Revising Dietary Phosphorus Advice in Chronic Kidney Disease G3-5D.

Fiona N Byrne, Barbara Gillman, Mairead Kiely, Maria Bowles, Pauline Connolly, Joyce Earlie, Jean Murphy, Theresa Rennick, Emer O' Reilly, Frances Shiely, Patricia Kearney, Joseph Eustace

Journal: Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation 2021;31(2):132-143

PMID: 32586712

Full Text on Elsevier Science View on PubMed

Abstract

We summarize how practicing dietitians combined available evidence with clinical experience, to define revised dietary recommendations for phosphorus in chronic kidney disease G3-5D. As well as a review of the evidence base, 4 priority topics were reviewed. These were translated into 3 nutrient level recommendations: the introduction of some plant protein where phosphorus is largely bound by phytate; consideration of protein intake in terms of phosphorus load and the phosphorus to protein ratio; and an increased focus on avoiding phosphate additives. This review summarizes and interprets the available evidence in order to support the development of practical food-based advice for patients with chronic kidney disease.

Address: Department of Nutrition & Dietetics, Cork University Hospital, Cork, Ireland; Department of Renal Medicine, Cork University Hospital, Cork, Ireland; Health Research Board, Clinical Research Facility, Cork, Ireland. Electronic address: [email protected].; Department of Nutrition & Dietetics, Mater Misericordiae University Hospital, Dublin, Ireland.; School of Food and Nutritional Sciences, University College Cork, Cork, Ireland.; Department of Nutrition & Dietetics, University Hospital Limerick, Limerick, Ireland.; Department of Nutrition & Dietetics, Cavan General Hospital, Cavan, Ireland.; Beacon Renal, Sandyford & Tallaght, Dublin, Ireland.; Department of Nutrition & Dietetics, Midland Regional Hospital, Tullamore, Ireland.; Food Safety Authority of Ireland, Dublin, Ireland.; Health Research Board, Clinical Research Facility, Cork, Ireland; School of Public Health, University College Cork, Cork, Ireland.; School of Public Health, University College Cork, Cork, Ireland.; Department of Renal Medicine, Cork University Hospital, Cork, Ireland; Health Research Board, Clinical Research Facility, Cork, Ireland.

DOI: 10.1053/j.jrn.2020.04.003