Medically Tailored Meals for Chronic Kidney Disease

(VETCKD Trial)

MI
LM
Overseen ByLuis M Perez, PhD RD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: VA Office of Research and Development
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether meals specially designed for people with kidney disease can improve health and well-being. Participants will either receive these medically tailored meals (MTMs) or continue their normal care for three months, then switch. The study will examine factors such as blood pressure, kidney health, and quality of life. Veterans with stage 3b or 4 kidney disease who have high blood pressure and can receive meal deliveries might be suitable candidates for this trial. As an unphased trial, this study offers a unique opportunity to contribute to research that could enhance dietary care for kidney disease patients.

What prior data suggests that medically tailored meals are safe for Veterans with kidney disease?

Research has shown that meals specifically designed for medical needs, known as medically tailored meals (MTMs), are generally safe and easy for patients to manage. Studies have found that these meals can improve health for individuals with chronic illnesses, such as kidney disease, by facilitating adherence to recommended diets. Evidence suggests that recipients of MTMs often eat healthier and require less medical care. Many patients also find these meals helpful and satisfying. Although MTMs are not a direct medical treatment, they support overall health and well-being, with no major safety issues reported.12345

Why are researchers excited about this trial?

Researchers are excited about medically tailored meals (MTMs) for chronic kidney disease because they offer a personalized approach to nutrition that aligns with specific dietary needs of patients. Unlike standard treatments that mainly focus on medication and dialysis, MTMs provide meals designed to support kidney and cardiovascular health, potentially reducing the need for more intensive interventions. Additionally, these meals come with nutrition education and dietary support, empowering patients to make informed choices about their health. This holistic approach could improve overall health outcomes and quality of life for individuals with chronic kidney disease.

What evidence suggests that medically tailored meals might be an effective treatment for chronic kidney disease?

Research has shown that medically tailored meals (MTMs) can benefit people with chronic kidney disease. Studies have found that these meals can delay the need for dialysis, which cleans the blood when kidneys aren't functioning well. MTMs are associated with 31% fewer hospital stays and can save over $12,000 in healthcare costs per patient in some cases. In trials, 65% of participants reported the meals as very helpful. This trial will compare participants receiving MTMs with those in a wait-list control group. Overall, MTMs improve diet quality and health outcomes for individuals with kidney and other chronic diseases.678910

Who Is on the Research Team?

LM

Luis M Perez, PhD RD

Principal Investigator

Rocky Mountain Regional VA Medical Center, Aurora, CO

Are You a Good Fit for This Trial?

This trial is for Veterans who have chronic kidney disease and high blood pressure. Participants should be able to take part in a meal delivery program and follow study instructions.

Inclusion Criteria

Able and willing to provide informed consent
Able and willing to participate in study visits and study procedures
Able to receive medically tailored meal deliveries within the study service area
See 4 more

Exclusion Criteria

Inability to communicate in English or severe hearing impairment preventing study participation
Participation in a medically tailored meal program within the previous 6 months
Pregnancy
See 8 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive medically tailored meals or usual care for 3 months

3 months
Weekly check-ins

Crossover

Participants initially on usual care receive medically tailored meals for 3 months

3 months
Weekly check-ins

Follow-up

Participants are monitored for safety and effectiveness after treatment

6 months

What Are the Treatments Tested in This Trial?

Interventions

  • Medically tailored meals (MTMs)

Trial Overview

The study tests whether providing medically tailored meals improves health, diet, and quality of life compared to usual care. Participants are randomly assigned to receive the special meals or standard care for 3 months, then switch groups.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Group I: Wait-list controlExperimental Treatment1 Intervention
Group II: Medically tailored mealsExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

VA Office of Research and Development

Lead Sponsor

Trials
1,691
Recruited
3,759,000+

Citations

Medical Nutritional Therapy for Patients with Chronic Kidney ...

LPDs are effective therapies to delay the start of dialysis and have additional benefits beyond protein restriction by promoting better dietary quality. The ...

Medically Tailored Meals Lower Healthcare Costs

For people with chronic kidney disease, meals saved $12,312 per patient over six months. For cardiovascular disease, $10,450.

Impact of Medically Tailored Meals on Clinical Outcomes ...

Results Among survey participants, 65% were extremely or very satisfied with their meals. Reasons that MTM were helpful while they were ...

MTM Pilot Act — Food is Medicine Coalition

The growing body of research shows that medically tailored meals are an extremely effective response for individuals with complex health ...

How Nutrition Interventions Improve Outcomes in Chronic Disease ...

New Data on Medically Tailored Meals. Oncology studies: medically tailored meals may support nutrition, adherence, and reduce unplanned care. Read more.

Effect of Medically Tailored Meals on Clinical Outcomes in ...

Compared with usual care, MTMs did not reduce all-cause hospitalization at 90 days after discharge [adjusted hazard ratio, aHR: 1.02, 95% ...

Home-Delivered Medically Tailored Meal Engagement ...

Most patients reported eating 2 meals per day 52.2% reported difficulty with following a kidney diet. Sixty participants (52.2%) reported living in a food ...

Estimated Impact Of Medically Tailored Meals On ...

Medically tailored meals (MTMs) can reduce health care use among high-risk patients with diet-related conditions.

Who qualifies for medically tailored meals?

Clinical conditions that often qualify include cardiovascular disease, diabetes, chronic kidney disease, cancer treatment, and gastrointestinal ...

Published Research

Summary of Findings Among survey participants, 65% were extremely or very satisfied with their meals. Reasons that MTM were helpful while they were recovering ...