Striking the Balance: Protein Intake in Kidney Disease

What is a kidney-friendly diet & how can you start today?

The Cooking Doc, Blake Shusterman, MD

I'm truly inspired by Dr. Blake Shusterman, and I think you will be too. His compassionate approach as a physician extends beyond patient care to emphasize the importance of healthy eating. Dr. Shusterman's website, The Cooking Doc, is a valuable resource for kidney-friendly cooking. Discover a range of kidney-healthy recipes and tips at The Cooking Doc - Kidney-Healthy Cooking.

Navigating the complexities of kidney disease demands a nuanced understanding of nutrition, particularly when it comes to protein. This vital nutrient is critical in building muscle, repairing tissue, and bolstering the immune system. However, for individuals grappling with kidney disease, the stakes are different, and the approach to protein intake needs careful consideration.

The Protein Paradigm in Kidney Health

For those with kidney disease, the balance of protein consumption is a delicate dance. The impaired kidneys face challenges in eliminating waste products from protein metabolism. Excess protein can exacerbate this issue, accumulating waste in the blood, a condition detrimental to health. Yet, the narrative doesn't endorse a minimal protein diet. An insufficient protein intake harbors its own complications, potentially undermining muscle maintenance, tissue repair, and immune defense.

The key lies in customization. The optimal protein intake for an individual with kidney disease hinges on several factors:

• Body Size: Larger body sizes may necessitate a higher protein intake to support bodily functions.
• Nature of Kidney Disease: The type and severity of kidney impairment can influence protein requirements.
• Proteinuria: The presence and quantity of protein in urine, a common occurrence in kidney disease, also guide dietary adjustments.

Crafting Your Protein Plan

Collaborating with a dietitian or healthcare provider is essential. They can offer a tailored protein recommendation that aligns with your unique health profile and dietary needs. This personalized approach ensures you receive adequate protein to support your body's needs without overburdening your kidneys.

Conclusion: Navigating Nutrition with Kidney Disease

Living with kidney disease requires a thoughtful approach to dietary protein. The goal is maintaining the body's necessary functions without exacerbating kidney damage. By understanding the critical balance of protein intake and collaborating with healthcare professionals, individuals with kidney disease can manage their condition more effectively. The journey might be complex, but with the right knowledge and support, achieving nutritional balance and safeguarding kidney health is within reach.

A World of Beans Awaits

A World of Beans Awaits! Celebrate National Bean Day by exploring a variety of beans and the specialty dishes they inspire. From the hearty black beans to the versatile kidney bean, there's a flavor for every palate!

The nutrition information below is based on 1/2 cup of cooked beans prepared from dry beans. No salt has been added; therefore, sodium levels are insignificant. Beans contain no cholesterol and a small amount of fat. Beans are a great source of fiber, high in potassium, and contain many B vitamins. Beans also provide between 7% to 18% of one's daily iron needs.

All About Beans

U.S. Dry Bean Council

The U.S. Dry Bean Council (USDBC) is a private trade association comprised of leaders in the bean industry with the common goal of promoting the U.S. edible bean trade, both in the United States and abroad, and educating U.S. consumers about the benefits of beans. The USDBC gives a voice to the bean industry and informs consumers, health professionals, buyers, suppliers, and the media about the good taste, nutritional value, and versatility of beans.

The USDBC is also a resource for information on U.S. exporters, overseas importers, U.S. dry bean classes, trade policy issues, and the role of U.S.-grown beans in international food-aid efforts. USDBC also publishes foreign language newsletters and other publications designed to help overseas importers, packagers, and canners better understand and maintain contact with the U.S. dry bean exporting trade.

As part of USDBC's mission, the organization collaborates with public health organizations, research centers, universities, and the entire supply chain, from seed suppliers to farmers, processors, wholesalers, distributors, and transporters.

While the USDBC is privately funded, its representatives work closely with the U.S. Department of Agriculture (USDA) in overseas markets and often co-sponsor activities with the U.S. Government. These activities include hosting trade missions from foreign countries to visit U.S. production and processing facilities, participating in trade shows worldwide, coordinating trade missions of U.S. exporters and growers to visit overseas markets, and producing education.

The USDBC is headquartered in Washington, D.C., with a marketing office in Pierre, South Dakota. In addition, USDBC representatives worldwide facilitate activities and dialog between U.S. and overseas trade.


Benefits
Unlike meat-based proteins, beans are naturally low in fat and are a cholesterol-free source of protein. Research shows that a diet including beans may reduce your risk of heart disease.

