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Author Topic: Western Diet May Speed Renal Decline  (Read 2428 times)
okarol
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Photo is Jenna - after Disneyland - 1988

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« on: March 14, 2011, 12:41:03 PM »

NEWS IN BRIEF
Western Diet May Speed Renal Decline
Delicia Honen Yard
March 14, 2011   

A diet emphasizing fruits, vegetables, legumes, fish, poultry, and whole grains may slow loss of kidney function over time, according to a report in the American Journal of Kidney Disease (2011;57:245-254). Among 3,121 mostly middle-aged and older white women taking part in the Nurses' Health Study, overall kidney function was generally good. Compared with subjects who adhered to this healtier diet, those following a Western-style diet (high in red and processed meats, saturated fats, and sweets) were more likely to experience microalbuminuria and rapid decline in estimated glomerular filtration rate.

 
From the March 2011 Issue of Renal And Urology News
http://www.renalandurologynews.com/western-diet-may-speed-renal-decline/article/198274/
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Admin for IHateDialysis 2008 - 2014, retired.
Jenna is our daughter, bad bladder damaged her kidneys.
Was on in-center hemodialysis 2003-2007.
7 yr transplant lost due to rejection.
She did PD Sept. 2013 - July 2017
Found a swap living donor using social media, friends, family.
New kidney in a paired donation swap July 26, 2017.
Her story ---> https://www.facebook.com/WantedKidneyDonor
Please watch her video: http://youtu.be/D9ZuVJ_s80Y
Living Donors Rock! http://www.livingdonorsonline.org -
News video: http://www.youtube.com/watch?v=J-7KvgQDWpU
greg10
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« Reply #1 on: March 14, 2011, 02:27:43 PM »

Thank you for the thread.

The full article is available as PDF here: http://www.natap.org/2011/HCV/PIIS027263.pdf

God help us Americans, 23% diabetes of the "older white female" nurses in the study.

« Last Edit: March 14, 2011, 02:30:56 PM by greg10 » Logged

Newbie caretaker, so I may not know what I am talking about :)
Caretaker for my elderly father who has his first and current graft in March, 2010.
Previously in-center hemodialysis in national chain, now doing NxStage home dialysis training.
End of September 2010: after twelve days of training, we were asked to start dialyzing on our own at home, reluctantly, we agreed.
If you are on HD, did you know that Rapid fluid removal (UF = ultrafiltration) during dialysis is associated with cardiovascular morbidity?  http://ihatedialysis.com/forum/index.php?topic=20596
We follow a modified version: UF limit = (weight in kg)  *  10 ml/kg/hr * (130 - age)/100

How do you know you are getting sufficient hemodialysis?  Know your HDP!  Scribner, B. H. and D. G. Oreopoulos (2002). "The Hemodialysis Product (HDP): A Better Index of Dialysis Adequacy than Kt/V." Dialysis & Transplantation 31(1).   http://www.therenalnetwork.org/qi/resources/HDP.pdf
monrein
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« Reply #2 on: March 14, 2011, 04:14:09 PM »

And the big question is why are we so stupid as a species that we keep right on destroying ourselves, even when we know better?  Homo not so sapiens it would seem.
Dumb as rocks I'm thinking.
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Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr.  2009
Second trx doing great so far...all lab values in normal ranges
RightSide
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« Reply #3 on: March 18, 2011, 06:50:46 AM »

And the big question is why are we so stupid as a species that we keep right on destroying ourselves, even when we know better?  Homo not so sapiens it would seem.
Dumb as rocks I'm thinking.
Homo Sapiens has been biologically programmed to seek out and pack away as many calories as possible, whenever possible.  That's a holdover from thousands of years ago when food was often scarce and starvation was always a possibility.  But those instincts remain with us today.

Food in abundance is a new experience for our species.  (When I was a kid, folks were still starving in India.  Today, obesity has become more of a problem in India than starvation.)

To deal with it, we have to overcome our basic instincts to pack away calories in advance of tough times.

And abstinence from overeating is proving to be as difficult as abstinence from sex--our other basic instinct.

