Kidney disease patients on dialysis must watch their intake of dietary phosphate so that their blood phosphate levels do not rise. This is important because high blood phosphate levels may cause premature death in dialysis patients. Kidney disease patients also must limit their intake of potassium, because high blood potassium levels can cause sudden death.

One growing source of dietary phosphorus and potassium is through “enhanced” fresh meat and poultry products. These foods are injected with a solution of water with sodium and potassium salts (particularly phosphates) as well as antioxidants and flavorings. While ingesting phosphates and potassium can be dangerous for dialysis patients, there is no requirement that these ingredients be included in nutrition labels. There also have been no studies on the levels of phosphates and potassium contained in fresh meat and poultry products that have been “enhanced.”

Richard Sherman, MD, and Ojas Mehta, DO (University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School), examined the potassium and phosphate content in a variety of “enhanced” and additive-free meat and poultry products available in local supermarkets. They found that products that were labeled as “enhanced” had an average phosphate concentration that was 28% higher than additive-free products, with some products almost 100% higher.

Potassium content was variable. Additive-free products all contained < 387 mg of potassium per 100 gm of protein while 5 of the 25 products with additives that were studied contained at least 692 mg of potassium per 100 gm of protein (maximum 930 mg/100 gm). Most foods with phosphate and potassium additives reported the additives on the labeling; however, 8 of the 25 “enhanced” products included in the study did not list the additives.

“The burden imposed on those seeking to limit dietary phosphorus and potassium could be ameliorated by more complete food labeling by manufacturers,” the authors wrote.

The study was funded by grants from Genzyme, Inc. and Dialysis Clinics, Inc. The authors reported no other financial disclosures.

The article, entitled “Phosphorus and Potassium Content of Enhanced Meat and Poultry Products: Implications for Patients Receiving Dialysis,” will appear online at http://cjasn.asnjournals.org/ on July 23, 2009, doi 10.2215/CJN.02830409.

Source
American Society of Nephrology

Half of women fit into two other categories, the study says, and were found to be the least likely to be leaning toward fat. Both types of women in those groups are concerned about nutrition and like to eat healthy.

“The basic attitude that people have about food is related to the likelihood that they’re at risk for obesity and weight gain,” said researcher Dennis Degeneffe, a study co-author.

The study, which appears in the December issue of the journal Health Education & Behavior, placed 200 women into five groups based on their attitudes about food. The women had an average age of 46, were well-educated (two-thirds had a four-year degree or higher) and 86 percent were white.

The researchers then compared the groups of women by measurements such as percentage of body fat, waist size and body mass index (BMI).

Those deemed to be “concerned about nutrition” (determined to eat well) and “creative cooks” (focused on food for their families) scored the lowest in the weight categories. “Impulsive eaters” and “guilt-ridden dieters” scored the highest, with “busy cooking avoiders” in the middle.

“Women in the middle group tend to lead busy lifestyles and are often preoccupied with other activities and responsibilities, with eating generally taking a back seat,” said Degeneffe, a research fellow at the University of Minnesota’s Food Industry Center.

Cynthia Sass, a registered dietitian and author in New York City, said the categories defined in the study “truly parallel what I see with my clients and women I talk to regarding how food and nutrition fit into their lives.”

“I have found that women who have a big responsibility to take care of their families appear to do less well at taking care of themselves, food-wise,” she said. In some cases, she said, food helps them to feel rewarded and cope with their lives.

She urges them to focus on their own needs “because taking better care of themselves will help them have the physical and emotional wellness they need to continue taking care of their families.”

Treating these kinds of women can be tough, said Lona Sandon, an assistant professor at the University of Texas Southwestern and national spokesperson for the American Dietetic Association. “Health and nutrition may be important to them, but convenience often wins,” she said. “It is very challenging to come up with solutions to help these women lose weight if they are not willing or able to give up something else in their life.”

Health Education & Behavior, a peer-reviewed journal of the Society for Public Health Education (SOPHE), publishes research on critical health issues for professionals in the implementation and administration of public health information programs. For information, contact Laura Drouillard at (202) 408-9804.

Sudo, N, et al. Relationship between attitudes and indicators of obesity for midlife women. Health Education & Behavior 36(6), 2009.

Source: Health Behavior News Service