Is pizza OK for kidneys?

The wide variety of ingredients found in pizza, including the crust and toppings, can be a significant source of phosphorus, potassium, and sodium in the diets of renal patients. Cheese, tomato-based sauces, and vegetable toppings may contribute to life-threatening hyperkalemia.

jrnjournal.org - Can Pizza Fit in to the Renal Diet? A Review of the Phosphorus ...

What chocolate I can Eat everyday?

So, out of all dark chocolate is the healthiest type of chocolate because it does not contain sugar and has the highest amount of cocoa. Excessive...

Last updated Mar 21, 2020

How much turmeric is too much?

High doses of turmeric and curcumin are not recommended long-term since research confirming their safety is lacking. However, the World Health...

Last updated Nov 30, 2020

Promotion

1 Barrett L. Pizza Power 2013 State of the Industry Report. 2 Rhodes D.G.

Adler M.E.

Clemens J.C.

LaComb R.P.

Moshfegh A.J. Consumption of pizza: What We Eat in America, NHANES 2007-2010. Food Surveys Research Group Dietary Data Brief No. 11. February 2014. 2 Rhodes D.G.

Adler M.E.

Clemens J.C.

LaComb R.P.

Moshfegh A.J. Consumption of pizza: What We Eat in America, NHANES 2007-2010. Food Surveys Research Group Dietary Data Brief No. 11. February 2014. 1 Barrett L. Pizza Power 2013 State of the Industry Report. Pizza is one of the most widely consumed foods in the United States.According to “What We Eat in America,” the dietary interview component of the NHANES 2007 to 2010, approximately 13% of Americans are eating pizza on any given day.In addition, pizza can account for as much as 25% of the day's energy requirements and is a top contributor to sodium in the typical American diet.Pizza sales at chain restaurants are growing, but according to industry reports, frozen pizza sales are also up in the United States.With these foods trending among the general population, should we as renal dietitians expect that our patients will indulge?

3 Byham-Gray L.

Stover J.

Wiesen K. A Clinical Guide to Nutrition Care in Kidney Disease. 3 Byham-Gray L.

Stover J.

