Enhanced meat harmful to kidney disease patients

The term “fresh” meat should be defined. The public doesn’t really know when the animal was killed, how long the meat has been in transit, etc. The following research article states that meat may contain additives which are not on the label. The article warns these products may be harmful to someone suffering from kidney disease, but what if they also contribute to kidney disease? Read on…
Fresh meats often contain additives harmful to kidney disease patients
Phosphorous and potassium ingredients not listed on food labels

Uncooked meat products enhanced with food additives may contain high levels of phosphorous and potassium that are not discernible 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.

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

Research: Soy Protein Beneficial In Type 2 diabetic patients with kidney disease

A diet rich in soy protein appears to have a lasting beneficial effect on the heart, blood vessels and kidneys of people with type 2 diabetes and kidney disease, Iranian researchers report in the journal Diabetes Care.
Researchers found that soy protein consumption had a significant positive impact on cardiovascular risk factors and kidney-related biomarkers among type 2 diabetic patients with kidney disease.

Dr. Leila Azadbakht, of Isfahan University of Medical Sciences, and colleagues followed 41 patients with type 2 diabetes for 4 years. Twenty patients consumed a diet that was 35 percent animal protein, 35 percent textured soy protein and 30 percent vegetable protein.

The remaining 21 patients, who acted as controls, ate a diet that consisted of 70 percent animal protein and 30 percent vegetable protein. These patients received the same medical treatment as the soy group; the only difference was the absence of soy protein.

Compared with controls, patients who ate soy protein showed significantly lower levels of fasting blood sugar, total cholesterol, “bad” LDL cholesterol, and triglycerides.

In addition, circulating C-reactive protein levels, which signal inflammation in the body, were reduced as were levels of well known urinary markers of kidney disease.

Short-term studies have indicated such benefits with soy protein, but the researchers point out that this appears to be the first study that has demonstrated that these effects remain “stable with long-term consumption.”

SOURCE: Diabetes Care, April 2008

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