Phosphate Additives and the Kidney Diet (2024)

Phosphorus is a mineral needed to maintain healthy bones. Functioning kidneys remove extra phosphorus from your blood and prevent high levels of phosphorus that could cause damage to your body. If you have chronic kidney disease (CKD), your kidneys may not properly remove phosphorus from your blood. Monitoring the amount of phosphorus in your diet is an important part of managing CKD.

Phosphate Additives vs. Organic Phosphorus

Inorganic phosphorus, or phosphate additives, is used by the food industry to extend the shelf life of food, to make foods creamier and easier to melt, and to keep powders from clumping. Common foods with phosphate additives include fast food, canned or bottled drinks, spreadable cheeses and processed foods.

Phosphate additives are more easily absorbed than phosphorus from organic sources, where phosphorus is found naturally (e.g., unprocessed meats, nuts and beans). Usually about 40-60 percent of the phosphorus in organic food is absorbed by your body, whereas up to 100 percent of the phosphorus in additives is absorbed by your body.1

High phosphorus levels in your blood can lead to:

  • Itching, red eyes2
  • Calcium-phosphorus deposits in the heart, skin, lungs, blood vessels and other organs2
  • Bone disease2
  • Increased risk of death2

Knowing the amount of phosphorus you're consuming and the source it's coming from may help you monitor a low-phosphorus diet.

Read Your Food Labels

Check your food labels for these most common phosphate additives:

  • Phosphoric Acid
  • Pyrophosphates
  • Polyphosphates
  • Dicalcium phosphate
  • Sodium phosphate

Phosphorus By the Numbers

The typical daily target for a low-phosphorus kidney diet is800 mg to 1,000 mgof phosphorus.1Check the Nutrition Facts on your food labels to get an idea of how much phosphorus you're consuming for your day.

  • Less than 5% Daily Value = 0-50 mg phosphorus = Enjoy2
  • 5-15% Daily Value = 51-150 mg phosphorus = Limit2
  • Greater that 15% Daily Value = 150 mg phosphorus = Avoid2

Talk to Your Dietitian

To learn more about managing your phosphorus levels and kidney disease, consult your dietitian and kidney care team. Find kidney-friendly, low-phosphorus recipes atDaVita.com/Diet.

1.Understanding Sources of Dietary Phosphorus in the Treatment of Patients with Chronic Kidney Disease by Kamyar Kalantar-Zadeh, Lisa Gutekunst, Rajnish Mehrotra, Csaba P. Kovesdy, Rachelle Bross, Christian S. Shinaberger, Nazanin Noori, Raimund Hirschberg, Debbie Benner, Allen R. Nissenson, Joel D. Kopple. CJASN March 2010 vol. 5 no. 3 519-530.

2.Organic and Inorganic Dietary Phosphorus and Its Management in Chronic Kidney Disease by Nazanin Noori,1,2 John J Sims,3 Joel D Kopple,1,2,4 Anuja Shah,1,2 Sara Colman, 5 Christian S Shinaberger,1,4 Rachelle Bross,1,2 Rajnish Mehrotra,1,2 Csaba P Kovesdy,6,7 Kamyar Kalantar-Zadeh

Disclaimer: This article is for informational purposes only and is not a substitute for medical advice or treatment. Consult your physician regarding your specific diagnosis, treatment, diet and health questions.

Phosphate Additives and the Kidney Diet (2024)

FAQs

Is phosphate bad for the kidneys? ›

Over time this can cause an increased risk for heart attack, stroke, or death. Aside from these dangerous effects, studies have also shown that high phosphorus levels may directly harm the kidneys and cause a loss of kidney function. This loss of function increases the risk for kidney failure.

Are phosphate additives bad for you? ›

Common foods with phosphate additives include fast food, canned or bottled drinks, spreadable cheeses and processed foods. High phosphorus levels in your blood can lead to: Itching, red eyes2. Calcium-phosphorus deposits in the heart, skin, lungs, blood vessels and other organs2.

What is the phosphorus restriction for renal diet? ›

How much phosphorus you should get depends on your age, gender, and how much protein you need, but good ranges for people with kidney disease are between 800–1,000 mg/day.

What drinks have phosphate additives? ›

The following are a few foods and beverages that now contain hidden phosphorus:
  • Flavored waters.
  • Iced teas.
  • Sodas and other bottled beverages.
  • Enhanced meat and chicken products.
  • Breakfast (cereal) bars.
  • Nondairy creamers.
  • Bottled coffee beverages.

