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Fresh meats often contain additives harmful
to Kidney Disease Patients
Newswise — Uncooked meat products enhanced
with food additives may contain high levels
of phosphorous and potassium that are not
discernable from inspection of food labels,
according to a study appearing in an
upcoming issue of the Clinical Journal of
the American Society Nephrology (CJASN).
This can make it difficult for people to
limit dietary phosphorous and potassium that
at high levels are harmful to kidney disease
patients.
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 phosphorous
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.
Founded in 1966, ASN is the world’s largest
professional society devoted to the study of
kidney disease. Comprised of 11,000
physicians and scientists, ASN continues to
promote expert patient care, to advance
medical research, and to educate the renal
community.
ASN also informs policymakers
about issues of importance to kidney doctors
and their patients.
ASN funds research, and
through its world-renowned meetings and
first-class publications, disseminates
information and educational tools that
empower physicians.
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