

Background

Chronic kidney disease (CKD) and diabetes mellitus frequently co-occur, known as Diabetic Kidney Disease (DKD). Dietary management remains controversial in patients with DKD. While low-protein diets are often recommended in CKD, plant-focused diets may raise concerns over protein-energy wasting and glycemic control, which may impact patient satisfaction on their weight and their eating habits. Past research has shown that patients with advanced CKD typically struggle with weight management and dining out has been associated with weight gain.

Methods

We examined baseline weight status and dining out habits among non-dialysis patients of the "Plant Focused Nutrition in DKD" (PLAFOND) randomized controlled trial, with eligibility criteria of documented diagnosis of diabetes and CKD, defined as eGFR <60 ml/min/1.73m².

Results

In the first 74 recruited patients of the PLAFOND trial, the mean age is 58.6 years; 64% are male, 15% Black American, 74% Hispanic. The mean eGFR is 29.6 ml/min/1.73m². Table 1 shows slightly more than half (55%) of patients were satisfied with their current weight amongst all patients. Only CKD Stage 3b patients were marginally more dissatisfied (56%) with their current weight. Overall, more patients reported that their weight decreased in the past six months (46%) than their weight increased (15%). Most patients (79%) reported that they go out to eat.

Conclusion

In the first 74 PLAFOND trial patients, most patients are satisfied with their weight, had decreased weight the past 6 months, and go out to eat. Future findings will reveal if low protein, plant-dominant diet plans administered by dietitians affect weight status, weight satisfaction, and dining out habits.

Funding

• NIDDK Support