A nutrient-rich food, beans contain protein, complex carbohydrates, fiber, antioxidants, and essential vitamins and minerals, such as folate, B vitamins, manganese, potassium, and iron.

Folate, a vitamin essential for pregnant women and their unborn babies, is found in beans. During pregnancy, women need more folate. Expectant mothers who consume enough of the proper nutrients can help reduce the risk of birth defects.

Beans are especially important for people with specific food allergies and intolerances. For example, some people can't tolerate gluten, a natural protein in wheat, barley, and rye. Because beans don't contain gluten or significant allergens found in various grains, substituting beans can help provide the fiber and other nutrients that people on restricted diets may need to include. Beans come in various convenient forms (such as canned beans, bean flour, and dehydrated beans) that can replace allergenic and gluten-containing ingredients.

Recipe Resource
U.S. Dry Bean Council


Black Bean Soup Garnished with

Green Onions

Ensure accurate and cost-effective nutritional analysis for your recipes utilizing an extensive research database and over 35 years of experience. A valuable service for Recipe Bloggers, Media, Cookbook Publishers, Writers, Chefs, and Recipe Websites. Your readers will benefit from the Nutrition information and a Registered Dietitian. Contact: Dietitians-Online.com; Sandra Frank, Ed.D, RDN, FAND at recipenews@gmail.com 954.294.6300

July 3, Eat Beans Day

The nutrition information provided below is based on 1/2 cup cooked beans, prepared from dry beans. No salt has been added, therefore sodium levels are insignificant. Beans contain no cholesterol and a small amount of fat. They are a great source of fiber, high in potassium and contain many of the B vitamins. Beans also provide between 7% to 18% of one's daily iron needs.

All About Beans

US Dry Bean Council

The US Dry Bean Council (USDBC) is a private trade association comprised of leaders in the bean industry with the common goal of promoting the U.S. edible bean trade, both in the United States and abroad, and educating U.S. consumers about the benefits of beans. The USDBC gives a voice to the bean industry and provides information to consumers, health professionals, buyers, suppliers and the media about the good taste, nutritional value and versatility of beans.

The USDBC also is a resource for information on U.S. exporters, overseas importers, U.S. dry bean classes, trade policy issues and the role of U.S.-grown beans in international food-aid efforts. USDBC also publishes foreign language newsletters and other publications designed to help overseas importers, packagers and canners better understand and maintain contact with the U.S. dry bean exporting trade.

As part of USDBC’s mission, the organization collaborates with public health organizations, research centers, universities, and the entire supply chain, from seed suppliers to farmers, processors, wholesalers, distributors and transporters.

While the USDBC is privately funded, its representatives work closely with the U.S. Department of Agriculture (USDA) in overseas markets, and often co-sponsors activities with the U.S. Government. These activities include hosting trade missions from foreign countries to visit U.S. production and processing facilities, participating in trade shows worldwide, coordinating trade missions of U.S. exporters and growers to visit overseas markets and producing education

The USDBC is headquartered in Washington, D.C., with a marketing office in Pierre, South Dakota. In addition, USDBC representatives around the world facilitate activities and dialog between U.S. and overseas trade.


Benefits
Unlike meat-based proteins, beans are naturally low in fat and are a cholesterol-free source of protein. Research shows that a diet including beans may reduce your risk of heart disease.

A nutrient-rich food, beans contain protein, complex carbohydrates, fiber, antioxidants, and important vitamins and minerals, such as folate, B-Vitamins, manganese, potassium and iron.

Folate, a vitamin very important for pregnant women and their unborn babies, is found in beans. During pregnancy, women need more folate. Expectant mothers who consume enough of the right nutrients can help reduce the risk of birth defects.

Beans are especially important for people with certain food allergies and intolerances. For example, some people can’t tolerate gluten, a natural protein present in wheat, barley and rye. Because beans don’t contain gluten, or major allergens found in various grains, substituting beans can help provide the fiber and other nutrients that people on restricted diets may be missing. Beans come in a variety of convenient forms (such as canned beans, bean flours and dehydrated beans) that can be used in place of allergenic and gluten-containing ingredients.


