Low-phosphorus diet: Best for kidney disease

http://www.mayoclinic.com/health/food-and-nutrition/HQ01212 

Question

Low-phosphorus diet: Best for kidney disease?

Why is a low-phosphorus diet useful in managing kidney disease? What foods contain phosphorus?

Answer

from Erik P. Castle, M.D.

The kidneys help regulate the level of phosphorus in your blood. If your kidney function is impaired, eventually you'll likely have elevated phosphorus levels (hyperphosphatemia). In turn, the elevated phosphorus decreases the level of calcium in your blood, which can lead to bone disease.

Often, 800 to 1,000 milligrams (mg) of phosphorus a day is the limit for someone who has kidney disease. Most healthy adults may eat double this amount.

Nearly every food contains some phosphorus, so you can't eliminate all phosphorus from your diet. Generally foods high in protein (some meats, dairy products, beans, legumes, nuts and seeds) are higher in phosphorus. Therefore, unless you're receiving kidney dialysis, you'll be asked to eat smaller quantities of them. Whole grains also are higher in phosphorus, so choose refined ones.

The following list may help you identify which foods to select.

Instead of these higher phosphorus foods:	Choose these lower phosphorus foods:
Milk, pudding or yogurt (from animals and from many soy varieties)	Rice milk (unfortified) or nondairy creamer
Hard cheeses or Neufchatel cheese	Cream cheese or cottage cheese
Ice cream or frozen yogurt	Sherbet or frozen fruit pops
Soups made with higher phosphorus ingredients (milk, peas, beans, lentils)	Soups made with lower phosphorus ingredients (broth- or water-based with other lower phosphorus ingredients)
Whole grains, including whole-grain breads, crackers, cereal, rice and pasta	Refined grains, including white bread, crackers, cereals, rice and pasta
Quick breads, biscuits, cornbread, muffins, pancakes or waffles	Refined (white) dinner rolls, bagels, English muffins or croissants
Peas (fresh green, split, black-eyed), beans (black, garbanzo, lima, kidney, navy, pinto) or lentils	Green peas (canned, frozen), green beans or wax beans
Starchy vegetables: corn, parsnips, pumpkin or sweet potato	Starchy vegetables: potato, rutabaga or winter squash
Other vegetables: artichokes, asparagus, broccoli, mushrooms, peapods (cooked) or spinach	Other vegetables: cabbage, beets, carrots, celery, cucumbers, eggplant, lettuce, peppers, onions, tomatoes or summer squash
Organ meats, walleye, pollock or sardines	Beef, pork, lamb, poultry or other fish
Fats: cream (including fat-free, half and half), sesame butter (tahini) or sour cream	Fats: butter, margarine, mayonnaise, salad dressing, shortening or vegetable oils
Chocolate	Hard candy or gumdrops
Cola soft drinks.                       Lemon-lime soda, ginger ale or root beer...........

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