Literature DB >> 19628683

Phosphorus and potassium content of enhanced meat and poultry products: implications for patients who receive dialysis.

Richard A Sherman1, Ojas Mehta.   

Abstract

BACKGROUND AND OBJECTIVES: Uncooked meat and poultry products are commonly enhanced by food processors using phosphate salts. The addition of potassium and phosphorus to these foods has been recognized but not quantified. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We measured the phosphorus, potassium, and protein content of 36 uncooked meat and poultry products: Phosphorus using the Association of Analytical Communities (AOAC) official method 984.27, potassium using AOAC official method 985.01, and protein using AOAC official method 990.03.
RESULTS: Products that reported the use of additives had an average phosphate-protein ratio 28% higher than additive free products; the content ranged up to almost 100% higher. Potassium content in foods with additives varied widely; additive free products all contained <387 mg/100 g, whereas five of the 25 products with additives contained at least 692 mg/100 g (maximum 930 mg/100 g). Most but not all foods with phosphate and potassium additives reported the additives (unquantified) on the labeling; eight of 25 enhanced products did not list the additives. The results cannot be applied to other products. The composition of the food additives used by food processors may change over time.
CONCLUSIONS: Uncooked meat and poultry products that are enhanced may contain additives that increase phosphorus and potassium content by as much as almost two- and three-fold, respectively; this modification may not be discernible from inspection of the food label.

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Year:  2009        PMID: 19628683      PMCID: PMC2723964          DOI: 10.2215/CJN.02830409

Source DB:  PubMed          Journal:  Clin J Am Soc Nephrol        ISSN: 1555-9041            Impact factor:   8.237


  15 in total

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2.  Hidden sources of phosphorus in the typical American diet: does it matter in nephrology?

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Journal:  Semin Dial       Date:  2003 May-Jun       Impact factor: 3.455

3.  Dietary habits and counseling focused on phosphate intake in hemodialysis patients with hyperphosphatemia.

Authors:  Adamasco Cupisti; Claudia D'Alessandro; Rita Baldi; Giuliano Barsotti
Journal:  J Ren Nutr       Date:  2004-10       Impact factor: 3.655

4.  Dietary phosphate restriction and protein intake in dialysis patients: a misdirected focus.

Authors:  Richard A Sherman
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6.  Phosphorus-containing food additives and the accuracy of nutrient databases: implications for renal patients.

Authors:  Catherine M Sullivan; Janeen B Leon; Ashwini R Sehgal
Journal:  J Ren Nutr       Date:  2007-09       Impact factor: 3.655

7.  Dietary phosphorus restriction in dialysis patients: potential impact of processed meat, poultry, and fish products as protein sources.

Authors:  Richard A Sherman; Ojas Mehta
Journal:  Am J Kidney Dis       Date:  2009-04-19       Impact factor: 8.860

Review 8.  Phosphorus balance with daily dialysis.

Authors:  Laura Kooienga
Journal:  Semin Dial       Date:  2007 Jul-Aug       Impact factor: 3.455

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  36 in total

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Review 2.  Sodium- and phosphorus-based food additives: persistent but surmountable hurdles in the management of nutrition in chronic kidney disease.

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3.  Contribution of food additives to sodium and phosphorus content of diets rich in processed foods.

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Journal:  J Ren Nutr       Date:  2014-01       Impact factor: 3.655

4.  Prevalence and correlates of hyperkalemia in a renal nutrition clinic.

Authors:  Claudia D'Alessandro; Andrea Cumetti; Erica Pardini; Claudia Mannucci; Piera Serio; Riccardo Morganti; Adamasco Cupisti
Journal:  Intern Emerg Med       Date:  2020-05-07       Impact factor: 3.397

5.  The adequacy of phosphorus binder prescriptions among American hemodialysis patients.

Authors:  Anne M Huml; Catherine M Sullivan; Janeen B Leon; Ashwini R Sehgal
Journal:  Ren Fail       Date:  2012-09-26       Impact factor: 2.606

6.  Interaction of time-varying albumin and phosphorus on mortality in incident dialysis patients.

Authors:  Emanuel Zitt; Claudia Lamina; Gisela Sturm; Florian Knoll; Friederike Lins; Otto Freistätter; Florian Kronenberg; Karl Lhotta; Ulrich Neyer
Journal:  Clin J Am Soc Nephrol       Date:  2011-09-08       Impact factor: 8.237

Review 7.  Nutrient Non-equivalence: Does Restricting High-Potassium Plant Foods Help to Prevent Hyperkalemia in Hemodialysis Patients?

Authors:  David E St-Jules; David S Goldfarb; Mary Ann Sevick
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8.  Effect of Neighborhood Food Environment and Socioeconomic Status on Serum Phosphorus Level for Patients on Chronic Dialysis.

Authors:  Vishnu S Potluri; Deirdre Sawinski; Vicky Tam; Justine Shults; Jordana B Cohen; Douglas J Wiebe; Siddharth P Shah; Jeffrey S Berns; Peter P Reese
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9.  The prevalence of phosphorus-containing food additives in top-selling foods in grocery stores.

Authors:  Janeen B León; Catherine M Sullivan; Ashwini R Sehgal
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Review 10.  Phosphate and FGF-23 homeostasis after kidney transplantation.

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Journal:  Nat Rev Nephrol       Date:  2015-09-29       Impact factor: 28.314

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