Bean Recipes

Bean Burrito

Black Bean Soup Garnished with

Green Onions

Black Bean Soup Garnished with Green Onions and
Reduced-fat Sour Cream Served in a Sourdough Roll

World Kidney Day - Kidney Health for Everyone Everywhere

Kidney Health for Everyone Everywhere – from Prevention to Detection and Equitable Access to Care

One in ten adults has chronic kidney disease (CKD). The global burden of CKD is increasing and is projected to become the 5th most common cause of years of life lost globally by 2040. Chronic kidney disease is a major cause of catastrophic health expenditure. The costs of dialysis and transplantation consume 2–3% of the annual healthcare budget in high-income countries; spent on less than 0.03% of the total population of these countries. In low-income and middle-income countries, most people with kidney failure have insufficient access to life-saving dialysis and kidney transplantation. 

Crucially, kidney disease can be prevented and progression to end-stage kidney disease can be delayed with appropriate access to basic diagnostics and early treatment. There is a need to increase the awareness of the importance of preventive measures throughout populations, professionals, and policymakers. 

This year, World Kidney Day continues to raise awareness of the increasing burden of kidney diseases worldwide and to strive for kidney health for everyone, everywhere. 

Acute kidney injury (AKI), an important driver of CKD, affects over 13 million people worldwide and 85% of these cases are found in low and middle-income countries (LMICs). Around 1.7 people are estimated to die annually because of AKI.

Moreover, CKD and AKI are important contributors to increased morbidity and mortality from other diseases and risk factors including cardiovascular disease, diabetes, hypertension, obesity, as well as infections such as HIV, malaria, tuberculosis, and hepatitis. Furthermore, CKD and AKI in children, not only lead to substantial morbidity and mortality during childhood but also result in medical issues beyond childhood.

Challenges to kidney health: disparities & access

Despite the growing burden of kidney diseases worldwide, kidney health disparity and inequity are still widespread. CKD and AKI often arise from the social conditions in which people are born, grow, live, work and age including poverty, gender discrimination, lack of education, occupational hazards and pollution among others.

Transplantation is considered the most cost-effective treatment of CKD. However, it has high set up costs with regards to infrastructure and requires highly specialized teams, availability of organ donors and cannot be done without dialysis backup. Physical and legal infrastructure requirements and cultural bias against organ donation often present barriers in many countries, making dialysis the default option.

However, while national policies and strategies for non- communicable diseases (NCDs) in general are present in many countries, specific policies directed toward screening, prevention, and treatment of kidney diseases are often lacking. More than half (53%) of countries that have an overarching NCD strategy in place have no management guidelines or strategy for improving the care of people with CKD (either specifically or within a broader NCD strategy).

What we call for

This year, World Kidney Day sets out to raise awareness of the high and increasing burden of kidney diseases worldwide and the need for strategies for kidney disease prevention and management.

Kidney Health for Everyone Everywhere calls for universal health coverage (UHC) for prevention and early treatment of kidney disease.

The ultimate goal of a UHC policy is to promote population health by ensuring universal, sustainable and equitable access to essential healthcare of high quality, protecting people from health impoverishment and improving equity in health across socioeconomic groups.

Specifically, WKD calls on everyone to advocate for concrete measures in every country to improve kidney care:

• Encourage and adopt healthy lifestyles (access to clean water, exercise, healthy diet, tobacco control. Many types of kidney diseases can be prevented, delayed and/or kept under control when appropriate prevention measures are in place.
• Make screening for kidney diseases a primary healthcare intervention including access to identification tools (e.g. urine and blood tests). Screening of high-risk individuals and early diagnosis and treatment is cost-effective to prevent or delay end-stage kidney diseases.
• Ensure kidney patients receive basic health services they need (e.g. blood pressure and cholesterol control, essential medications) to delay disease progression without suffering financial hardship.
• Call for transparent policies governing equitable and sustainable access to advanced health care services (e.g. dialysis and transplantation) and better financial protection (e.g. subsidies) as more resources become available. Breaking down socioeconomic barriers and expanding access to comprehensive services in order to meet the needs of the population is essential to guarantee equitable kidney care and increase quality.

Resources
1. World Kidney Day
2. The Kidney Foundation of Canada, Kidney Community Kitchen
3. National Kidney Foundation
4. National Institutes of Health, Chronic kidney disease
5. WebMD, Chronic Kidney Disease

6. The Cooking Doc, Blake Shusterman, MD, doctor of nephrology with a passion for food. Shares recipes and tips to help you live a healthy, full life.

World Kidney Day - Kidney Disease in Women

All About the Day

World Kidney Day started in 2006 and celebrated on the second Thursday in March. The mission of World Kidney Day is to raise awareness of the importance of our kidneys to our overall health and to reduce the frequency and impact of kidney disease and its associated health problems worldwide. The 2018 theme is focused on Kidney Disease In Women.