Wiesen K. A Clinical Guide to Nutrition Care in Kidney Disease. Although most renal dietitians do not encourage their patients to eat pizza, it is probably realistic to assume that at some point pizza will find its way to the tables of our patients. The wide variety of ingredients found in pizza, including the crust and toppings, can be a significant source of phosphorus, potassium, and sodium in the diets of renal patients. Cheese, tomato-based sauces, and vegetable toppings may contribute to life-threatening hyperkalemia. Cheese and preservatives in meat toppings and dough additives may contribute to high serum phosphorus levels. Elevated serum phosphorus in renal patients may cause long-term renal bone disease and coronary artery calcification.In addition, the high sodium content of many pizza ingredients may contribute to increased thirst and interdialytic fluid gains in dialysis patients as well as dangerous increases in blood pressure. The role of the renal dietitian is to educate patients regarding the safest and healthiest food options for their medical condition, in other words, recommending the “best” options for their patients. Often the dietitian will recommend a “fresh food” approach or focus on homemade options which may or may not be realistic for many renal patients. Sometimes, however, the dietitian must recommend the “not as bad” option, especially with pizza, to continue to provide realistic counseling for patients navigating the real world of family reunions, date nights, grandkids' birthday parties, and late night pizza cravings. Many more motivated patients will read food package labels before purchasing or eating an item, but often these food labels are incomplete and do not include phosphorus or potassium content. Some patients may even determine if there is nutrient information available online before heading out to a restaurant or may use a smart phone app such as the KidneyDiet® application (Pain Free Living, Inc., Whitby, Canada) to look up nutrient information. Some nutrient databases are available that list all data per 100 g of food product, which is probably more helpful to the food and nutrition professional than to the patient or consumer. The US Department of Agriculture Food and Nutrition Database is an excellent source of information for both frozen and restaurant pizza products and was used primarily for the purposes of this article. It lists a variety of nutrient contents including the most currently available information on phosphorus, potassium, and sodium content of pizzas. In addition, one can toggle back and forth between various serving sizes including a standard slice, a whole pie, and a 100-g serving, whichever is the most useful. Serving sizes were shown to vary widely. The serving sizes for frozen pizza tended to be bigger than those for restaurant products and even among restaurant pizza; the sizes of the slices varied from the traditional wedge serving to small square slices. Products like thin crust pizza with few or no toppings weighed less overall than a thicker crust pizza with “the works” on it. Information on ingredients of various pizza brands was obtained from the company or manufacturer Web sites. 4 Statista. Sales of the Leading 10 Frozen Pizza Brands of the United States in 2013. http://www.statista.com/statistics/189650/top-frozen-pizza-brands-in-the-united-states. Accessed December 19, 2014. Table 1 Pizza Comparison Chart: Frozen Brand, Type of Pizza, Size of Slice Phosphorus (mg Per Slice) Potassium (mg Per Slice) Sodium (mg Per Slice) Added Phosphate DiGiorno, cheese rising crust, 1/4 of pizza = 183 g ∗ Pizza slices are shown as both a fraction and by weight in grams for comparison purposes. 441 359 1274 Yes DiGiorno cheese thin crust, 1/4 of pizza = 161 g 380 375 815 No DiGiorno pepperoni rising crust, 1/4 of pizza = 207 g 466 439 1538 Yes DiGiorno pepperoni stuffed crust, 1/4 of pizza = 179 g 483 320 1348 Yes DiGiorno pepperoni thin crust, 1/4 of pizza = 145 g 309 389 961 No DiGiorno supreme rising crust, 1/4 of pizza = 227 g 479 477 1616 Yes DiGiorno supreme thin crust, 1/4 of pizza = 155 g 290 431 860 Yes Freschetta Brick Oven 3 meat medley, 1/5 of pizza = 131 g N/A 250 960 Yes Freschetta Brick Oven 5 Italian cheese, 1/4 of pizza = 144 g N/A 200 930 Yes Freschetta Brick Oven chicken club, 1/4 of pizza = 155 g N/A 230 830 Yes Freschetta Brick Oven mushroom/spinach, 1/5 of pizza = 128 g N/A 260 610 Yes Freschetta Brick Oven pepperoni/Italian cheese, 1/5 of pizza = 129 g N/A 220 930 Yes Freschetta Brick Oven zesty Italian supreme, 1/5 of pizza = 132g N/A 210 780 Yes Freschetta Naturally Rising 4 cheese medley, 1/5 of pizza = 148 g N/A 260 900 No Freschetta Naturally Rising Canadian bacon/pineapple, 1/6 of pizza = 130 g N/A 220 760 Yes Freschetta Naturally Rising classic supreme, 1/6 of pizza = 146 g N/A 270 910 No Freschetta Naturally Rising Margherita, 1/6 of pizza = 129 g N/A 240 710 No Freschetta Naturally Rising meat medley, 1/6 of pizza = 136 g N/A 270 930 Yes Freschetta Naturally Rising sausage/pepperoni, 1/6 of pizza = 139 g N/A 290 920 No Freschetta Naturally Rising signature pepperoni, 1/6 of pizza = 129g N/A 250 870 No Kashi mushroom