Protein and Phosphate

[murf]

I am on PD and have been told to increase my protein but decrease my phosphate level. As most protein has stacks of phosphorous, what suggestions can anyone provide to balance this.

[Romona]

Renal diets are so hard. If it isn't one thing it is another. There is a website world's healthiest foods that I used to check to find foods to avoid. I have the opposite problem. I need to increase phosphorous. I am trying to lose weight and low fat dairy is all that I use to increase it and beans. So I know beans would be out for you. Alot of frozen chicken products have high phosphorous levels.

[Romona]

The website is www.whfoods.com   

There is a nice protein list. I don't know if it would help you much.

[Zach]

Ounce for ounce, chicken has one of the best protein to phosphorus ratios.
Egg white are also very low in phosphorus, but will add to your potassium limits.

It is a very interesting balancing act--we need protein and calories but must limit phosphorus and potassium.

These are some IHD threads about protein you may find interesting.

http://ihatedialysis.com/forum/index.php?topic=16766.msg291842#msg291842

http://ihatedialysis.com/forum/index.php?topic=11799.msg275136#msg275136

http://ihatedialysis.com/forum/index.php?topic=10191.msg175486#msg175486

http://ihatedialysis.com/forum/index.php?topic=4820.msg71200#msg71200

http://ihatedialysis.com/forum/index.php?topic=1196.msg57594#msg57594

http://ihatedialysis.com/forum/index.php?topic=1277.msg15123#msg15123

 

[RightSide]

Eggs seem to have the highest amount of phosphorus per ounce of protein; chicken has less phosphorus per ounce of protein.  (Gelatin has even less phosphorus, but it's low quality protein.)

Don't overlook plant foods! 

Broccoli is a good source of protein and many other nutrients.  Broccoli contains some phosphorus too.  But the bioavailabiilty of this phosphorus is low.  Only about one-fourth of the phosphorus in broccoli is absorbed by the body--because broccoli contains phytate, which acts as a natural phosphorus binder.

So if you want to get the least phosphorus for your protein, stick with chicken and broccoli, and avoid eggs.

The website www.nutritiondata.com will give you exact numbers.

[RichardMEL]

Yes, but at least with phosphates you CAN use binders and they can work very well. A few times a week I have an egg for breakfast and I just take an extra binder. My levels are just fine and my protein levels are doing OK too.

[M3Riddler]

I am on PD and have been told to increase my protein but decrease my phosphate level. As most protein has stacks of phosphorous, what suggestions can anyone provide to balance this.

This is a tricky balance as almost all foods contain phosphorus. Not just proteins.... Have they told you an amount of phosphorus per day that you should aim for?  This would be your starting point....

///M3R

[Zach]

According to the National Kidny Foundation (U.S.A.):

3. Management of Protein and Energy Intake
Dietary Protein Intake (DPI) in Maintenance Hemodialysis (MHD)
The recommended DPI for clinically stable MHD patients is 1.2 g/kg
body weight/d. (Evidence and Opinion)
• At least 50% of the dietary protein should be of high biological value.)
http://www.kidney.org/professionals/kdoqi/pdf/KDOQI2000NutritionGL.pdf
PDF page 41.

And for PD patients on PDF page 45:
Dietary Protein Intake (DPI) for Chronic Peritoneal Dialysis (CPD)
The recommended DPI for clinically stable CPD patients is 1.2 to 1.3
g/kg body weight/d. (Evidence)
• Dietary protein intake should be no less than 1.2 g/kg/d.
• Unless a patient has demonstrated adequate protein nutritional status on a
1.2 g protein/kg/d diet, 1.3 g protein/kg/d should be prescribed.
• At least 50% of the dietary protein should be of high biological value.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

You can include a protein drink such as Designer Whey, which provides 19 grams of protein for only 140 mg of phosphorus.  Just two Renvela tablets.

And as posted before by RightSide, a 3 oz. chicken breast will provide about 26 grams of protein, and has only 196 mg of phosphorus.

And then there is 3 oz. of shrimp, 17 grams of protein and 155 mg of phosphorus.

You can always check with the USDA National Nutrient Database search:
http://www.nal.usda.gov/fnic/foodcomp/search/

[jccarey09]

If you want to increase protein in your body, you should try Vega.

[Whamo]

I eat lots of egg whites.  The phosphates are largely in the yolks, so go easy on those.