Wednesday, March 25, 2015

MNT Nephrotic Syndrome



Energy: 35 kcal/ kg (IBW) for adults
              100 - 150 kcal/ kg for children

Protein: 0.8 - 1g / kg.  ( 50% HBV)

Fat: 25 - 35% 
        <7% saturated fat
        < 200mg cholesterol

CHO: 50 - 60 %

Na: individualized according to HTA and edema 

K+: individualized according to lab results, may be replaced in case of diuretics 

Phosphorus: individualized based on lab results

Ca: individualized , ~ 800 - 1200 mg/d

Fluids: based on urine output 

Multivitamin supplements is recommended to prevent deficiencies. 

Nephrotic Syndrome


Medical Nutrition Therapy for GERD & Esophagitis

- Avoid large high-fat meals
- Avoid eating at least 3 to 4 hours before retiring 
- Avoid smoking 
- Avoid alcoholic beverages 
- Avoid caffeine containing foods and beverages
- Stay up-right and avoid vigorous activity soon after eating 
- Avoid tight-fitting clothing, especially after a meal
- Consume a healthy, nutritionally complete diet with adequate fiber
- Avoid acidic and highly spiced foods when inflammation exists
- Lose weight if overweight 

Risk factors for CVD

Modifiable Lifestyle Factors:

- poor diet quality
- physical inactivity
- stress
- tobacco use


Controllable risk factors:

- diabetes
- hypertension
- metabolic syndrome 
- obesity


Non-modifiable risk factors:

- age and sex
- family history
- menopausal status




USDA MyPyramid Food Guide

~ Make at least half of the grain selections whole grains.
~ Choose a variety of vegetables each day, and choose from all five subgroups several times a week.
~ Consume a variety of fruits and no more than one-half of the recommended intake as fruit juice.
~ Make fat-free or low-fat choices when it comes to dairy products.  Choose lactose-free products or other calcium-rich foods if you don't consume milk. 
~ Make lean or low-fat choices concerning meat, poultry, fish, legumes, eggs, and nuts. Prepare them with little, or no, added fat. 
~ Select the recommended amounts of oils. 
~ Limit intakes of food and beverages with solid fats and added sugars.