Renal Vegetarian Nutrition PDF

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RD Resources for Consumers:

Vegetarian Diets in Chronic Kidney Disease


Whether you are lacto-ovo vegetarian Nutrients of Special Concern
or vegan, your food choices can be
adapted to a diet designed for kidney Protein
disease management. About two-thirds of protein in your meal plan should come
from a variety of high quality protein sources. Below are the
Research shows that a plant-based diet may slow best sources of high quality plant proteins, including lacto-
down some complications of chronic kidney ovo choices. Choose a variety of three or more different
disease such as heart disease, protein loss in protein choices each day. Soy protein has been shown to be
urine and the progression of kidney damage. beneficial with chronic kidney disease. Try to include at least
Treatment for kidney disease includes a meal one soy choice in your diet daily.
plan that will help lower the levels of protein,
potassium, sodium, fluid and phosphorus in High Quality Protein Sources
your body. Carefully following a meal plan that
Lower Phosphorus Higher Phosphorus
meets your individual needs will help keep
Eggs Cheese
nutrients in your blood at normal levels, lessen
Cottage cheese* Cooked, dried beans and peas
the amounts of fluids your body retains and
Meat analogues Edamame
prevent bone loss. (such as veggie burgers)* Milk
Seitan Nut butters
There is no one diet that is right for everyone
Unsalted natto (fermented Soy milk
with kidney disease. And, your individual soybeans)
meal plan will change over time. Your doctor Yogurt
Tofu
and registered dietitian will determine the Unsalted nuts
levels of protein, potassium, sodium fluid and *These foods may contain higher amounts of sodium.

phosphorus that your meal plan should provide. Source: Nutrition Care Manual
Your dietitian will explain your meal plan and Phosphorus
provide food lists along with cooking and Phosphorus often needs to be limited, even if blood
shopping information. phosphorus levels are normal. Some vegetarian options
such as milk, cheese, yogurt, dried cooked beans and nuts
are high in phosphorus. These foods should not exceed
recommended amounts. Since phosphate additives found
in dark carbonated beverages and commercial iced teas are
highly absorbed, other beverage choices are recommended
on a low phosphorus diet.
RD Resources for Consumers: Vegetarian Diets in Chronic Kidney Disease

Potassium Fluid
Your doctor or dietitian will let you know if you Fluid usually does not need to
need to avoid fruits and vegetables that are high in be restricted unless you are in
potassium. Listed below are some examples. end stage kidney disease. Fluid is
defined as anything liquid at room
temperature, such as water, tea,
Examples of high Examples of high coffee, soda, gelatin, ice cream and
potassium vegetables potassium fruits
sherbet. Follow your doctor’s or
Avocado Apricots
dietitian’s instructions regarding
Beets Banana fluid intake.
Brussels sprouts Honeydew melon
Greens (collard, beet, chard, etc.) Nectarines Vitamins and Minerals
Potatoes Orange
Discuss vitamin and mineral supplements with your
Pumpkin Orange Juice doctor and dietitian. A vitamin, and possibly mineral,
Spinach Prune Juice supplement may be beneficial when following a diet
Sweet potatoes modified in potassium, phosphorus and protein.
Tomatoes An over the counter
Tomato and vegetable juice multivitamin may be adequate
Winter Squash for your needs. Also, be
sure to let your doctor and
Source: Nutrition Care Manual dietitian know about any
dietary supplements or herbal
Sodium products that you are taking.
All foods contain sodium however, processed and
canned foods have higher amounts. If you rely on More information
processed vegetarian food, you may be consuming Consult with a Registered Dietitian (RD) for a
too much sodium. personalized meal plan and nutrition guidance.
Visit www.eatright.org and click
Examples of High Sodium Foods on Find a Registered Dietitian to
find an RD in your area.
Convenience foods: Meat analogues, examples:
Frozen meals Veggie burgers
Canned or dried soups Tofu hot dogs
Canned beans Frozen meal entrée
Resources
Canned vegetables with American Dietetic Association. Nutrition Care Manual®.
salt added Condiments: http://nutritioncaremanual.org. Accessed February 10, 2010.
Vegetable miso Soy and teriyaki sauces Avery-Grant, A.  Eating Meatless on Dialysis: A Guide for the Adult
Hemodialysis Patient, 1999
Processed cheese Salt, including sea salt
Hogan Brookhyser, Joan. Vegetarian Diet for Kidney Disease
Salted snack foods Garlic, onion and seasoned salts Treatment, 2009

RD Resources are a project of the Vegetarian Nutrition Dietetic Practice Group. More topics available at
www.VegetarianNutrition.net. Professional resources also available for members at www.VNDPG.org. © 2010 by VN DPG.
Written by: Joan Brookhyser Hogan, RD, CSR, CD
Expires April 2015.

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