World Kidney Day - Are Your Kidneys OK?

)

More than 600,000 women die every year from chronic kidney disease, the eighth leading cause of death among women. Chronic kidney disease, a progressive condition in which the kidneys are damaged and function reduced, affects 195 million women worldwide. Women face additional risks to their kidney health, specifically during pregnancy, but may be less likely to access treatment such as dialysis and kidney transplantation in some parts of the world.

To mark World Kidney Day and International Women’s Day 2018, the International Society of Nephrology (ISN) and the International Federation of Kidney Foundations (IFKF) highlights the impact of kidney disease on women’s health and the urgent need for targeted, gender-sensitive prevention and treatment throughout the lifecycle of girls and women.

To reduce the risk of kidney disease in women, advocate for strategies targeting the main risk factors through lifestyle changes, patient education and screening:

1. Implement public health policies that support lifestyle changes by facilitating healthy food choices, promoting physical activity and reducing tobacco use.

2. Increase patient awareness of kidney disease through effective patient education.
3. Implement systematic screening for kidney disease risk factors such as diabetes, high blood pressure and obesity in women throughout the life course.

Resources
1. World Kidney Day
2. The Kidney Foundation of Canada, Kidney Community Kitchen
3. National Kidney Foundation
4. National Institutes of Health, Chronic kidney disease
5. WebMD, Chronic Kidney Disease

January 6, National Bean Day

The nutrition information provided below is based on 1/2 cup cooked beans, prepared from dry beans. No salt has been added, therefore sodium levels are insignificant. Beans contain no cholesterol and a small amount of fat. Beans are a great source of fiber, high in potassium and contain many of the B vitamins. Beans also provide between 7% to 18% of one's daily iron needs.

All About Beans

US Dry Bean Council

The US Dry Bean Council (USDBC) is a private trade association comprised of leaders in the bean industry with the common goal of promoting the U.S. edible bean trade, both in the United States and abroad, and educating U.S. consumers about the benefits of beans. The USDBC gives a voice to the bean industry and provides information to consumers, health professionals, buyers, suppliers and the media about the good taste, nutritional value and versatility of beans.

The USDBC also is a resource for information on U.S. exporters, overseas importers, U.S. dry bean classes, trade policy issues and the role of U.S.-grown beans in international food-aid efforts. USDBC also publishes foreign language newsletters and other publications designed to help overseas importers, packagers and canners better understand and maintain contact with the U.S. dry bean exporting trade.

As part of USDBC’s mission, the organization collaborates with public health organizations, research centers, universities, and the entire supply chain, from seed suppliers to farmers, processors, wholesalers, distributors and transporters.

While the USDBC is privately funded, its representatives work closely with the U.S. Department of Agriculture (USDA) in overseas markets, and often co-sponsors activities with the U.S. Government. These activities include hosting trade missions from foreign countries to visit U.S. production and processing facilities, participating in trade shows worldwide, coordinating trade missions of U.S. exporters and growers to visit overseas markets and producing education

The USDBC is headquartered in Washington, D.C., with a marketing office in Pierre, South Dakota. In addition, USDBC representatives around the world facilitate activities and dialog between U.S. and overseas trade.


Benefits
Unlike meat-based proteins, beans are naturally low in fat and are a cholesterol-free source of protein. Research shows that a diet including beans may reduce your risk of heart disease.

A nutrient-rich food, beans contain protein, complex carbohydrates, fiber, antioxidants, and important vitamins and minerals, such as folate, B-Vitamins, manganese, potassium and iron.

Folate, a vitamin very important for pregnant women and their unborn babies, is found in beans. During pregnancy, women need more folate. Expectant mothers who consume enough of the right nutrients can help reduce the risk of birth defects.

Beans are especially important for people with certain food allergies and intolerances. For example, some people can’t tolerate gluten, a natural protein present in wheat, barley and rye. Because beans don’t contain gluten, or major allergens found in various grains, substituting beans can help provide the fiber and other nutrients that people on restricted diets may be missing. Beans come in a variety of convenient forms (such as canned beans, bean flours and dehydrated beans) that can be used in place of allergenic and gluten-containing ingredients.


Bean Recipes

Black Bean Soup Garnished with

Green Onions

Black Bean Soup Garnished with Green Onions and
Reduced-fat Sour Cream Served in a Sourdough Roll