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Eating Yourself Healthy Paige Gustafson, RD, LD Pediatric Renal Dietitian University of Minnesota Amplatz Childrens Hospital.

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Presentation on theme: "Eating Yourself Healthy Paige Gustafson, RD, LD Pediatric Renal Dietitian University of Minnesota Amplatz Childrens Hospital."— Presentation transcript:

1 Eating Yourself Healthy Paige Gustafson, RD, LD Pediatric Renal Dietitian University of Minnesota Amplatz Childrens Hospital

2 Contact Information Expertise – Newborns to young adults with chronic kidney disease, hypertension, dialysis dependence, feeding issues, nutrition support needs, or help with weight management Phone:

3 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

4 What should I eat?

5 Fiber Found in whole grain products, fruits, vegetables Helps maintain regularity, satiety AgeAdequate Intake 1-3 years19 grams per day 4-8 years25 grams per day Boys: 9-13 years31 grams per day years38 grams per day Girls: 9-13 years26 grams per day years26 grams per day Pediatric Nutrition Care Manual. AND 2012

6 Vitamin D Important for bones – specifically absorbing calcium and phosphorus 400 International Units per day Fish, eggs, fortified milk (& other products), cod liver oil Sun exposure Supplements

7 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 = mg – 8 oz Alternative ways to boost energy: Daily physical activity better sleep + healthy eating

8 Be active! Promotes healthy weight, positive mood, & muscle strength (including your heart and bones) Ages 6-17 = 60 minutes of PA daily Include muscle/bone strengthening activity like climbing and jumping Ages 18 & above = 30 minutes of PA 5 times per week For weight maintenance

9 The Kidney diet Renal diet = Low potassium: 1500 mg Low phosphorus: 1000 mg Low sodium: 2000 mg Food labels typically listed as %daily value Sodium = 2400 mg Potassium = 3500 mg Phosphorus = 1000 mg

10 Sodium 1 teaspoon of table salt = 2300 mg sodium ; mg sodium 480 mg sodium per 1 cup 204 mg sodium per 1 slice

11 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 Sodium-Table/dp/B0005YM0UYhttp://www.amazon.com/Morton-Lite-Salt- Sodium-Table/dp/B0005YM0UY

12 Phosphorus Dairy – cheese, milk, yogurt, ice cream, pudding Whole grains Beans & Legumes – peanut butter, nuts, seeds; Tofu, hummus Colas, Dr. Pepper Chocolate Phosphorus additives in processed & convenience foods

13 Alternatives Rice, soy milk Jelly sandwiches Root beer, orange soda, grape soda, lemon-lime Vanilla candies, cookies, cakes Phosphorus binders – Tums (calcium carbonate), PhosLo

14 Potassium Dairy, fruits, vegetables (& meats) High potassium foods to avoid/limit: Milk Oranges, bananas, melons, kiwi, mango, avocado, dried fruit, raisins Tomatoes (sauces, ketchup), potatoes (white and sweet), cooked greens like spinach, squash mg 925 mg 380 mg

15 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

16 Websites Choosemyplate.gov SuperTracker Myfitnesspal.com Calorieking.com Davita.com Renal diet recipes Culinarykidneycooks.com Cooking For David

17 Other Technology KidneyDiet app iPhone, iPad, Android

18 Transplant No added salt diet (Regular) Healthy diet – whole grains, variety of fruits/vegetables, limited fat/sugars Protein Help 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 Calcium Goal 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!!

19 Thank you!


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