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: pgustaf3@fairview.orgPhone: 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!