Phosphorus Content of Popular Beverages

[Zach]

There seems to be a difference between the measured vs. listed levels of phosphorus in some beverages.  In fact, one Vitamin Water (Revive Fruit Punch) had 261.4 mg of phosphorus while the listed amount was 0.

Phosphorus Content of Popular Beverages
In this report:

Products with phosphorus-based additives often contain more phosphorus than similar products without such additives.6, 7 However, this is not always apparent to consumers because including phosphorus content on the nutrition facts label is optional.6 Product-specific data are often lacking because considerable time and expense is required to monitor the constant stream of new products and reformulations. Here, we report the measured phosphorus content of several popular beverages containing phosphorus-based additives.

Measured phosphorus content was compared with reference values from the Nutrition Data System for Research (NDSR).8 NDSR combines data from the US Department of Agriculture (USDA), food manufacturers, and scientific literature and includes more individual product-level data than the USDA National Nutrient Database.8

To read the full report:
http://www.ajkd.org/article/S0272-6386(15)00511-9/fulltext

Please see the chart below.

[Athena]

Thanks Zach.

Vitamin Water, Revive Fruit punch is sure a knock-out! Beats regular Coke by a mile in terms of phosphorous content!

What is the typical daily allowance for phosphorous in the diet for someone in CKD and for those on dialysis?

[iolaire]

Thanks interesting the difference between Gold Peak and Lipton Iced teas... for what you would expect to be the same product.

[Charlie B53]

This makes me very glad that I gave up 'bubbles' many years ago.  I rarely even have a glass of tea. and that pot of coffee first thing every morning is now only one cup, and that ain't even daily.

An occasional glug of real orange juice or grape juice, maybe even apple, but then I only use juices if my blood sugar happens to drop into the low 80's or less.

The rest of the time I drink WATER, sometimes with ice, pulled up from our deep well.  It has a bit of desolved minerals, primarily limestone, but it is good cold.  And it is probable one of the best things for me.

I must admit that I did have ONE beer last summer.  After mowing our 3 acres, temp was in the 90's, humidity over 70% and my other half was nagging me to Bar-B-Que.  I was already hot, and swaety, add standing in front of that HOT grill, well, that short Miller tasted pretty good.

There is still one more laying in the bottom drawer of the refrigerator.  Maybe I will drink it later this summer, IF..... I feel like I really need it.  But that's a very rare feeling.

[PaulBC]

I wish they would do a better job of labeling phosphorus. Sometimes the ingredients are helpful in avoiding it (such as soy milk that has been "enriched") but the nutrition information very rarely says anything. I realize that most people can ignore phosphorus for all intents and purposes, but there are enough CKD and ESRD patients out there to make it useful.

I would definitely have thought that Brisk Sweet Tea would be something my daughter could drink without binders. Based on this information, I wouldn't let her drink it at all. I might as well give her a vanilla milkshake, which would at least help with some protein replenishment.

[Dannyboy]

Thanks Zach.

[MuddyGurl]

Zach, do you avoid Pumpkin seeds too?

.. they have 57% RDA phosphorous in 1/4 cup..but are great  snack or salad addition for protein and magnesium, zinc, and have amino acids…so  have many benefits..I just am careful to not eat more tun a few tablespoons

[Zach]

Zach, do you avoid Pumpkin seeds too?

.. they have 57% RDA phosphorous in 1/4 cup..but are great  snack or salad addition for protein and magnesium, zinc, and have amino acids…so  have many benefits..I just am careful to not eat more tun a few tablespoons

Hi MuddyGurl,

I don't eat Pumpkin seeds only because I'm not really a seed kinda guy.   
But as you said, taking a few tablespoons a day might provide a good supplement to one's daily food intake.
I'm also going to read more about Hemp seed products because of what you wrote of them being a complete protein source (with all essential amino acids).

Not to confuse the issue, but there are two different numbers that we need to understand.
 … The RDA for phosphorus is 700 mg, and was set by the Institutes of Medicine.
 … The FDA Daily Value (DV) for phosphorus is 1,000 mg, and is what we see on food labels as percentages.

Eating in moderation is key.

The phosphorus in plant seeds such as beans, peas, nuts and cereals is less absorbed in the gut (about 50%) than phosphorus in meats (about 75%) or additives in food (about 90%).

During the 48 hours between treatments, I do consume tree nuts in the form of Walnut butter or Almond butter, or legumes in the form of Peanut butter.

A 2-tablespoon serving of either Almond butter or Peanut butter has about 7 or 8 grams of protein, and Walnut butter has about 5 grams of protein.
All have about 180 to 205 calories.

