Dietary phosphorus restriction in dialysis patients: potential impact of processed meat, poultry, and fish products as protein sources.
BACKGROUND
Dietary intake of phosphorus is derived largely from protein sources and is a critical determinant of phosphorus balance in patients with chronic kidney disease. Information about the phosphorus content of prepared foods generally is unavailable, but it is believed to contribute significantly to the phosphorus burden of patients with chronic kidney disease.


METHODS
Analysis of dietary components.


METHODS
We measured the phosphorus content of 44 food products, including 30 refrigerated or frozen precooked meat, poultry, and fish items, generally national brands.


RESULTS
Measured and reported phosphorus content of foods.


METHODS
Phosphorus by using Association of Analytical Communities official method 984.27; protein by using Association of Analytical Communities official method 990.03.


RESULTS
We found that the ratio of phosphorus to protein content in these items ranged from 6.1 to 21.5 mg of phosphorus per 1 g of protein. The mean ratio in the 19 food products with a label listing phosphorus as an additive was 14.6 mg/g compared with 9.0 mg/g in the 11 items without listed phosphorus. The phosphorus content of only 1 precooked food product was available in a widely used dietary database.


CONCLUSIONS
Results cannot be extrapolated to other products. Manufacturers also may alter the phosphorus content of foods at any time. Protein content was not directly measured for all foods.


CONCLUSIONS
Better reporting of phosphorus content of foods by manufacturers could result in improved dietary phosphorus control without risk of protein malnutrition.
Sherman
Richard A
RA
Department of Medicine, Division of Nephrology, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick, NJ 08903, USA. sherman@umdnj.edu
Mehta
Ojas
O
D004044:Dietary Proteins / Q000032:analysis*; D005396:Fish Products / Q000032:analysis*; D005504:Food Analysis / Q000379:methods; D005511:Food Handling; D005515:Food Labeling; D006801:Humans; D007674:Kidney Diseases / Q000628:therapy*; D008460:Meat / Q000032:analysis*; D016226:Phosphorus, Dietary / Q000032:analysis*; D011202:Poultry Products / Q000032:analysis*; D011502:Protein-Energy Malnutrition / Q000517:prevention & control; D006435:Renal Dialysis
D004044:Dietary Proteins; D016226:Phosphorus, Dietary