Fast food, phosphorus-containing additives, and the renal diet

Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation
Srilekha SarathyAshwini R Sehgal

Abstract

Fast food is commonly consumed by hemodialysis patients, but many menu items are not compatible with renal diets because of their sodium, potassium, or phosphorus content. Moreover, the phosphorus content of fast foods is difficult for patients to estimate, because phosphorus-containing additives are commonly added to many fast foods. We sought to determine how many fast-food entrees and side dishes are compatible with renal diets. We examined nutrition-facts labels and ingredient lists provided by 15 fast-food chains. Each entree and side dish was first assessed according to traditional criteria (limited sodium, potassium, and naturally occurring phosphorus content), and then according to the presence of a phosphorus -containing additive. Of 804 total entrees across all restaurants, 415 (52%) were acceptable according to traditional criteria, but only 128 (16%) were also free of phosphorus-containing additives. Of 163 total side dishes, 37 (23%) were acceptable according to traditional criteria, and 27 (17%) were also free of phosphorus-containing additives. There were no acceptable entrees at 3 chains, and no acceptable side dishes at 5 chains. Only a small proportion of fast-food entrees and side dishes are compatible with r...Continue Reading

References

May 1, 1990·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·E G Lowrie, N L Lew
Sep 1, 2005·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Maurizio BossolaGiovanna Luciani
Jun 26, 2007·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Saud ButtAshwini R Sehgal

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Citations

Jul 20, 2013·American Journal of Public Health·Joyce MaaloufRobert Merritt
Jul 25, 2009·Clinical Journal of the American Society of Nephrology : CJASN·Richard A Sherman, Ojas Mehta
Feb 14, 2016·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·David E St-JulesMary Ann Sevick
Feb 14, 2013·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Janeen B LeónAshwini R Sehgal
Oct 13, 2009·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Richard A Sherman, Ojas Mehta
Apr 21, 2009·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Richard A Sherman, Ojas Mehta
Jun 9, 2015·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Jemma McCutcheonMegan Rossi
Feb 26, 2015·Clinical Kidney Journal·Giorgina Barbara PiccoliPaolo Avagnina
Apr 24, 2016·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Laura Arentz
Jul 30, 2016·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Annabel BirueteKenneth R Wilund
Mar 12, 2017·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Catherine M SullivanAshwini R Sehgal
Mar 19, 2014·JPEN. Journal of Parenteral and Enteral Nutrition·Alison L Steiber
Aug 15, 2018·American Journal of Hypertension·Robert E OlivoJulia J Scialla
Jul 18, 2009·Clinical Journal of the American Society of Nephrology : CJASN·Jaime Uribarri
Jun 15, 2017·Annual Review of Nutrition·Alex R Chang, Cheryl Anderson
Dec 31, 2020·Nutrients·Angela VidalMariano Rodríguez
Mar 30, 2021·Clinical Kidney Journal·Paula EsquinasIgnacio Lopez

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