Inadequate awareness among chronic kidney disease patients regarding food and drinks containing artificially added phosphate.

Hyperphosphatemia is an important determinant of morbidity and mortality in patients with chronic kidney disease (CKD). Patients with CKD are advised to consume a low phosphate diet and are often prescribed phosphate-lowering drug therapy. However, commercially processed food and drinks often contai...

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Autores principales:	Yoshiko Shutto, Michiko Shimada, Maiko Kitajima, Hideaki Yamabe, Yoko Saitoh, Hisao Saitoh, Mohammed S Razzaque
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c71582f74aa54044a4e34ff03a2eea45
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spelling	oai:doaj.org-article:c71582f74aa54044a4e34ff03a2eea452021-11-18T08:46:56ZInadequate awareness among chronic kidney disease patients regarding food and drinks containing artificially added phosphate.1932-620310.1371/journal.pone.0078660https://doaj.org/article/c71582f74aa54044a4e34ff03a2eea452013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24236030/?tool=EBIhttps://doaj.org/toc/1932-6203Hyperphosphatemia is an important determinant of morbidity and mortality in patients with chronic kidney disease (CKD). Patients with CKD are advised to consume a low phosphate diet and are often prescribed phosphate-lowering drug therapy. However, commercially processed food and drinks often contain phosphate compounds, but the phosphate level is not usually provided in the ingredient list, which makes it difficult for CKD patients to choose a correct diet. We conducted a survey of the awareness of food/beverages containing artificially added phosphate among CKD patients undergoing hemodialysis. The subjects were 153 patients (77 males and 76 females; average age 56±11 years) who were randomly selected from the Dialysis Center of Hirosaki City, Japan. The subjects were provided with a list of questions. The survey results showed that 93% of the subjects were aware of the presence of high sugar content in soda, whereas only 25% were aware of the presence of phosphate (phosphoric acid) in such drinks. Despite 78% of the subjects being aware of the detrimental effects of consumption of a high phosphate diet, 43% drank at least 1 to 5 cans of soda per week and about 17% consumed "fast food" once each week. We also assessed the immediate effects of high-phosphate containing carbonated soda consumption by determining urinary calcium, phosphate, protein and sugar contents in overnight fasted healthy volunteers (n = 55; average age 20.7±0.3 years old, 20 males and 35 females). Significantly higher urinary calcium (adjusted using urinary creatinine) excretion was found 2 h after consuming 350 ml of carbonated soda compared to the fasting baseline level (0.15±0.01 vs. 0.09±0.01, p = 0.001). Our survey results suggest that CKD patients undergoing hemodialysis are not adequately aware of the hidden source of phosphate in their diet, and emphasize the need for educational initiatives to raise awareness of this issue among CKD patients.Yoshiko ShuttoMichiko ShimadaMaiko KitajimaHideaki YamabeYoko SaitohHisao SaitohMohammed S RazzaquePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 11, p e78660 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yoshiko Shutto Michiko Shimada Maiko Kitajima Hideaki Yamabe Yoko Saitoh Hisao Saitoh Mohammed S Razzaque Inadequate awareness among chronic kidney disease patients regarding food and drinks containing artificially added phosphate.
description	Hyperphosphatemia is an important determinant of morbidity and mortality in patients with chronic kidney disease (CKD). Patients with CKD are advised to consume a low phosphate diet and are often prescribed phosphate-lowering drug therapy. However, commercially processed food and drinks often contain phosphate compounds, but the phosphate level is not usually provided in the ingredient list, which makes it difficult for CKD patients to choose a correct diet. We conducted a survey of the awareness of food/beverages containing artificially added phosphate among CKD patients undergoing hemodialysis. The subjects were 153 patients (77 males and 76 females; average age 56±11 years) who were randomly selected from the Dialysis Center of Hirosaki City, Japan. The subjects were provided with a list of questions. The survey results showed that 93% of the subjects were aware of the presence of high sugar content in soda, whereas only 25% were aware of the presence of phosphate (phosphoric acid) in such drinks. Despite 78% of the subjects being aware of the detrimental effects of consumption of a high phosphate diet, 43% drank at least 1 to 5 cans of soda per week and about 17% consumed "fast food" once each week. We also assessed the immediate effects of high-phosphate containing carbonated soda consumption by determining urinary calcium, phosphate, protein and sugar contents in overnight fasted healthy volunteers (n = 55; average age 20.7±0.3 years old, 20 males and 35 females). Significantly higher urinary calcium (adjusted using urinary creatinine) excretion was found 2 h after consuming 350 ml of carbonated soda compared to the fasting baseline level (0.15±0.01 vs. 0.09±0.01, p = 0.001). Our survey results suggest that CKD patients undergoing hemodialysis are not adequately aware of the hidden source of phosphate in their diet, and emphasize the need for educational initiatives to raise awareness of this issue among CKD patients.
format	article
author	Yoshiko Shutto Michiko Shimada Maiko Kitajima Hideaki Yamabe Yoko Saitoh Hisao Saitoh Mohammed S Razzaque
author_facet	Yoshiko Shutto Michiko Shimada Maiko Kitajima Hideaki Yamabe Yoko Saitoh Hisao Saitoh Mohammed S Razzaque
author_sort	Yoshiko Shutto
title	Inadequate awareness among chronic kidney disease patients regarding food and drinks containing artificially added phosphate.
title_short	Inadequate awareness among chronic kidney disease patients regarding food and drinks containing artificially added phosphate.
title_full	Inadequate awareness among chronic kidney disease patients regarding food and drinks containing artificially added phosphate.
title_fullStr	Inadequate awareness among chronic kidney disease patients regarding food and drinks containing artificially added phosphate.
title_full_unstemmed	Inadequate awareness among chronic kidney disease patients regarding food and drinks containing artificially added phosphate.
title_sort	inadequate awareness among chronic kidney disease patients regarding food and drinks containing artificially added phosphate.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/c71582f74aa54044a4e34ff03a2eea45
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Inadequate awareness among chronic kidney disease patients regarding food and drinks containing artificially added phosphate.

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