Limiting the amount of phosphorus in the diet is the first line for management of hyperphosphatemia in chronic kidney disease, and it is therefore important that dietitians have access to accurate data on the phosphorus content of foods. However, food composition datasets have several limitations for use. In this article, Julie Hannah and colleagues describe the limitations of food composition data, and call for further research into this area
Introduction and Aims: Hypertension control is fundamental in the management of CKD. In the general population the DASH diet, advocating an increased intake of fruits, vegetables, low fat dairy and wholegrain foods, while reducing fat and sugar consumption, is supported by robust evidence. However its use is not promoted for individuals with CKD due to concerns that its dietary content will compromise potassium and phosphate management and will result in an excessive intake of protein.We therefore conducted a feasibility study to investigate the safety and acceptability of using the DASH diet in non-diabetic hypertensive patients with stage 3A/B CKD. Methods: Subjects self selected a DASH diet for 5 weeks, including a 1 week run in period to gradually build-up to DASH portions. Blood tests were taken at baseline and regularly during the study period. Dietary intake was assessed using 5-day food diaries at baseline and within the final week of the study. Acceptability was assessed using a questionnaire at the end of the intervention period. Primary outcome measures were to
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