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MooseMom
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« Reply #4 on: March 18, 2011, 09:19:48 AM »

I happen to like "good foods" and was never really a fan of "bad" foods.  I loved my fruits and veg, loved my whole grains, loved my legumes and never really had much of a sweet tooth.  But I got kidney disease anyway, and those "good" foods are now taboo.  THAT's the definition of irony. ::)
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"Eggs are so inadequate, don't you think?  I mean, they ought to be able to become anything, but instead you always get a chicken.  Or a duck.  Or whatever they're programmed to be.  You never get anything interesting, like regret, or the middle of last week."
KarenInWA
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« Reply #5 on: March 18, 2011, 10:40:45 AM »

I happen to like "good foods" and was never really a fan of "bad" foods.  I loved my fruits and veg, loved my whole grains, loved my legumes and never really had much of a sweet tooth.  But I got kidney disease anyway, and those "good" foods are now taboo.  THAT's the definition of irony. ::)

MooseMom, I so totally agree!  I find it strange that I can't confidently shop in the produce department anymore.  Eat my veggies?  Do you wanna KILL me???  That could land me in the ER!!!  WTF ???

KarenInWA
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1996 - Diagnosed with Proteinuria
2000 - Started seeing nephrologist on regular basis
Mar 2010 - Started Aranesp shots - well into CKD4
Dec 1, 2010 - Transplant Eval Appt - Listed on Feb 10, 2012
Apr 18, 2011 - Had fistula placed at GFR 8
April 20, 2011 - Had chest cath placed, GFR 6
April 22, 2011 - Started in-center HD. Continued to work FT and still went out and did things: live theater, concerts, spend time with friends, dine out, etc
May 2011 - My Wonderful Donor offered to get tested!
Oct 2011  - My Wonderful Donor was approved for surgery!
November 23, 2011 - Live-Donor Transplant (Lynette the Kidney gets a new home!)
April 3, 2012 - Routine Post-Tx Biopsy (creatinine went up just a little, from 1.4 to 1.7)
April 7, 2012 - ER admit to hospital, emergency surgery to remove large hematoma caused by biopsy
April 8, 2012 - In hospital dialysis with 2 units of blood
Now: On the mend, getting better! New Goal: No more in-patient hospital stays! More travel and life adventures!
jbeany
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« Reply #6 on: March 18, 2011, 11:01:54 AM »

Yup, love the logic of a diet where sugar cookies or rice krispie treats are a good snack choice, and an orange is a bad one!
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MooseMom
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« Reply #7 on: March 18, 2011, 11:18:34 AM »

I could so easily be a vegetarian, but I don't dare.

Malnutrition/poor nutrition is a real risk for renal patients.  Wonder why? ::)

I've done this diet long enough to be able to live with it.  I don't eat taboo foods often, but when I do, it's when I have no other choice; I can restrict my portion size.  I like a wide variety of foods, so if I can't have an orange, no biggie...I'll just have berries.  If I can't have potatoes, no biggie...I'll have rice.  But what really bugs me is not being able to have whole grains.  White starches (white rice, white pasta, white bread) are bad for you, but I have no choice.  My husband loves pasta, so we a lot of that, which isn't very good.  I'll at least do some basmati rice instead of regular white rice, so that's a bit better.  But when it comes to bread, I'm stuck.  I sometimes get rye bread which is a good alternative, but it has such a strong flavour that it is not always what I/my husband wants.

Well, more frequent, optimal dialysis is supposed to give patients a chance to have a more realistic diet, so that's what I'm going to do.  If having a better diet with fewer restrictions that can cause a poor nutritional status (that happened to my mom) requires longer in the dialysis chair at home, that's what I'll do.

And yeah...rice Krispies over raisin bran?  That's just weird.
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"Eggs are so inadequate, don't you think?  I mean, they ought to be able to become anything, but instead you always get a chicken.  Or a duck.  Or whatever they're programmed to be.  You never get anything interesting, like regret, or the middle of last week."
Henry P Snicklesnorter
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« Reply #8 on: March 18, 2011, 06:09:24 PM »

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« Last Edit: October 22, 2013, 03:21:21 PM by Henry P Snicklesnorter » Logged
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