Eating Yourself Healthy Paige Gustafson, RD, LD Pediatric Renal Dietitian University of Minnesota Amplatz Children’s Hospital
Nov 08, 2014
Eating Yourself Healthy
Paige Gustafson, RD, LDPediatric Renal Dietitian
University of Minnesota Amplatz Children’s Hospital
Contact Information
Expertise – Newborns to young adults with chronic kidney disease,
hypertension, dialysis dependence, feeding issues, nutrition support
needs, or help with weight management
Email: [email protected]: 612-273-3740
Objectives
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
Found in whole grain products, fruits, vegetables
Helps maintain regularity, satiety
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 26 grams per day
14-18 years 26 grams per day
Pediatric Nutrition Care Manual. AND 2012
Vitamin D
Important for bones – specifically absorbing calcium and phosphorus
400 International Units per dayFish, eggs, fortified milk (& other
products), cod liver oilSun exposureSupplements
Caffeine
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
Alternative ways to boost energy:Daily physical activity better sleep +
healthy eating
Be active!
Promotes healthy weight, positive mood, & muscle strength (including your
heart and bones)
Ages 6-17 = 60 minutes of PA dailyInclude muscle/bone strengthening activity like
climbing and jumping
Ages 18 & above = 30 minutes of PA 5 times per week
For weight maintenance
The “Kidney” diet
Renal diet =Low potassium: 1500 mgLow phosphorus: 1000 mg Low sodium: 2000 mg
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
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
1086 mg sodium
480 mg sodium per 1 cup
204 mg sodium per 1 slice
Salt Substitutes
Good = Mrs. Dash, herbs/spices without the word “salt”
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-Salt-Sodium-Table/dp/B0005YM0UY
Phosphorus
Dairy – cheese, milk, yogurt, ice cream, pudding
Whole grainsBeans & Legumes – peanut butter,
nuts, seeds; Tofu, hummusColas, Dr. PepperChocolatePhosphorus additives in processed &
convenience foods
Alternatives
Rice, soy milk Jelly sandwichesRoot beer, orange soda, grape soda,
lemon-lime Vanilla candies, cookies, cakes
Phosphorus binders – Tums (calcium carbonate), PhosLo
Potassium
Dairy, fruits, vegetables (& meats)High potassium foods to avoid/limit:
MilkOranges, bananas, melons, kiwi, mango,
avocado, dried fruit, raisinsTomatoes (sauces, ketchup), potatoes (white
and sweet), cooked greens like spinach, squash
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/
425 mg 925 mg380 mg
Lower Potassium Choices
Fruits Apples Berries Grapes Peaches Pears Watermelon Pineapple Rhubarb
Vegetables Asparagus Beets Broccoli Carrots, cooked Cauliflower Celery Corn Cucumber Lettuce
Cucumber Green beans Mushrooms Peppers Peas Zucchini Spinach
Websites
Choosemyplate.gov SuperTracker Myfitnesspal.com Calorieking.comDavita.com Renal diet recipesCulinarykidneycooks.com Cooking
For David
Other Technology
KidneyDiet appiPhone, iPad, Android
http://www.kidneydiet.com/iphoneipad.htm
Transplant
No added salt diet (Regular)Healthy diet – whole grains, variety of fruits/vegetables,
limited fat/sugars
ProteinHelp 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
CalciumGoal intake of 1500 mg Calcium via supplement and/or from
foods such as milk, cheese, yogurt, fish with small bones
Fluid Dependent on weight – aim to keep making urine!!
Thank you!