The “phosphorus pyramid”: a visual tool for dietary phosphate management in dialysis and CKD patients

Phosphorus retention plays a pivotal role in the onset of mineral and bone disorders (MBD) in chronic kidney disease (CKD). Phosphorus retention commonly occurs as a result of net intestinal absorption exceeding renal excretion or dialysis removal. The dietary phosphorus load is crucial since the ea...

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Cyhoeddwyd yn:BMC Nephrol
Prif Awduron: D’Alessandro, Claudia, Piccoli, Giorgina B, Cupisti, Adamasco
Fformat: Artigo
Iaith:Inglês
Cyhoeddwyd: BioMed Central 2015
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Correspondence
Mynediad Ar-lein:https://ncbi.nlm.nih.gov/pmc/articles/PMC4361095/
https://ncbi.nlm.nih.gov/pubmed/25603926
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1186/1471-2369-16-9
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spelling pubmed-43610952015-03-17 The “phosphorus pyramid”: a visual tool for dietary phosphate management in dialysis and CKD patients D’Alessandro, Claudia Piccoli, Giorgina B Cupisti, Adamasco BMC Nephrol Correspondence Phosphorus retention plays a pivotal role in the onset of mineral and bone disorders (MBD) in chronic kidney disease (CKD). Phosphorus retention commonly occurs as a result of net intestinal absorption exceeding renal excretion or dialysis removal. The dietary phosphorus load is crucial since the early stages of CKD, throughout the whole course of the disease, up to dialysis-dependent end-stage renal disease. Agreement exits regarding the need for dietary phosphate control, but it is quite challenging in the real-life setting. Effective strategies to control dietary phosphorus intake include restricting phosphorus-rich foods, preferring phosphorus sourced from plant origin, boiling as the preferred cooking procedure and avoiding foods with phosphorus-containing additives. Nutritional education is crucial in this regard. Based on the existing literature, we developed the “phosphorus pyramid”, namely a novel, visual, user-friendly tool for the nutritional education of patients and health-care professionals. The pyramid consists of six levels in which foods are arranged on the basis of their phosphorus content, phosphorus to protein ratio and phosphorus bioavailability. Each has a colored edge (from green to red) that corresponds to recommended intake frequency, ranging from “unrestricted” to “avoid as much as possible”. The aim of the phosphorus pyramid is to support dietary counseling in order to reduce the phosphorus load, a crucial aspect of integrated CKD-MBD management. BioMed Central 2015-01-20 /pmc/articles/PMC4361095/ /pubmed/25603926 http://dx.doi.org/10.1186/1471-2369-16-9 Text en © D’Alessandro et al.; licensee BioMed Central. 2015 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
institution US NLM
collection PubMed Central
language Inglês
format Artigo
topic Correspondence
spellingShingle Correspondence
D’Alessandro, Claudia
Piccoli, Giorgina B
Cupisti, Adamasco
The “phosphorus pyramid”: a visual tool for dietary phosphate management in dialysis and CKD patients
description Phosphorus retention plays a pivotal role in the onset of mineral and bone disorders (MBD) in chronic kidney disease (CKD). Phosphorus retention commonly occurs as a result of net intestinal absorption exceeding renal excretion or dialysis removal. The dietary phosphorus load is crucial since the early stages of CKD, throughout the whole course of the disease, up to dialysis-dependent end-stage renal disease. Agreement exits regarding the need for dietary phosphate control, but it is quite challenging in the real-life setting. Effective strategies to control dietary phosphorus intake include restricting phosphorus-rich foods, preferring phosphorus sourced from plant origin, boiling as the preferred cooking procedure and avoiding foods with phosphorus-containing additives. Nutritional education is crucial in this regard. Based on the existing literature, we developed the “phosphorus pyramid”, namely a novel, visual, user-friendly tool for the nutritional education of patients and health-care professionals. The pyramid consists of six levels in which foods are arranged on the basis of their phosphorus content, phosphorus to protein ratio and phosphorus bioavailability. Each has a colored edge (from green to red) that corresponds to recommended intake frequency, ranging from “unrestricted” to “avoid as much as possible”. The aim of the phosphorus pyramid is to support dietary counseling in order to reduce the phosphorus load, a crucial aspect of integrated CKD-MBD management.
author D’Alessandro, Claudia
Piccoli, Giorgina B
Cupisti, Adamasco
author_facet D’Alessandro, Claudia
Piccoli, Giorgina B
Cupisti, Adamasco
author_sort D’Alessandro, Claudia
title The “phosphorus pyramid”: a visual tool for dietary phosphate management in dialysis and CKD patients
title_short The “phosphorus pyramid”: a visual tool for dietary phosphate management in dialysis and CKD patients
title_full The “phosphorus pyramid”: a visual tool for dietary phosphate management in dialysis and CKD patients
title_fullStr The “phosphorus pyramid”: a visual tool for dietary phosphate management in dialysis and CKD patients
title_full_unstemmed The “phosphorus pyramid”: a visual tool for dietary phosphate management in dialysis and CKD patients
title_sort “phosphorus pyramid”: a visual tool for dietary phosphate management in dialysis and ckd patients
publisher BioMed Central
container_title BMC Nephrol
publishDate 2015
url https://ncbi.nlm.nih.gov/pmc/articles/PMC4361095/
https://ncbi.nlm.nih.gov/pubmed/25603926
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1186/1471-2369-16-9
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