Transcript Eating Yourself Healthy - Alport Syndrome Foundation

Eating Yourself Healthy
Paige Gustafson, RD, LD
Pediatric Renal Dietitian
University of Minnesota Amplatz Children’s Hospital
Contact Information
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Expertise – Newborns to young adults
with chronic kidney disease,
hypertension, dialysis dependence,
feeding issues, nutrition support
needs, or help with weight
management
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Email: [email protected]
 Phone: 612-273-3740
Objectives
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Attendee will understand importance of
appropriate intake of fiber, Vitamin D, and
exercise for wellness as well as limiting intake of
caffeine
Attendee will be able to list components of renal
diet including foods to limit, alternatives, and
methods to determine nutrient intake
Attendee can name dietary modifications after
kidney transplant
What should I eat?
http://curvyrecessionista.blogspot.com/2011/06/choose-my-plate.html
Fiber
Age
Adequate Intake
1-3 years
19 grams per day
4-8 years
25 grams per day
Boys: 9-13 years
31 grams per day
14-18 years
38 grams per day
Girls: 9-13 years
14-18 years
26 grams per day
26 grams per day
Found in whole grain products, fruits,
vegetables
 Helps maintain regularity, satiety
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Pediatric Nutrition Care Manual. AND 2012
Vitamin D
Important for bones – specifically
absorbing calcium and phosphorus
 400 International Units per day
 Fish, eggs, fortified milk (& other
products), cod liver oil
 Sun exposure
 Supplements
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Caffeine
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Academy of Pediatrics recommends
adolescents get no more than 100 mg
caffeine per day
Caffeine content: Coke = 35 mg – 12 oz
Red bull = 80 mg – 8.4 oz
Coffee = 95-200 mg – 8 oz
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Alternative ways to boost energy:
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Daily physical activity  better sleep +
healthy eating
Be active!
Promotes healthy weight, positive
mood, & muscle strength (including your
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heart and bones)
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Ages 6-17 = 60 minutes of PA daily
Include muscle/bone strengthening activity like
climbing and jumping
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Ages 18 & above = 30 minutes of PA
5 times per week
For weight maintenance
The “Kidney” diet
Renal diet =
Low potassium: 1500 mg
Low phosphorus: 1000 mg
Low sodium: 2000 mg
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Food labels typically listed as
%daily value
Sodium = 2400 mg
Potassium = 3500 mg
Phosphorus = 1000 mg
http://www.ncagr.gov/agscool/nutrition/labels.htm
Sodium
1 teaspoon of table salt = 2300 mg sodium
1086 mg sodium
204 mg sodium per 1 slice
480 mg sodium per 1 cup
http://blues.nhl.com/club/page.htm?id=57273 ; http://www.photo-dictionary.com/phrase/307/bread.html#b;
http://www.shescribes.com/2010/02/progresso-soup-souper-you-giveaway.html
Salt Substitutes
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Good = Mrs. Dash,
herbs/spices without
the word “salt”
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Not so good = Nu
Salt, Lemon pepper
 Look
for the first
ingredient as Potassium
Chloride
http://www.amazon.com/Salt-Substitute-3-oz-Crystals/dp/B004EPBMRC; http://www.amazon.com/Morton-Lite-SaltSodium-Table/dp/B0005YM0UY
Phosphorus
Dairy – cheese, milk, yogurt, ice
cream, pudding
 Whole grains
 Beans & Legumes – peanut butter,
nuts, seeds; Tofu, hummus
 Colas, Dr. Pepper
 Chocolate
 Phosphorus additives in processed &
convenience foods
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Alternatives
Rice, soy milk
 Jelly sandwiches
 Root beer, orange soda, grape soda,
lemon-lime
 Vanilla candies, cookies, cakes
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Phosphorus binders – Tums (calcium
carbonate), PhosLo
Potassium
Dairy, fruits, vegetables (& meats)
 High potassium foods to avoid/limit:
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 Milk
 Oranges,
bananas, melons, kiwi, mango,
avocado, dried fruit, raisins
 Tomatoes (sauces, ketchup), potatoes (white
and sweet), cooked greens like spinach,
squash
425 mg
925 mg
380 mg
http://www.diabetesdaily.com/voices/tag/baked-potato/; http://marenda.biz/2008/07/banana-facts/;
http://www.todayifoundout.com/index.php/2010/10/why-milk-is-white/
Lower Potassium Choices
Fruits
 Apples
 Berries
 Grapes
 Peaches
 Pears
 Watermelon
 Pineapple
 Rhubarb
Vegetables
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Asparagus
Beets
Broccoli
Carrots, cooked
Cauliflower
Celery
Corn
Cucumber
Lettuce
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Cucumber
Green beans
Mushrooms
Peppers
Peas
Zucchini
Spinach
Websites
Choosemyplate.gov  SuperTracker
 Myfitnesspal.com
 Calorieking.com
 Davita.com  Renal diet recipes
 Culinarykidneycooks.com  Cooking
For David
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Other Technology
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KidneyDiet app
 iPhone,
iPad, Android
http://www.kidneydiet.com/iphoneipad.htm
Transplant
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No added salt diet (Regular)
Healthy diet – whole grains, variety of fruits/vegetables,
limited fat/sugars
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Protein
Help build muscle which can be broken down from large doses
of steroids + important for healing after surgery
 Examples: Meat, poultry, fish, milk, yogurt, cheese, eggs,
peanut butter, beans
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Calcium
Goal intake of 1500 mg Calcium via supplement and/or from
foods such as milk, cheese, yogurt, fish with small bones
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Fluid
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Dependent on weight – aim to keep making urine!!
Thank you!