Does the type of protein matter for CKD? Plant based 🌱 or omnivore diet for kidney disease?


Hi there! It’s Mathea Ford with Renal
Diet HQ and today I wanted to do a quick live on whether the type of protein that
you eat matters in chronic kidney disease, whether you should focus on a
plant-based diet or something that is omnivore using animal protein so I
wanted to make a cup about a couple things and one of them is that the
kidney diet restrictions for chronic kidney disease prior to dialysis your
protein limitation is typically from stage three to stage five 0.8 grams of protein per kilogram of body weight. So, you need to figure out
how many kilograms you weigh and then multiply that by 0.8 and that gives you
the total grams of protein. Most of the time on a label you will find grams of
protein listed so just overall for that if you’re on dialysis it’s usually
double that so it might be like 1.5 to o1.6 grams of protein per kilogram and that’s because you’re losing a lot when you do dialysis
you lose a decent amount of protein so it’s important to replenish that. So, that
was number one. Number 2, I wanted to remind you that lots of foods have
proteins so you may be thinking about protein products as things like meat or
fish maybe even cheese and dairy or milk and those do have protein. You also have
beans and legumes, you have pasta and bread so the wheat flour in those
products and other types of flours have protein things like quinoa have protein.
So, you can get protein from lots of sources. Vegetables can have protein you
know a small amount but if you’re counting all of it it’s important to pay
attention. So, the third thing is that when you’re thinking about protein that
you eat you need to kind of divide it in half and make sure that you’re getting
at least half of your protein from high biological value proteins. So, those are
things like your milk or your animal sources if not animal sources at least
good sources of protein in a vegan diet which might beans and legumes but just make sure that you’re getting about half of your
protein from that and then the rest of your protein you’re going to get in other
places in your diet like vegetables or pasta or those types of products so. Okay,
so you kind of have a contrast – do you do omnivore or do you do plant-based,
vegetarian. So, vegetarian protein sources again to remind you those are like beans
legumes depending on what type of vegetarian you’re talking about it can
be milk and dairy products and those are when you eat a vegetarian or a
plant-based diet you’re less likely to do protein overload and that is because
when you are getting your protein from beans, legumes, milk, cheese those products have other parts to them so a piece of animal meat may only have protein and
some fat whereas like beans and legume have fiber, they have carbs, they have
protein so you’re going to get full and you’re not going to want to eat as much of
that. An ounce of beans still has the same amount of protein as an ounce of
beef or animal product but you also got in that several grams of fiber and
carbohydrate and that’s going to help you to feel more full so people don’t
tend to overload on the protein on that diet on doing plant-based. If you’re
concerned about phosphorus on dialysis or later stages of kidney disease,
phosphorus amounts in foods you need to be aware that when it’s organic so the type that’s just naturally in the food so beans, legumes have organic phosphorus in them that is not absorbed as readily and in your body so you only absorb
maybe 50% of that whereas your inorganic phosphates or your animal product
phosphates. Animal product phosphates tend to be absorbed at the 80 to 90
percent range and inorganic which is just added phosphorus which you would
find on your label and you’d see the word Phos in there. That type of
phosphorus is absorbed at like 95 percent or higher so when you’re eating
plant-based products you see that they have a little bit more
phosphorus but they don’t necessarily didn’t necessarily absorb as much of
that because of the components of the plant-based diet. Again, your potassium
amounts vary I would encourage you not to restrict potassium unless you have a
high potassium blood level and I talked about that in the labs course that’s
getting ready to come up out here in October but it’s really important to
restrict sodium and protein amounts but not necessarily other labs unless you
have a reason to. And also it’s found that protein-based
plant sources when eaten have a lower and create less inflammation in your
body so you don’t get a reaction to that as far as an inflammation affects your
albumin levels which are your nutritional status but it also affects
your kidneys and everything else so you want to have lower inflammation levels. Animal-based diet so your meat, your chicken, your poultry, your fish those are
all going to be things that you about an ounce of meat is about 7 grams of
protein so typically you can eat you know 4 to 6 ounces of protein a day
but you’re going to make sure that you watch your portion size on those just to
be really cautious. Animal-based products are something
that we’re used to eating but you may want to eat less of them so you may want
to start doing things where you’re combining them with other sources of
nutrients like you may make a casserole with some meat and vegetables and
pasta versus just eating a piece of meat or eating a hamburger so it kind
of makes it more filling of the meal. The phosphorus and other CKD-MBD which is
Chronic Kidney Disease Mineral Bone Disease Labs are improved with a
plant-based diet and they don’t find that same improvement with a
animal-based diet. So, as of right now the recommendation is moving towards more
plant-based but what I would tell you is that you should consider what you’re
going to eat. So, if you are totally against being a vegetarian
or you’re like I can’t stand to not eat meat then what you may want to do is
pick a day of the week where you do a plant-based meal that day and have that
as your vegetarian meal of the week and see how you can incorporate that into
other things so instead of always having meat at two meals a day you may want to
consider having meat at one meal and more of a vegetarian plant-based diet at
the other meal so that you can kind of work it in and have that balance and
that will reduce your inflammation, reduce your reactions and give you less
phosphorus get you a little less protein but I would recommend that you certainly
do that and I also on my blog I wanted to tell you that I have a couple
plant-based recipes one for like a Bean Burrito and another one for some couple
things so I’m going to put those in the links below the video and when I’m done
and I want to encourage you to try to add a little bit more plant-based meals
to your diet. If you’re already eating mostly plant-based then I would really
encourage you to continue with that but just make sure that you’re trying to
watch the amount of animal protein that you eat and total protein that you eat
just to help reduce the effects of your renal diet. Thank you.

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