title: [Information about phosphorus additives and nutritional counseling].
abstract: Hyperphosphatemia is a common disorder in patients with chronic kidney disease (CKD) , and may result in hyperparathyroidism and renal osteodystrophy. Hyperphosphatemia also may contribute to deterioration vascular calcification and increase mortality. Hence, correction and prevention of hyperphosphatemia is a main component of the management of CKD. This goal is usually approached both by administering phosphorus binders and by restricting dietary phosphorus (P) intake. Dietary intake of phosphorus (P) is derived largely from foods with high protein content or food additives and is an important determinant of P balance in patient with CKD. Food additives (PO4) can dramatically increase the amount of P consumed in the daily diet, especially because P is more readily absorbed in its inorganic form. In addition, information about the P content and type in prepared foods is often unavailable or misleading. Therefore, during dietary counseling of patients with CKD, we recommended that they consider both the absolute dietary P content and the P-to-protein ratio of foods and meals including food additives.
authors.affiliation: Department of Molecular Nutrition, University of Tokushima Graduate School, Japan.
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Kido
authors.forename: Kengo
authors.initials: K
authors.lastname: Nomura
authors.forename: Shohei
authors.initials: S
authors.lastname: Sasaki
authors.forename: Yuji
authors.initials: Y
authors.lastname: Shiozaki
authors.forename: Hiroko
authors.initials: H
authors.lastname: Segawa
authors.forename: Sawako
authors.initials: S
authors.lastname: Tatsumi
mesh_terms: D005503:Food Additives / Q000009:adverse effects* / Q000592:standards; D006801:Humans; D054559:Hyperphosphatemia / Q000150:complications / Q000209:etiology*; D010758:Phosphorus / Q000008:administration & dosage / Q000009:adverse effects*; D016226:Phosphorus, Dietary / Q000008:administration & dosage / Q000009:adverse effects*; D006435:Renal Dialysis; D051436:Renal Insufficiency, Chronic / Q000209:etiology
chemical_list: D005503:Food Additives; D016226:Phosphorus, Dietary; D010758:Phosphorus