In your body, the kidneys are the “filtering system” working to remove drugs, toxins and waste products from your blood, regulate and balance fluids in your body, and release hormones that help keep your blood pressure normal. In addition to this, your kidneys help produce vitamin D, which promotes strong, healthy bones and help produce red blood cells. Kidney disease can occur for a variety of reasons, including multi organ system failure, excessive blood loss, or sepsis- a full body inflammatory reaction that can result in minimal blood flow to the organs.  Below are some of the nutrients of concern when on a diet for Kidney Disease!

Protein: Protein helps to build, maintain, and repair every cell in your body, but in kidney disease, your kidneys cannot handle protein very well.  Make sure to get energy from carbohydrates and fats so that the protein can be used to adequately build and repair cells. If you’re undergoing dialysis, which a process that cleans the blood (what normal kidneys do), you will need more protein because this nutrient is removed from the blood. The main sources of protein include meats, poultry, fish, eggs, milk, beans, and nuts. Breads, cereals, seeds, and vegetables also contain protein too.

Sodium: This nutrient works in your body to help maintain fluid balance and blood pressure.  In kidney disease, too much sodium can cause a build up of fluid which can affect the heart and lungs. To find out more on sodium containing foods check out the Low Sodium Diets blog post! Note: Many salt substitutes contain potassium, which also needs to be monitored so be sure to read the ingredient labels!

Potassium: This nutrient like sodium, needs to be balanced in your body. In kidney disease, too much potassium can build up leading to heart rhythm complications, so it is important to monitor your potassium! These foods are high in potassium:  Apricots, Artichokes, Avocados, Bananas, Beets, Broccoli, Brussels sprouts, Chard, Cheese, Dates, Dried peas and beans, Grapefruit/grapefruit juice, Greens (beet, collard), Honeydew melon, Ice Cream, Milk, Nectarines, Okra, Oranges/orange juice, Parsnips,  Potatoes,  Prunes/prune juice, Pumpkin, Sweet potatoes, Spinach, Tomatoes/tomato juice, and Vegetable juice. Foods low in potassium include: Apples/apple juice, Applesauce,  Blackberries,  Blueberries, Cabbage,  Carrots,  Cauliflower, Corn, Cranberries/cranberry juice cocktail,  Cucumber,  Eggplant, Fruit cocktail, Grapes/grape juice, Green beans,  Lemon,  Lettuce, Lime, Mushrooms, Onions, Peach (canned), Pear (canned), Pineapple,  Plums, Radishes, Raspberries, Strawberries, Tangerines, Water chestnuts, and Watermelon.

Phosphorous: This nutrient is needed for healthy bones and teeth, and can be found in many foods. In kidney disease, too much phosphorous can lead to itchy skin, bone weakness and breakage, or heart issues. High Phosphorus foods include Bran muffins and cereals, Brown Rice, Cheese, Chocolate, Cola beverages, Custard,  Dried beans and peas, Dried beef, Ice Cream, Milk, Molasses, Nuts and seeds, Oatmeal, Oysters,  Raisins and dates, Salmon, Sardines, Whole wheat breads, and Yogurt.

For more information, check out the American Dietetic Association or the National Kidney Disease Foundation!

Eat Well and Eat Happy!

For the next several weeks,  I am going to talk about each macro-nutrient, what the function of each one is and how much we need.

First, let’s start off with what a macronutrient is for those of you who aren’t nerdy dietetic majors. A macronutrient is a nutrient that we need in high quantities. Carbohydrates, protein, fat, and water are the four macronutrients. All of these nutrients, except for water, have calories- yes we would all love it if that were switched around and fat had no calories.

Protein and carbohydrates have 4 calories per gram and fat has 9 calories per gram. This does not mean that you need to cut fat completely out of your diet- it does mean, however, that fat should be eaten in moderation just like any other food.

Protein is very important to eat (although Americans eat way too much high fat protein). Your body uses protein to build new cells, maintain tissues, and synthesize new proteins. Protein is very important to obtain through your diet. Again moderation is key to consuming protein.

