Kidney Disease Carolyn Klempay Julia Kaesberg Kidney Responsibilities

Kidney Disease Carolyn Klempay & Julia Kaesberg

Kidney Responsibilities • Maintain body's fluid balance • Maintain mineral concentration of sodium, potassium, and phosphorus in the blood • Remove waste from the blood after digestion, muscle activity, and exposure to chemicals or medications • Produce renin, an enzyme that helps regulate blood pressure • Produce enzyme that stimulates red blood cell production • Produce an active form of vitamin D for bone health

What is Kidney Disease? • The 2 most common causes of Kidney disease: ▫ Diabetes ▫ High Blood Pressure (Hypertension) • Considered “Chronic” when decrease in functions lasts for more than 3 months • Treatment: ▫ Dialysis ▫ Kidney Transplant

Diet Regulations • Protein, Potassium, Phosphorus, & Sodium • Only allowed 4 cups fluid a day (Jello, soup) • Only ½ cup milk a day (use non-dairy creamers) ▫ ▫ Only 1. 2 -1. 5 g protein/ kg body weight 800 -1000 mg Potassium per day 800 -1000 mg Phosphorus per day 1500 -2000 mg sodium per day

George • • • 42 Years old 5’ 11” and 245 lbs New to Dialysis Young enough and wants to get a transplant Works during the day eats 2 meals and 1 snack a day ▫ Should be having at least 2 meals and 2 snacks • Light activity level

Good foods for Kidney Disease • Red Bell Peppers: ½ cup serving • • • ▫ 1 mg sodium, 88 mg potassium, 10 mg phosphorus Cabbage Cauliflower Garlic Onions Apples Cranberries, Blueberries, Raspberries, Strawberries Cherries Red Grapes Egg Whites Fish Olive Oil

Health Benefits • Antioxidants: reduce inflammation and protect against fatty acid oxidation ▫ Too much oxidation in kidney disease patients can damage proteins, cell membranes, and genes

Watch Out! -Potassium: too much can cause the heart to beat at an abnormal rhythm because the kidneys cannot properly control the amount of potassium in your blood -Phosphorous: in excess, will pull the calcium from your bones -Sodium: too much makes you thirsty which causes you to drink more and have more fluid to pump through your body. Therefore, your heart will have to work harder and may fail. -Protein: in excess, makes the kidneys work harder. A low protein diet decreases protein loss in urine and increases protein levels in the blood.

Today’s Menu • • • Spiced Pineapple Appetizer Harvest Rice Dish Roasted Asparagus & Wild Mushroom Stew Broccoli-Cauliflower Bake Mediterranean Fish Spinach Tomato Linguine Raspberry Streusel Muffin Triple Threat Fruit Smoothie Easy Pumpkin Cheesecake

Food Calories Carbs Fat Saturated Cholesterol Vitamin Fat A Vitamin C Pineapple 47 12 g 0 g 0 g 0 mg 2% DV 99% DV 0. 5 mg 21 mg Rice 207 31. 1 g 7. 4 g 1. 5 g 13 mg 3% DV 6% DV 1 mg 27 mg Stew 97 9. 6 g 6 g 0. 6 g 0 mg 30% DV 3. 2 mg 58 mg Broccoli 103 7 g 6 g 1 g 0 mg 11% DV 95% DV 0. 7 mg 37 mg Fish 125 3 g 6 g 1 g 31 mg 4 % DV 0. 4 mg 36 mg Linguine 357 52 g 11 g 5 g 25 mg 0% DV 0. 6 mg 3. 4 mg Muffins 138 19 g 6 g 3 g 0 mg 2% DV 3% DV 4. 5 mg 89 mg Smoothie 134 29. 6 g 1. 1 g 0. 4 g 4 mg 3% DV 98% DV 2 mg 60 mg 19 g 15 g 7 g 58 mg 7% DV 11 mg Cheesecake 165 Iron 0. 5 mg Calcium

