CaloriesHeader 

1. Calories – kcal need – to keep your body running

  • Too much calories intake leads to weight gain
  • Too little leads to weight loss AND loss of muscle mass
    Daily Need 14-16 kcal/pound (Standard Body Weight/ Adjusted Body Weight)

Example:  

  1. The person that weighs 150 pounds will need 

    2040-2380 kcal per day

  1. The person that weighs 250 pounds, but the ideal weight for that person would be 150 pounds, will need: 2450kcal 

*(From equation: Adjusted body weight= 0.25*(250-150)+150= 175

*Equation Adjusted Body Weight= 0.25 (Actual Body Weight – Ideal Body Weight) + Ideal Body Weight

ProteinHeader

2. Protein needs

Daily Need At least 0.55 g / pound (1.2 g/kg) (Standard Body Weight/ Adjusted Body Weight)

Example: 

  1. A person that weighs 150 pounds will need 82.5gm/day
  2. A person that weighs 250 pounds, but the ideal weight for that person would be 150 pounds, will need: 92.25 g

* (From equation: Adjusted body weight= 0.25*(250-150)+150= 175

*Equation Adjusted Body Weight= 0.25 (Actual Body Weight – Ideal Body Weight) + Ideal Body Weight

Food Serving size Protein in g Daily Value (for 80g protein) Phosphorus Potassium
Atlantic cod 4 oz 26 32% 156 276
See bass 4 oz 20 20% 230 250
Lobster 4 oz 22 27% 210 260
Shrimp 4 oz 15 19% 277 128
Sardines 4 oz 28 35% 556 450
Scallops 4 oz 23 28% 483 356
Clams 4 oz 17 21% 225 52
Crab 4 oz 20 25% 225 52
Halibut 4 oz 26 32% 325 599
Yellow fin tuna 4 oz 21 26% 265 661
Salmon 4 oz 25 31% 214 326
Oysters 4 oz 11 14% 183 190
Chicken breast 3 oz 26 32% 219 332
Tofu 5 oz 10 13% 53 66
Egg White 1 3.6 4.5% 5 54
Oats 0.5 cup 13 16% 816 669
Low-fat Cottage Cheese 1 cup 24 30% 339 282
Greek Yogurt 1 cup 11 14% 353 359
Quinoa 1 cup 8 10% 281 318
Lentils 1 cup 18 23% 356 731
Black Beans 1 cup 15 19% 241 611
Lima Beans 1 cup 15 19% 209 955
Tempeh 3 oz 15 19%

*Calculations are made by using USDA nutrition database following and Diet Recommendations:  ESRD vs CKD vs Post-Transplant https://www.kidney.org/professionals/guidelines/guidelines_commentaries The Kidney Disease Outcome Quality Initiatives (K/DOQI) Nutrition Guidelines.

FluidHeader.jpg

  1. Fluids 

Anything liquid at room temperature counts (including ice cream and gelatin)

Daily Need This number should be determined by your physician, based on remaining kidney function

The fluid isn’t only in your water, coffee, smoothie… you consume a large amount of fluid from your meals like soups, yogurts, stew, jello, canned fruits, etc. 

Examples:  

Food Amount of Fluid In Fl oz 
Watermelon (1 cup) 118 ml 4 oz
Peaches (1 cup) 114 ml 3.85 oz
Strawberries (1 cup) 115 ml 3.88 oz
Tomato Soup (2 cups) 200 ml 6.76 oz
Plain Yogurt (1 container) / Ice Cream 145 ml 4.9 oz
Cucumber (1 cup) 128 ml 4.33 oz

*Calculations are made by using USDA nutrition database following and Diet Recommendations:  ESRD vs CKD vs Post-Transplant https://www.kidney.org/professionals/guidelines/guidelines_commentaries The Kidney Disease Outcome Quality Initiatives (K/DOQI) Nutrition Guidelines. 

SodiumHeader

  1. Sodium 
  • Regulates the amount of water in the body 
  • Eating too much salt can: increase thirst, increase blood pressure, retain fluid, overwork heart and lungs  
Daily Need Under 2300 mg – one tablespoon of salt or less 

REMEMBER: Salt is in everything, even when you don’t see it or even taste it. 

Amount of Salt in Home Cooked meals: 

Food Serving Size Sodium Level Daily Value % 
Burger 1 whole burger 800 mg 40%
Cheese Pizza 1 slice 500 mg 25%
Pasta Bolognese 2 cups 600 mg 30%
Lasagna 8.8 oz 380 mg 19%

While buying ready to eat meals, and going to the restaurant, remember to read labels or nutrition information provided by the restaurant. 

Amount of Salt in the Fast Food meals examples:  

Food Sodium Level  Daily Value %
Southwest Salad with Grilled Chicken (McDonald) 1070 mg 53.5%
Turkey Breast Sandwich on 9-grain wheat bread (Subway) 650 mg 32.5%
Veggie lower slice on the thin crust (Pizza Hut) 800 mg 40%
Grilled chicken sandwich (Chick-fil-A) 1350 mg 67.5%

Amount of Salt in Snacks examples: 

Snack  Sodium Level  Daily Value %
Chips (around 30g) 210 mg  10.5%
Pretzels (around 30g) 422 mg  21.1%
Clif Bar (one bar) 140 mg 7%
Hummus (around 30g) 135 mg 6.75%

*Calculations are made by using USDA nutrition database following and Diet Recommendations:  ESRD vs CKD vs Post-Transplant https://www.kidney.org/professionals/guidelines/guidelines_commentaries The Kidney Disease Outcome Quality Initiatives (K/DOQI) Nutrition Guidelines. 