Proteins are made up of chains of amino acids which have to be broken down in the body to be digested. Enzymes (other proteins) do this job. There are 22 different amino acids, nine are essential (you can only get them through diet) and 13 are non-essential (your body can make them from other nutrients like fat, carbohydrates and other amino acids).

Animal protein is the easiest for the human body to absorb, mostly because it is most similar to our bodies. Besides animal protein there is protein in grains, legumes, nuts and seeds. Vegetarians- those that do not consume animal products, can, with a highly regulated diet, still be healthy and get enough protein needs from plant sources.

The problem with animal sources of protein is that they may be high in saturated fat- the kind of fat that your doctor, most likely, tells you to cut down on. Saturated fat is the kind of fat that is responsible for clogging arteries and causing many obesity related health problems. When someone has a heart attack their doctor normally recommends a diet low in saturated fat.

So how do we eat a diet that is low in saturated fat, but also has enough protein? Choosing plant sources is always a good idea, but there are also many animal sources that are low in saturated fat. Knowing which items to pick on a menu as well as at the grocery store is very important.

The following are some lean sources of protein: all are 3 oz. portions

Tilapia- 120 calories, 0 g saturated fat

Salmon 175 calories, 2 g saturated fat

Chicken Breasts 123 calories, 2 g saturated fat

Turkey-white meat 88 calories, 0.75 g saturated fat

SO HOW MUCH PROTEIN DO WE NEED?

An average male or female needs 0.8 grams per kg (divide your weight in pounds by 2.2 to get your weight in kg) of body weight. For example, a 138 pound woman needs about 50 grams of protein per day. A 3 oz. serving of meat has about 21 grams of protein in it so 2-3 servings would be adequate for one day. A 3 oz serving of meat is about the size of a deck of cards. Most restaurant servings are about 6 oz. or larger. The average American has no issue with getting enough protein, it’s what they are eating to get the protein that is a problem.

So get your protein, but try to choose lean animal sources as well as plant sources. Trade in that fatty hamburger for a nice lemon peppered Tilapia fillet. Your body will thank you!

Satiated, not Saturated

April 26th, 2011 | Posted by amy.camenisch in Blog - (0 Comments)

Since I’m on campus for what feels like forever everyday, I am always trying to think of things to eat to fill me up for long amounts of time without overloading on calories.

First, let’s start with the basics. The recommended diet divides your caloric intake like so: 40-60% from carbs, 10-30% from fat (with <10% from saturated fat), and 15-30% from protein. Now, if you want to increase your satiety levels between meals and extra fiber isn’t working for you, try consuming closer to 30% of your calories from protein. Most women need about 1800 calories if they are at least semi-active (which they should be), so this would translate to 540 calories per day from protein. Men on the other hand could get closer to 900, depending on how active they are.

The most effective way to add protein to your diet in such a way to increase satiety is to consume it at breakfast. Add an egg (6g protein/egg…and all in the white), Greek yogurt (14g protein/6 oz in some brands!), low-fat meat, or low-fat milk (1g protein/1oz).

Here are my favorite filling breakfast combos:
1/3 cup oatmeal cooked with water topped with a fried egg and 1 tsp butter (200 calories, ~10 g protein)
6 oz lowfat vanilla Greek yogurt with 1/2 cup bran flakes and a few frozen berries (225 calories, ~8-16 g protein)
1 piece toast topped with 1 tbsp peanut butter + 1 orange or other high-fiber fruit (190-250 calories depending on the type of bread, ~7.5 g protein)

All of these breakfasts combine fiber and protein to keep you going until your lunch break! Try it out!

Protein For Peak Performance

April 18th, 2011 | Posted by Melissa Nodvin in Blog - (0 Comments)

New protein performance studies are questioning whether the old advice we used to give athletes regarding protein amount, timing and type was accurate. (Sorry…don’t blame the messenger!) It’s looking like endurance athletes may benefit from protein-loading and carbo-unloading while strength athletes may need to cut back how much protein they’re packing into their meals.

Read the full article here http://www.appforhealth.com/2011/04/protein-for-performance/