What are the worst foods for kidney disease? ›

A dietitian may ask that individuals following a renal diet avoid the following foods:
  1. Canned foods. Sodium, a main ingredient of salt, is a natural mineral often found in canned foods in high quantities. ...
  2. Whole wheat bread. ...
  3. Dark-colored drinks. ...
  4. Avocados. ...
  5. Bananas. ...
  6. Oranges and orange juice. ...
  7. Dried fruits. ...
  8. Tomatoes.
Feb 28, 2024

What does phosphate do in the kidneys? ›

The type of phosphorus in your blood is called phosphate. Your kidneys work to balance phosphate and other electrolytes in your blood, which help to balance the fluid levels in your body.

What foods have too much phosphate? ›

High-phosphorus foods to avoid or limit:
  • Dairy foods.
  • Beans.
  • Lentils.
  • Nuts.
  • Bran cereals.
  • Oatmeal.
  • Colas and other drinks with phosphate additives.
  • Some bottled ice tea.
Feb 23, 2015

What foods should I avoid that are high in phosphorus? ›

Limit the phosphorus-rich foods like dried beans, black-eyed peas and organ meats, such as chitterlings/chitlins. Use nondairy creamers and milk substitutes in place of milk in cereals, coffee, and many sauces. Serving size is very important because most foods have phosphorus.

Is tricalcium phosphate bad for the kidneys? ›

Tricalcium phosphate is not a good option for people with kidney disease. When a person has kidney disease, their kidneys are unable to remove phosphorus effectively. This is important because high levels of phosphorus can affect the levels of calcium in the body, sometimes, making bones brittle and weak.

Are eggs high in phosphorus? ›

Because most of the phosphorus is contained in the yolk (586 mg/100 g), the phosphorus-to-protein ratio content of a whole egg is 13.4 mg/g compared to a more desirable ratio of 1.4 mg/g for an egg white [83].

How many eggs can a kidney patient eat per day? ›

Most people with chronic kidney disease need between 60-70 grams of protein a day, which is the amount in about 7 ounces of meat or 10 large eggs. Individual protein needs will vary based on overall calories needs, activity level, and kidney function.

What drinks are bad for the kidneys? ›

Sodas. According to the American Kidney Fund, a recent study suggests that drinking two or more carbonated sodas, diet or regular, each day may increase your risk for chronic kidney disease. Carbonated and energy drinks have both been linked to the formation of kidney stones.

What soda has no phosphate additives? ›

If you drink sodas, diet versions of Sprite®, 7UP®, ginger ale, orange soda, and root beer are phosphorus-free choices. Colas such as Diet co*ke® and Diet Pepsi® contain added phosphorus. Regular sugar-containing sodas are not recommended for a variety of health reasons (USDA and HHS 2015).

What are the worst foods for stage 3 kidney disease? ›

Limit intake of foods with high levels of phosphate or phosphate additives such as organ meats, whole grain breads, processed foods, cola beverages, cheese, dried beans, liver, peanut butter, dairy products and chocolate. 5. Monitor your potassium levels.

What can a kidney patient eat for breakfast? ›

Whole foods that aren't overly processed are generally a good idea for your kidney-friendly breakfast.
  • Whole grain cereal, bagel, bread, or English muffin.
  • Oatmeal.
  • Fresh fruit such as a bowl of cut strawberries, sliced cucumber, or diced bell peppers.
  • Plant-based choices like almond milk, peanut butter, and chia seeds.

What organ does phosphate affect? ›

Too much phosphorus is generally caused by kidney disease or by consuming too much dietary phosphorus and not enough dietary calcium. Several studies suggest that higher intakes of phosphorus are associated with an increased risk of cardiovascular disease.

How is phosphate related to kidney disease? ›

In Chronic Kidney Disease (CKD) the kidneys fail to excrete the phosphorus and the result is a positive phosphorus balance. However, the skeleton through the disorders of the bone that accompany CKD, contributes to this hyperphosphatemic state as it can not handle the phosphorus excess.

What happens when you have too much phosphate? ›

But if your phosphate levels are too high, it can remove calcium from your bones, which makes them brittle. It can also cause calcium deposits in your eyes, lungs, heart and blood vessels, which increase your risk of heart attack, stroke and death over time.

How much phosphorus is too much for kidney disease? ›

For those with CKD and elevated serum phosphorus, usual intakes of phosphorus may be too high and dietary restriction may be needed. A common restriction is 800 mg/day. There also may be health benefits for healthy people to decrease phosphorus intake below their current intake.

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