At enrolment (T0) and after two months (T2), routinary laboratory measurements (haemoglobin, urea, creatinine, estimated glomerular filtration rate (eGFR) according to the CKD-EPI equation [21 (link)], sodium, potassium, uric acid, calcium, phosphate, parathyroid hormone (PTH), bicarbonates and albumin) were measured on an ADVIA® 1800 Clinical Chemistry Analyzer (Siemens Healthcare Diagnostics, Munich, Germany); total and free serum p-Cresyl Sulphate (t- and f-PCS, respectively) and total and free serum Indoxyl Sulphate (t- and f-IS, respectively) were measured by means of a high-performance liquid chromatography technique coupled with tandem mass spectrometry (B.S.N. Srl, Castelleone, Italy); serum Lp-PLA2 activity was measured with the new PLAC® test (Diazyme Laboratories, Inc., 12889 Gregg Court, Poway, CA, USA).
Nutritional status was assessed by physical examination, measuring body weight, height, BMI (kg/m2), dominant Hand Grip strength (kg) using Hydraulic Hand Dynamometer Owner’s Manual (Sammons Preston, Bolingbrook, IL, USA), according to the reference values [22 ,23 ]. Bioelectrical impedance analysis (BIA) was used to estimate fat-free body mass (kg), fat mass (kg) and phase angle through an Akern model 101 (Akern Srl, Pisa, Italy).
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