Food Protein Potassium Phosphorus Sodium Pineapple 0 g 37 mg 4 mg Harvest Rice 5. 1 g 86 mg 98 mg 39 mg 165 mg 96 mg 28 mg Asparagus/Mush 3 g room Stew Broccoli. Cauliflower 3. 9 g 155 mg 83 mg 130 mg Mediterranean Fish 21 g 175 mg 231 mg 169 mg Spinach Linguine 15 g 129 mg 36 mg 346 mg Raspberry Muffins Smoothie 2 g 56 mg 69 mg 111 mg 3. 6 g 71 mg 77 mg 41 mg Pumpkin Cheesecake 6 g 96 mg 66 mg 245 mg

Totals • Protein: 59. 6 g ▫ Allowed: 74 -92 g per day • Potassium: 970 mg ▫ 800 -1000 mg per day • Phosphorus: 760 mg ▫ 800 -1000 mg per day • Sodium: 1113 mg ▫ 1500 -2000 mg per day

Why this Menu? • Use foods low in potassium, phosphorus, sodium, and protein • Replace items like bananas, brown rice, and chicken stock with cherries, white rice, and vegetable stock to lower levels • Still offer a variety of good tasting foods • Use seasonal items ▫ Cherries, broccoli, cauliflower, cranberries, garlic, pineapple, and pumpkin

Nutrients for Prevention • Artificial Sweeteners found primarily in Diet Drinks • No direct correlation found between regularly sweetened drinks and increased kidney decline ▫ However other health problems associated with too much sugar intake affect kidney health overall • Limiting Sodium intake ▫ High sodium intake promotes faster kidney decline

Try This NOT That! Instead of: TRY: • Banana Smoothie (Potassium) • Triple Threat Fruit Smoothie • Chocolate Chip Muffin (Phosphorus) • Raspberry Streusel Muffin • Soy Marinated Chicken Breast (Sodium and Protein) • Mediterranean Fish • Canned Chicken Noodle Soup (Sodium) • Roasted Asparagus and Wild Mushroom Stew

Try Something New • You do NOT have to cut out all the foods you love, just find complimentary replacements! • Banana Strawberry • Whole Grain pasta/ bread White pasta/ bread • Learn about when certain foods are in season • Look up new recipes to try • Learn about soaking potatoes to decrease potassium levels • BECOME EDUCATED!

Responsibilities • CAROLYN ▫ Selected recipes ▫ Quantified recipes ▫ Made market order ▫ Made Power. Point ▫ Assigned Recipes ▫ Distributed Assignments • JULIA ▫ Selected recipes ▫ Quantified recipes ▫ Assigned Recipes ▫ Distributed Assignments

Resources • 1. Agodoa, L. (2008, August). Eat right to feel right on hemodialysis. Retrieved from http: //kidney. niddk. nih. gov/kudiseases/pubs/eatrig ht/ • 2. Baker, S. L. (2009, November 13). Prevent kidney disease by saying no to diet sodas and excess salt. Retrieved from http: //www. naturalnews. com/027482_diet_soda_k idney_dis ease. html • 3. Brookshyer, Joan (RD, CSR). (2004, March). Eating Vegetarian Foods While Living With Kidney Disease. In American Association of Kidney Patients (AAKP). Retrieved from http: //www. aakp. org/aakplibrary/Vegetarian-Kidney-Disease/

Resources • 4. Colman, S. (n. d. ). Top 15 healthy foods for people with kidney disease. Retrieved from http: //www. davita. com/kidney-disease/diet-andnutrition/lifestyle/top-15 -healthy-foods-for-people-withkidney-disease/e/5347 • 5. Kidney disease (nephropathy). (n. d. ). Retrieved from http: //www. diabetes. org/living-withdiabetes/complications/kidney-diseasenephropathy. html • 6. Wood III, James E. (MD). (2010, October). Understanding Kidney Disease- the Basics. In Web. MD. Retrieved from http: //www. webmd. com/a-to-zguides/understanding-kidney-disease-basicinformation? page=2