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Kidney Diet Tips

November 19, 2013

Why are phosphorus binders important?

iStock_000011386435XSmall-pillsPhosphorus is a mineral necessary to maintain good health; however, people with chronic kidney disease who are on dialysis are not able to eliminate excess phosphorus efficiently. High phosphorus levels can lead to heart disease, brittle bones, itchy skin and other complications so a low phosphorus diet as well as phosphorus binders are prescribed to help block some of the phosphorus consumed in foods. Read more…

February 27, 2013

Kidney Diet Tips on Phosphate Additives – Your Great Phosphorus Saver (G.P.S.) Guide

DaVita Dietitian Julia from Ohio is today’s guest blogger with some great kidney diet tips about phosphorus.

Phosphorus by the Numbers

  • 250 mg to 1,000 mg of phosphorus is the amount removed in a dialysis treatment
  • 800 mg to 1000 mg of phosphorus per day is the typical daily target for a low phosphorus kidneydiet
  • 85% of fast food entrees and side dishes contain phosphate additives
  • 28% to 100% – a recent review of frozen chicken products revealed that the frozen chicken contained 28% to 100% more phosphorus than unenhanced fresh or frozen chicken.
  • 40% to 60% of the phosphorus that NATURALLY occurs in foods is absorbed into the bloodstream.
  • 90% to 100% of the phosphorus that is ADDED to foods, as a food additive, is absorbed into the bloodstream.
  • 100% of dialysis patients will benefit from avoiding foods with phosphate additives!

Just knowing that because your kidneys cannot remove phosphorus you need to avoid phosphate additives is the first step.  Knowing where these additives are found and how to avoid them is the all important next step.  Think of this article as your G.P.S. for phosphorus additives (G.P.S. – “great phosphorus saver”). Read more…

December 16, 2010

Dietary Phosphate Prescription and Survival in Dialysis Patients

“CUTTING DIETARY PHOSPHATE DOESN’T SAVE DIALYSIS PATIENTS’ LIVES” is the latest headline in nephrology news. So does that mean the struggles to control your phosphorus are no longer important?

The study titled “The Association between Prescribed Dietary Phosphate Restriction and Mortality among Hemodialysis Patients” by Lynch, et al is in the online December 2010 issue of the Clinical Journal of the American Society of Nephrology. According to the findings, ‘Dietary phosphate prescription was not associated with improved survival in hemodialysis patients and in some subgroups there may be greater mortality.’ In other words, having a lower phosphorus diet prescription does not necessarily mean hemodialysis patients live longer. The range of blood phosphorus values was similar for all the diet groups (3.8-7.9 mg/dL). Of note, analysis of subgroups with greater survival reveals that participants with phosphorus below 5.5 mg/dL still had a survival advantage.

Finding of the study include: Read more…

February 27, 2009

Kidney patients: beware of fast foods!

No doubt you don’t need me to tell you that fast foods are bad for your health. Remember the 2004 movie—Super Size Me ? Proof that too much fat and sodium from fast food kills!  People with kidney disease have another reason to avoid the corner drive-thru though. Fast foods contain extra hidden phosphorus from all the phosphate additives used to process the food.

Research on phosphorus levels in dialysis patients shows there’s a danger with even slight increases above normal. A single milligram increase in phosphorus increases risk of being hospitalized or even dying by 20% or more. Even in CKD-nondialysis patients high-normal phosphorus causes Read more…

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