trio/spinach, 1/3 of pizza = 113 g 132 210 663 No Kashi roasted vegetable, 1/3 of pizza = 116 g 132 210 633 No Kashi, Margherita, 1/3 of pizza = 113 g 139 231 633 No Kashi, Mediterranean, 1/3 of pizza = 120 g 193 202 637 No Newman's Own BBQ chicken, thin crust, 1/3 of pizza = 133 g N/A N/A 750 No Newman's Own 4 cheese medium crust, 1/4 of pizza = 135 g N/A N/A 700 No Newman's Own Buffalo chicken, thin crust, 1/3 of pizza = 132 g N/A N/A 580 No Newman's Own supreme medium crust, 1/4 of pizza = 145 g N/A N/A 790 No Newman's Own uncured pepperoni medium crust, 1/4 of pizza = 134g N/A N/A 860 No Red Baron, 4 cheese, classic Crust, 1/4 of pizza = 149 g N/A 180 780 No Red Baron, 4 meat, classic crust, 1/4 of pizza = 154 g N/A 240 890 Yes Red Baron, 5 cheese, thin crust, 1/3 of pizza = 139 g N/A 230 840 No Red Baron, pepperoni, classic crust, 1/4 of pizza = 146 g N/A 210 860 No Red Baron, pepperoni, thin crust, 1/3 of pizza = 149 g N/A 270 1020 No Red Baron, Singles, 4 cheese deep dish, 1 pizza = 159 g N/A 320 840 No Red Baron, Singles, cheese, deep dish, 1 pizza = 159 g N/A 340 830 No Red Baron, Singles, meat trio, deep dish, 1 pizza = 159 g N/A 330 920 No Red Baron, Singles, pepperoni deep dish, 1 pizza = 159 g N/A 300 970 No Red Baron, Singles, supreme deep dish, 1 pizza = 163 g N/A 320 900 No Red Baron, special deluxe, classic crust, 1/5 of pizza = 130 g N/A 220 690 No Red Baron, supreme, classic crust, 1/5 of pizza = 133 g N/A 190 720 No Red Baron, supreme, thin crust, 1/4 of pizza = 124 g N/A 230 790 No Tony's cheese, 1/3 of pizza = 137 g N/A 210 600 Yes Tony's meat-trio, 1/3 of pizza = 146 g N/A 250 750 Yes Tony's pepperoni, 1/3 of pizza = 134 g N/A 220 650 Yes Tony's sausage, 1/3 of pizza = 142 g N/A 240 700 Yes Tony's sausage/pepperoni, 1/3 of pizza = 140g N/A 240 710 Yes Tony's supreme, 1/3 of pizza = 149 g N/A 250 710 Yes Table 2 Pizza Comparison Chart: Delivery and Eating Out Brand, Type of Pizza, Size of Slice Phosphorus (mg Per Slice) Potassium (mg Per Slice) Sodium (mg Per Slice) Added Phosphate Domino's 14″ cheese, hand tossed crust, 1/8 of pizza = 108 g ∗ Pizza slices are shown as both a fraction and by weight in grams for comparison purposes. 220 174 565 No Domino's 14″ cheese, thin crust, 1/8 of pizza = 70 g 204 141 440 Yes Domino's 14″ extravaganza, hand-tossed, 1/8 of pizza = 151 g 278 263 689 N/A Domino's 14″ pepperoni, hand tossed crust, 1/8 of pizza = 113 g 216 207 690 N/A Domino's 14″ pepperoni, thin crust, 1/8 of pizza = 79 g 208 177 619 Yes Domino's 14″ sausage, hand tossed crust, 1/8 of pizza = 114 g 223 209 677 Yes Domino's 14″ sausage, Thin Crust, 1/8 of pizza = 78 g 211 180 566 Yes Little Caesar's 14″ cheese, round, regular crust, 1/8 of pizza = 89g 206 151 404 N/A Little Caesar's 14″ cheese, large deep dish, 1/9 of pizza = 102 g 225 163 441 N/A Little Caesar's 14″ cheese, thin crust, 1/12 of pizza = 48 g 143 85 218 N/A Little Caesar's 14″ meat/veggie, regular crust, 1/9 of pizza = 115 g 238 224 665 N/A Little Caesar's 14″ pepperoni, large, deep dish, 1/9 of pizza = 104 g 224 180 512 N/A Little Caesar's 14″ pepperoni, round regular crust, 1/9 of pizza = 90g 202 160 466 N/A Papa John's 14″ cheese, original crust, 1/8 of pizza = 117 g 238 161 676 N/A Papa John's 14″ cheese, thin crust, 1/8 of pizza = 87 g 213 139 459 N/A Papa John's 14″ pepperoni, original crust, 1/8 of pizza = 123 g 241 184 825 N/A Papa John's 14″ the works, original crust, 1/7 of pizza = 153 g 245 245 872 N/A Pizza Hut 12″ cheese, hand tossed crust, 1/8 of pizza = 96 g 239 166 658 No Pizza Hut 12″ cheese, pan crust, 1/8 of pizza = 100 g 241 168 624 No Pizza Hut 12″ cheese, thin crust, 1/8 of pizza = 69 g 219 132 541 No Pizza Hut 12″ pepperoni, hand tossed, 1/8 of pizza = 96 g 209 199 769 No Pizza Hut 12″ pepperoni, pan crust, 1/8 of pizza = 96 g 197 191 664 No Pizza Hut 12″ super supreme, hand tossed, 1/8 of pizza = 127 g 254 296 875 Yes Pizza Hut 14″ cheese, hand tossed crust, 1/8 of pizza = 105 g 239 192 708 No Pizza Hut 14″ cheese, pan crust, 1/8 of pizza = 112 g 242 190 650 No Pizza Hut 14″ cheese, thin crust, 1/8 of pizza = 79 g 235 156 677 No Pizza Hut 14″ pepperoni pan crust, 1/8 of pizza = 133 g 218 211 764 No Pizza Hut 14″ pepperoni, hand tossed, 1/8 of pizza = 110 g 227 228 835 No Pizza Hut 14″ pepperoni, thin/crispy, 1/8 of pizza = 80 g 195 178 774 No Pizza Hut 14″ super supreme, hand tossed, 1/8 of pizza = 123 g 225 256 809 Yes Table 1 contains nutrient information for selected frozen brands, including some that are missing data on phosphorus content but which were still included as they are among the top 10 leading frozen pizza brands sold in the United States.The first column indicates the pizza brand and style and includes the serving size of the slice expressed as a fraction of the entire pizza as well as in grams. Column 2 indicates phosphorus content per slice in milligrams, column 3 indicates potassium content per slice in milligrams, column 4 indicates sodium content per slice in milligrams, and column 5 indicates whether the product has added phosphates. Where an “N/A” appears, it indicates that data were not available for that product. Table 2 gives the same information as Table 1 for restaurant pizza brands.

