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Dr. Kathulapali Krishna

Consultant - Nephrology

Manipal Hospitals, Hebbal

Preventing Kidney Disease Progression Through Diet

Posted On: Jun 14, 2024
blogs read 5 Min Read
Preventing Chronic Kidney Disease Through Health Diet

Kidney disease is a silent killer, with no symptoms or indicators appearing until late stages. If you have chronic renal disease, you should be cautious of your diet because your kidneys are unable to remove waste and liquid from your body as efficiently as they should. Mindful eating and a kidney-friendly diet can assist you stay healthy for longer. Learn about the best foods to consume for kidney health.

 

Why Is a Healthy Diet Important for Chronic Renal Disease?

All of us need to make good eating choices, but those who have chronic kidney disease (CKD) need to make these choices even more.   

Good nutrition helps to: 

  • Perform your daily tasks 
  • Prevent infection 
  • Build muscle mass 
  • Help maintain a healthy weight 
  • Keep your kidney disease from getting worse.

Dietary Steps to Support Kidney Health

The following dietary tips will help you maintain healthy kidneys:

1. Select and cook foods that have less salt and sodium

  • Less salt and sodium manage your blood pressure. Your diet should contain no more than 2,300 mg of salt daily. 
  • Cut down on foods that contain hidden sodium, such as salty meat, processed food, snacks, canned soups, salted sauces and sauces, as most of them contain high sodium.
  • Look for salt on the Nutrition Facts label of food products. A daily value of 20% or higher indicates that the item is rich in salt.
  • Before consuming canned products, rinse them with water. 
  • Have spices, herbs, and sodium-free seasonings instead of salt.

You can add the following spices and herbs to make your food taste good

 

2. Consume the appropriate amount and type of protein

 

Excessively high protein intake can strain kidneys with existing problems. You can get protein from animals and plants.

Some good sources of protein are-

Animal-protein foods:

  • Chicken
  • Fish
  • Lean meat
  • Eggs
  • Dairy

Plant-protein foods:

  • Beans
  • Nuts
  • Grains

3. Opt for heart-healthy foods

Heart-healthy foods prevent the accumulation of fat in your blood vessels, heart, and kidneys.

  • You can choose cooking methods like grilling, broiling, baking, roasting, or stir-frying instead of deep frying.
  • Use nonstick cooking spray or olive oil in place of butter.
  • Limit intake of saturated and trans fats by reading food labels.

Some heart-healthy food choices include:

  • Lean cuts of meat such as loin or round
  • Skinless poultry
  • Fish
  • Legumes like beans
  • Assorted vegetables and fruits
  • Low-fat or fat-free dairy products like yoghurt, milk, and cheese

4. Less phosphorus-containing meals 

Less phosphorus aids in keeping your blood vessels and bones safe. When you have CKD, phosphorus can accumulate in your blood. Your bones become thin, fragile, and more prone to breaking when there is an excess of phosphorus in your blood, which pulls calcium out of them. High levels of phosphorus can cause bone and joint pain and itchy skin.

  • Packaged goods contain a lot of phosphorus. Check ingredient labels for terms that start with "PHOS" or for phosphorus. 
  • Some fresh meats and poultry can also have added phosphorus.

Foods Lower in Phosphorus

  • Fresh fruits and vegetables
  • Rice milk
  • Corn and rice cereals
  • Lemon-lime or homemade green tea

Foods Higher in Phosphorus

  • Meat, poultry, fish
  • Bran cereals and oatmeal
  • Dairy foods
  • Beans, lentils, nuts

5. Have the right amount of Potassium

Potassium supports healthy neuron and muscle function. Too high or too low blood potassium levels might cause issues. Potassium can accumulate in the blood due to damaged kidneys, which can lead to cardiac disorders. If necessary, you can reduce your potassium level by choosing particular foods and drinks.

Here are the foods high in potassium:

  • Potatoes, tomatoes
  • Oranges, bananas, and orange juice
  • Brown rice
  • Bran cereals
  • Dairy foods
  • Beans and nuts

These are the recommended food categories you can add to your diet

 

Food Category

Best Choice Of Foods

Low-Sodium Options

Apples, berries, grapes, peaches

 

Fresh vegetables: carrots, cucumbers, zucchini

 

Herbs and spices: basil, oregano, garlic powder

 

Unsalted nuts and seeds: almonds, walnuts, sunflower seeds

 

Low-sodium canned beans or legumes, kidney beans, chickpeas

 

Plain rice and pasta: white rice, whole wheat pasta

Protein Sources

Skinless poultry: chicken breast, turkey

 

Fish (salmon, trout, tuna): fresh or frozen

 

Eggs: boiled, poached, scrambled

 

Low-fat dairy products (milk, yoghurt, cheese): choose unsweetened options

 

Plant-based proteins: lentils, tofu, edamame

Heart-Healthy Choices

Lean cuts of meat (trimmed fat): pork loin, sirloin steak

 

Olive oil for cooking: use in moderation

 

Whole grains: brown rice, quinoa, whole wheat bread

 

Fresh fruits and vegetables (rich in antioxidants): spinach, kale, oranges

 

Low-fat or fat-free milk and dairy products: limit intake if advised

Low-Phosphorus Foods

Applesauce, apple juice: unsweetened

 

Berries: strawberries, blueberries, raspberries

 

Cabbage, cauliflower, bell peppers: fresh or lightly cooked

 

Rice milk (unenriched): check phosphorus content

 

Cereals with lower phosphorus content: check labels

 

Carrots, green beans, broccoli: cooked until tender

 

Cooked rice, wheat cereals: limit portion sizes

Fluids

Water: stay hydrated as per recommendations

 

Herbal teas (without added potassium): chamomile, peppermint

 

Lemon-lime drinks: homemade with fresh lemon or lime

 

Homemade green tea: brewed without added sugars

 

Limited coffee and tea: consult with the healthcare provider

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

People with renal disease must limit their consumption of phosphorus, sodium, and potassium. At times, people may also need to restrict their protein consumption. As nutritional demands and limits fluctuate during the disease, it is essential to consult with a doctor before making any dietary adjustments. They will assist you in developing a personalised diet.

FAQ's

Protein breakdown creates urea, a waste product that the kidneys filter. If kidneys are stressed, urea builds up, causing nausea and loss of appetite.

Some foods have potassium additives. These additives can contribute a significant amount of potassium to your diet. They are listed on the food label and are called potassium chloride, potassium sorbate, or potassium lactate. Many companies use potassium chloride when making sodium-reduced products. You must learn how to read labels.

No, following a healthy diet alone cannot eliminate the need for dialysis treatments if your kidneys have already failed. However, a healthy diet plays a crucial role in managing kidney disease and can significantly improve your quality of life.

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