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ritaegolf > Intel > Dialysis and Nutrition

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Dialysis and Nutrition

By Rita Egolf

As a dialysis patient, I thought of sharing my knowledge and some info and recipes
about dialysis and nutrition.

Our bodily functions relies on having enough energy and proper nourishment.
Our nutrition plays a very important role, to ensure a properly functionable immune and
defense system. Therefore is this very important for a dialysis patient to cover his/her
individual calorie and protein needs.

Our body daily needs energy

If we have too little energy, we lose weight. During chronic illnesses our body
first reduces our muscle-depot. This means that our personal body-protein is getting
used to act as a "energy-burner".

How to recognize nutritional deficiency

One cannot measure the nutritional condition only by body weight, mostly it shows within
the active muscle structure. A reliable source to obtain the nutritional conditional is testing
the albumin with a serum/blood test. Albumin is a protein-builder that quickly gives info about
the muscle-structure or an improvement of the nutritional condition.

When the nutritionlal condition gets worse, patients often shows signs of bodily-weakness and
reduced strength. They may have difficulty in going up stairs or walk distances they are
used to.

Info

Please pay attention to a proper protein intake:

* Have a warm meal daily with meat, fish, curd or egg
* On your dialysis day please ensure a sufficient protein intake
* It is very difficult to obtain the daily requirement of protein with a vegetarian diet

Protein: the muscle builder

During the dialysis the body gets cleansed with the artifical-kidney. There are different
forms of dialysis :
Hemodialyis ( 3 x per week)
Peritoneal dialysis (everyday)
Unfortunately during this process, the body also loses a part of the important proteins.

Tips

On starting your dialysis you may not feel like eating fish or meat.

* Marinate fish/meat one hour before preparation with lemon juice.
* Prepare sweet-sour dishes, this boost the appetite
* Use curd for your dips with potatoes and vegetables
* Reward yourself after the meal with a curd-dessert
* If you have too little protein in the afternoon, combine dinner with fish
(herring or tuna salad) or egg (fried egg with ham). Breakfast also has
a lot of delicious possibilites (fried eggs with sweet dill-vinaigrette).

Suggested protein intake for dialysis patients:

- With Hemodialysis - (1 - 1,2 g protein per kg bodyweight)
i.e. 1 -1,2g protein x 70 kg bodyweight = 70 - 84 gr protein daily

- With Peritoneal - (1 - 1,3 g protein per kg bodyweight)
i.e. 1 -1,3 g protein x 70 kg bodyweight = 84 - 91 gr protein daily

Recipe

Herb-dip with Cream cheese

Ingredients:

150 g double cream
150 g cream cheese
pepper
juice and skin of 1/2 untreated lemon
1 x bunch of fresh herbs (parsley, borage, dill, burnet)

Preparation:
Mix the double cream and cream cheese till creamy.
Add pepper/lemon juice and skin. Stir in the herbs.

Per portion:

Cal: 272 kcal
protein: 5 g
Carbs 2 g (0BE)
Fat: 27 g
phospate: 5 %
phosphorous: 6%
pp 16

Tip: instead of fresh herbs, you can also use frozen herbs. Dip goes well with
meatballs or grilled meat.

Contributed by ritaegolf on October 23, 2010, at 4:52 AM UTC.

PLEASE VISIT THE CONTRIBUTOR'S WEBSITE
Rita's Blog
updating friends and family with news
ritae.ch

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Comments

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Great intel Rita. Thanks for sharing this with us.

Gina

prican02 Oct 27, 2010 08:54
Very interesting, I had no idea dialysis patients get an aversion to protein.

nick Oct 27, 2010 11:41

CONTRIBUTOR'S REPLY

Yes, strange .. but true - I still cannot see meat at the moment - my husband slowly try with chicken dishes. Thanks for your interest
Rita

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This intel was contributed by ritaegolf


ritaegolf

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