3 Byham-Gray L.

What happens when men take ashwagandha?

Studies have shown that supplementation with ashwagandha in men led to a significant increase in testosterone levels, improved sperm quality, and...

Last updated Jun 26, 2020

How long does it take to fully recover from prostate surgery?

It takes three to four weeks for the abdominal incisions to heal completely, so you should avoid heavy lifting during that time. You may have some...

Last updated Sep 12, 2021

Promotion

Stover J.

Wiesen K. A Clinical Guide to Nutrition Care in Kidney Disease. Table 3, Table 3 The Most “Renal Friendly” Frozen Pizza—and the Top 7 Picks Are … Brand, Type of Pizza, Size of Slice Phosphorus (mg Per Slice) Potassium (mg Per Slice) Sodium (mg Per Slice) Added Phosphate Freschetta Naturally Rising Margherita, 1/6 of pizza = 129 g N/A ∗ These values are not available; however, all pizzas contain some phosphorus. 240 710 No Kashi mushroom trio/spinach, 1/3 of pizza = 113 g 132 210 663 No Kashi roasted vegetable, 1/3 of pizza = 116 g 132 210 633 No Kashi, Margherita, 1/3 of pizza = 113 g 139 231 633 No Kashi, Mediterranean, 1/3 of pizza = 120 g 193 202 637 No Newman's Own Buffalo chicken, thin crust, 1/3 of pizza = 132 g N/A ∗ These values are not available; however, all pizzas contain some phosphorus. N/A ∗ These values are not available; however, all pizzas contain some phosphorus. 580 No Red Baron, special deluxe, classic crust, 1/5 of pizza = 130 g N/A ∗ These values are not available; however, all pizzas contain some phosphorus. 220 690 No Table 4 The Most “Renal Friendly” Delivery or Carry-Out Pizza—and the Top 7 Picks Are … Brand, Type of Pizza, Size of Slice Phosphorus (mg Per Slice) Potassium (mg Per Slice) Sodium (mg Per Slice) Added Phosphate Little Caesar's 14″ cheese, round, regular crust, 1/8 of pizza = 89g 206 151 404 N/A ∗ This information is not available. Little Caesar's 14″ cheese, large deep dish, 1/9 of pizza = 102 g 225 163 441 N/A Little Caesar's 14″ cheese, thin crust, 1/12 of pizza = 48 g 143 85 218 N/A Little Caesar's 14″ pepperoni, large, deep dish, 1/9 of pizza = 104 g 224 180 512 N/A Little Caesar's 14″ pepperoni, round regular crust, 1/9 of pizza = 90g 202 160 466 N/A Papa John's 14″ cheese, thin crust, 1/8 of pizza = 87 g 213 139 459 N/A Pizza Hut 12″ cheese, thin crust, 1/8 of pizza = 69 g 219 132 541 No Figure 1 General guidelines for selecting pizza. As a typical nutrient prescription for a hemodialysis patient is 2000 mg of sodium, 2000 mg of potassium and <1000 mg of phosphorus, it is easy to see how a few slices of some brands of pizza could push a patient over the limit of some or all of these nutrients for the entire day. Table 4 show the top 7 picks for “renal-friendlier” pizza for both frozen and restaurant pizza brands based on all 4 nutrition criteria listed in Table 1 Table 2 Although these top picks are certainly not ideal foods for the renal patient, they represent some options that are available. Figure 1 includes suggestions for counseling patients when selecting pizza brands so that if they do choose to indulge in one of America's favorite foods, they can make an informed choice regarding brands and portion sizes. Nutrient Information Sources US Department of Agriculture National Nutrition Database: http://ndb.nal.usda.gov/nbd www.dominos.com. www.freschetta.com. www.newmansown.com. www.pizzahut.com. www.redbaron.com. www.tonys.com. Article Info Publication History Footnotes Financial Disclosure: The author declares that there are no relevant financial interests. Identification DOI: https://doi.org/10.1053/j.jrn.2015.02.002 Copyright © 2015 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved. ScienceDirect Access this article on ScienceDirect

jrnjournal.org - Can Pizza Fit in to the Renal Diet? A Review of the Phosphorus ...

Who should not take cranberry?

Side Effects and Interactions Anyone who is allergic or sensitive to salicylates, including aspirin, may want to avoid cranberry pills since an...

Last updated Oct 6, 2022

What vitamins should I take for prostatitis?

These supplements may help: Cernilton. An extract made from rye grass pollen. ... Quercetin. An antioxidant that helps fight inflammation. ... Beta...

Last updated Dec 15, 2019

Promotion

What happens if a prostate biopsy is positive?

Your doctor may want to continue to monitor your PSA levels or do a repeat biopsy at some point in the future. A positive biopsy indicates that...

Last updated May 9, 2019

Promotion

Does a rapid rise in PSA always mean cancer?

A rapid rise in PSA may indicate the presence of cancer or an aggressive form of cancer. However, recent studies have cast doubt on the value of...

Last updated Sep 20, 2022