Hidden High Sodium Food: 

Food Sodium Level  Daily Value %
Ham (3 oz) 1117 mg 55.85%
Pickle (1 oz) 241 mg 12.05%
Soy Sauce  (1 tablespoon) 1024 mg 51.2%
Low-sodium soy sauce  600 mg  30%
Ketchup  (¼ cup) 321 mg 16.05%
Canned vegetables (½ cup) 310 mg  15.5%
Jerky and other dried meat (1 oz) 620 mg  31%
Bagels (one bagel) 400 mg  20%

*Calculations are made by using USDA nutrition database following and Diet Recommendations:  ESRD vs CKD vs Post-Transplant https://www.kidney.org/professionals/guidelines/guidelines_commentaries The Kidney Disease Outcome Quality Initiatives (K/DOQI) Nutrition Guidelines. 

PotassiumHeader

  1. Potassium 
Daily Need 2000 – 3000 mg 

 

Low Potassium Food (less than 200mg per serving) – 10% of DV

Fruits (one serving equals ½ cup fresh or 1 small piece of fruit) Vegetables (one serving equals ½ cup cooked or 1 cup raw)
Apple, Apple Juice and Sauce Alfalfa sprouts
Apricot Nectar Asparagus
Berries Bamboo Shoots
Cherries Beans green or yellow
Cranberry Juice Cabbage
Fig Carrots
Fruit Cocktail Cauliflower
Grapes (17 small) and Grape Juice Celery
Grapefruit (½ large) Corn
Grapefruit Juice Cucumber
Lemon/Lime Eggplant
Peach Leeks Lettuce
Pear Mustard greens
Pineapple and Pineapple Juice Okra
Plum Onions
Raspberries Peppers
Tangerine Radishes
Watermelon Water chestnuts

High Potassium Food (more than 200mg per serving)

Fruits (one serving equals ½ cup fresh or 1 small piece of fruit) Potassium mg  (Daily Value)
Banana  (whole) 362 14.50%
Dried Fruits ( 1 cup) 500+
Melon (1 cup) 309 12.30%
Kiwi (1 cup) 562 22.50%
Mango (1 cup) 277 11%
Nectarines (1 cup) 314 12.50%
Oranges (1 small) 174 7%
Papaya (1 cup) 286 11.40%
Pomegranate (1 cup) 205 8.20%
Prunes (1 cup) 796 31.80%
Vegetables (one serving equals ½ cup cooked or 1 cup raw) Potassium Level Daily Value
Artichoke (1 cup) 240 9.60%
Avocado (1 whole) 807 32.30%
Bamboo shoots (can) 210 8.40%
Beet greens (1 cup) 290 11.60%
Broccoli (1 cup) 410 16.40%
Brussels sprouts (1 cup) 247 9.90%
Dried Beans and peas
Parsnips (1 cup)
Potatoes (1 cup) 499 20%
Pumpkin (1 cup) 256 10.20%
Rutabagas (1 cup) 564 22.50%
Spinach (1 cup) 518 20.70%
Summer Squash (1 cup)
Sweet Potatoes (1 cup) 202 8.10%
Swiss Chard (1 cup)
Tomatoes (1 cup) 950 38%
Turnips (1 cup)
Winter Squash: Acorn ( 1 cup) 961 38.50%

*Calculations are made by using USDA nutrition database following and Diet Recommendations:  ESRD vs CKD vs Post-Transplant https://www.kidney.org/professionals/guidelines/guidelines_commentaries The Kidney Disease Outcome Quality Initiatives (K/DOQI) Nutrition Guidelines. 

PhosphorusHeader

  1. Phosphorus
Daily Need 10- 12 mg / g protein

Example: 

  • for a person who weighs 150 pounds will need: protein 82.5g and phosphorus 825mg
  • for a person who weighs 250 pounds will need: protein 92g and phosphorus 920 mg

*Equation Adjusted Body Weight= 0.25 (Actual Body Weight – Ideal Body Weight) + Ideal Body Weight

Sources of Phosphorus:

  • Meat products
  • Milk products
  • Whole grains, nuts, beans, chocolate

Added Phosphorus:

  • Dark sodas, flavored water, iced teas
  • Processed food, fast food, ‘instant’ food

Amount of Phosphorus in Fish: 

Food Phosphorus (mg) Daily Value (for person who needs 82g protein- 820 mg phos)
Atlantic Cod (1 fillet) 248 30.2%
Lobster (1 cup) 268 32.7%
Shrimp (1 cup) 878 107%
Sardines (one can, or one large sardine) 451 55%
Scallops (3 large) 396 48.3%
Clams (1 cup) 449 54.8%
Crab (1 cup) 316 38.5%
Halibut (large fillet, 8 oz) 481 58.7%
Salmon (fillet, 7 oz) 449 54.8%
Oysters (5 medium) 405 49.4%

Amount of Phosphorus in Meat :

Food Phosphorus (mg) Daily Value (for a person who needs 82g protein- 820 mg phos)
Chicken (large breast) 937 114%
Turkey (6 oz) 391 47.7%
Pork (3 oz) 188 22.9%
Organ Meats (3 oz) 344 42%

Amount of Phosphorus in Dairy: 

Food Phosphorus (mg) Daily Value (for a person who needs 82g protein- 820 mg phos)
Romano Cheese (1oz) 246 30%
Cottage Cheese 164 20%

*Calculations are made by using USDA nutrition database following and Diet Recommendations:  ESRD vs CKD vs Post-Transplant: https://www.kidney.org/professionals/guidelines/guidelines_commentaries The Kidney Disease Outcome Quality Initiatives (K/DOQI) Nutrition Guidelines