Almond butter has about 163 mg of phosphorus and 239 mg of potassium.
Peanut butter has about 107 mg of phosphorus and 179 mg of potassium.
Walnut butter is not listed in the USDA website, but it's most likely within the other nut values.
And each has their own properties such as monounsaturated fat, etc.

As a non-diabetic person on hemodialysis, my take on consuming food is, "What am I getting nutritionally with this phosphorus," since we need to limit PO₄.
On my list of what I need: high-quality protein first, then energy (calories) second. At the same time I look at what I don't need as much: potassium and sodium.

But with today's different lengths of treatment, the whole ESRD diet should be adjusted to meet the particular needs of the individual (re: monthly blood tests) on hemodialysis.
Variables include size of dialyzer (filter), length of treatment time and frequency of treatment, as well as finding a phosphate binder that works for the individual.

In fact, those with treatment times of 6 hours or more, may need to increase protein and (believe it or not) increase phosphorus and potassium. Plus other micro nutrients.
Another variable is whether the person still urinates.

All in all, the renal diet can no longer be written in stone.

[PaulBC]

As a non-diabetic person on hemodialysis, my take on consuming food is, "What am I getting nutritionally with this phosphorus," since we need to limit PO₄.
On my list of what I need: high-quality protein first, then energy (calories) second. At the same time I look at what I don't need as much: potassium and sodium.

I have been trying to do this with my daughter's diet, mostly just looking at protein-to-phosphorus. When her phosphorus was good, her albumin was also very low. We intentionally dropped a lot of restrictions and (less intentionally) started to eat out more due to time constraints. Now her albumin is on the rise, but phosphorus is high, even using Renvela as much as possible. It is really hard to balance. We have been avoiding peanut butter completely, but maybe that's a mistake. I sometimes put 5-6 grams of cheddar cheese on her food rather than skipping it completely (less often now that phosphorus isn't dropping). Maybe peanut butter would be a good choice. I just checked and it looks like the reason peanut butter is "worse" than cheese is high potassium. Is that correct?

I made a meal-planning spreadsheet with all the USDA data, and it works great when I use it. I just find it difficult to plan every meal, and my daughter can be a very picky eater (though she was very cooperative in the early phases of this thing).

[MuddyGurl]

HI Zach, I do understand that DIET for you an me are two totally different things…. what works beautifully for me..hemp seed and pumpkin/almonds may be limited for you.  The funny thing is MOST US Americans do not know that some newer, imported foods exist, and the USDA, DAVITA  and the  NKF.org do NOT even list them as food and their uses.....thus making typical people suspicious since "they never heard of it"   and unfortunately  the 'hemp' word alone sets people off.

ALL seeds seem to be higher in amino acids, and as you said PLANT foods pass thru the digestive system easier and don't stress the kidneys.  in a row by protein   amount 1/4 cup:  Hemp seed, pumpkin, sunflower, flax, almonds, follow, with more carbs, and cashews even more carbs.

Peaut are to be avoided as they are legumes, not nuts, and it seems they ALL have some level of  microscopic mold… I've read this  often.

For fats and Omegas 3-6  Brazil nuts (3 for 186 calories! and macadamia 10 for 200 calories,  are the most calorie laden but they all have Magnesium, Zinc, etc..

I wrote  to Dr. jason Fung Nephrologist, and he confirmed that EATING my magnesium, as a kidney patient, is safest, followed by using  MG oils and skin sprays, Epsom salt baths, etc.  ( Dr.Fung is now featured on a Q& A at another site for LCHF, AND in his own blog site he DOES answer questions..this is a blessing as most nephs are not too talkative or even available by email.

the more study is done the MORE the tiniest of elements like potassium, and other minerals are affecting our systems.  In the Low Carb discussion groups Selenium is mentioned all the time..but it is 9th in importance..so info is out of balance, therefor consumption is too.

Dr. Bert Herring who created a fasting diet  where you 'eat normally what you eat'   called FAST 5..(not for IHD patients obviously)  where you eat all your calories in 5 hour  window, and the   5 hours you chose can be anytime, and changed, then  dont eat for 19…10 years of study shows men do very well..but women dont, /because of our hormones, the younger ones struggle because the female body is not designed to 'starve'…so all preservation systems for species reproduction  kick in, and the chubby girls can't lose fat. BUT if you lengthen the  eating time to 8-10 hours, and 14-16 fast..she can lose. older women are different still...

So Dr Herring says WE MUST do an N=1  a study of one, just what works for us.

Never thought I'd end up a vegetarian, but I am loving the diet I have, and the LOSS of the leg and foot muscle cramps is an amazing relief, having more energy and less fatigue is also welcome…all because I changed my diet.

[thegrammalady]

As usual Zach you're. A step ahead of many. I solved the Phosphors problem in drinks by not using them. Other than morning coffee I just drink water. Nothing hydrates like water.

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