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Smart Eating for Kidney Health: Understanding Phosphorus in Foods

Writer's picture: StaffStaff

Everyone has different nutritional needs. Do not change or adjust your diet before speaking with a kidney dietitian or a healthcare provider first. 


 

Phosphorus is an essential mineral for your body. If you have kidney disease, it's important to monitor how much you're getting since your kidneys might not effectively remove excess phosphorus. Knowledge is power–knowing the phosphorus content in different foods can help you make better dietary choices. Keep reading for a list of foods and their phosphorus levels to help you manage your intake.



Key Takeaways


High phosphorus levels can harm the bones and heart.


The body absorbs more phosphorus from animal-based foods.


Check food labels for phosphorus additives to limit intake.


Understanding Phosphorus


Phosphorus is a mineral in your bones that helps keep them strong, and it also supports other parts of your body.


There are two forms:

  • Organic: Naturally occurring phosphate in animal and plant-based foods

  • Inorganic: Phosphates added to foods during processing


Typically, your kidneys remove extra phosphorus from your blood. With kidney disease, your kidneys can't do this as well.


High levels of phosphorus can weaken your bones by pulling calcium out of them and can lead to harmful calcium deposits in your blood vessels, lungs, eyes, and heart. Over time, this can increase your risk of heart attack, stroke, or even death. High levels of serum phosphorus are also directly linked to a risk of mortality in people on dialysis.

Treatment options include medications like phosphate binders and following a low-phosphorus diet.



Phosphorus Absorption


The body absorbs phosphorus differently depending on its source.

Organic phosphorus has an absorption rate of 40% to 70%. Animal sources of phosphorus have a higher absorption rate than plant-based. Phosphate additives have absorption rates greater than 90%.


Phosphate additives to watch for:

  • Dicalcium phosphate

  • Disodium phosphate

  • Monosodium phosphate

  • Phosphoric acid

  • Sodium hexameta-phosphate

  • Trisodium phosphate

  • Sodium tripolyphosphate

  • Tetrasodium pyrophosphate

Need help creating your kidney diet? Find a kidney dietitian near you.


Phosphorus in Dairy, Meat, and Plant-Based Foods

While many fruits, vegetables, and grains are full of phosphorus, these are essential aspects of a kidney disease diet. It's best to choose whole foods that nourish your body and have lower absorption rates.


Dairy Products

Food

Serving Size

Phosphorus mg

American cheese spread

1 cup diced

1225

Part-skim low moisture mozzarella cheese

1 cup 

723

Provolone cheese

1 cup

655

Grated parmesan cheese

1 cup

627

Queso chihuahua

1 cup

583

Crumbled feta

1 cup

506

2% milk

1 cup

276

Plain low fat yogurt

6 ounce 

245

 


Meat Products

Food

Serving Size

Phosphorus mg

Cured ham with natural juice, heated or roasted

1 slice

447

Flounder or sole, cooked or dry

1 filet

392

Canned pink salmon, drained

3 oz

322

Deer, top round lean, 1” steak

1 steak, (134.9 g raw)

277

Ribeye, lean meat, trimmed to 0” fat

4 oz (raw)

263

Chicken, dark meat

1 cup

262

Atlantic Salmon, cooked

3 oz

253

90% lean beef patty, broiled

3 oz

172

Hard boiled egg, large

1 egg

86

 


Plant-Based Products

Food

Serving Size

Phosphorus mg

Sunflower seeds, toasted, no salt

1 cup

1552

Pumpkin and squash seeds, roasted

1 cup

1385

Enriched white cornmeal, self-rising, with wheat flour added

1 cup

1107

Pink beans, raw

1 cup

872

Black beans, raw

1 cup

683

Roasted almonds, no salt

1 cup

650

Brown rice flour

1 cup

532

Dry roasted peanut, no salt

1 cup

530

Raw green soybeans

1 cup

497

Barley flour or meal

1 cup

438

Brown long grain rice, cooked

½ cup

102

Oatmeal, cooked in water

½ cup

90

Whole wheat bread

1 slice

60

Boiled lentils

½ cup

178

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