Author: Leo
Key words: nephropathy
Hyperphosphatemia and renal bone disease, is a common complication of kidney disease, affecting the lives of patients with a large number of kidney disease. Dietary control of phosphorus in kidney disease prevention and treatment process is particularly important. It is recommended to choose food from CKD early to reduce phosphorus intake.
✓ theory we all understand, operation is not so simple
In clinical practice and real life, how to guide the patient is very challenging.
Usually ask the patient to understand the phosphorus content in the food, phosphoprotein ratio, etc., to help the food choice. However, often spend a lot of time, the effect is unsatisfactory.
How to quickly and effectively carry out patient education, is a lot of clinical care and nutritionists have been exploring the topic.
✓ New ideas, phosphorus pyramid, help food selection
The Py Pyramid is a visual tool designed to present the phosphoric acid load of various foods and to guide the patient's choice of food.
Pyramid is divided into six layers, taking into account the food phosphorus content, phosphorus protein ratio, phosphorus absorption rate and other factors.
level one
Food containing phosphorus additives
Including cola, processed meats, processed cheeses
Should be avoided as much as possible
Second floor
Phosphorus content is very high food
Including nuts, egg yolk, hard cheese
Suggested no more than 2-3 copies per month
the third floor
Phosphoprotein has a higher proportion of food
Including turkey, internal organs (liver, brain)
And shrimp, squid, salmon and soft cheese
Suggested intake is 1 per week
The fourth floor
Phosphoprotein is relatively low in animal food
Including lamb, rabbit, ham or fish
Suggest no more than 1 per day
Fifth floor
Plant food
Including cereals (white bread, pasta, rice, corn, etc.)
Or beans (peas, beans, soybeans, etc.).
Recommended intake is 2-3 copies per day
The sixth floor
Very low phosphorus content or very low utilization of food
Including vegetables, fruits, sugar, oil, low protein food
Will not affect the blood phosphorus
✓ Phosphorus reduction tips, boiling water boiled
Studies have shown that boiling boil can reduce food in the phosphorus, vegetable phosphorus reduced by 51%, 48% reduction in leguminous phosphorus, meat, phosphorus decreased by 38%.
It is gratifying that the reduction in protein in boiling water is negligible, resulting in lower levels of phosphoprotein than food.
✓ patient education, the effect is remarkable
The effective reduction of serum phosphorus decreased by 0.72 mg / dL after effective intervention, and increased to 1.07 mg / dL when education intervention lasted for more than four months.
Effective patient education is also one of the important means to reduce serum phosphorus levels in patients with nephropathy.
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