慢性腎臟病病人應用磷的飲食金字塔和磷與蛋白質比值來管理飲食磷的實踐

The ＂Phosphorus Pyramid＂ and Phosphorus/Protein Ratio for the Practice of Dietary Phosphate Management in Patient With Chronic Kidney Disease

吳紅蓮(Hung-Lien Wu) ； 吳莉葳(Li-Wei Wu) ； 王明誠(Ming-Cheng Wang)

《腎臟與透析》 33卷1期 (2021/03) Pp. 40-45

https://doi.org/10.6340/KD.202103_33(1).0009

摘要

慢性腎臟病病人為心血管疾病的高風險族群，與相當多因素有關，如高血磷與鈣磷乘積過高。食物的磷分三大類：天然食物包括動物的磷（吸收率60%）與植物的磷（吸收率＜40%）、食品添加物的磷（吸收率100%）。磷的飲食金字塔是運用視覺衛教工具，主要在呈現各種食物的磷酸鹽含量，由六層組成，其排列根據食物的磷含量、磷與蛋白質比值及磷的生物利用率，此也反映出建議攝取的頻率，越底層磷越低越適合病人選用，是一個病人友善的營養衛教工具。

關鍵字

慢性腎臟病 ； 磷與蛋白質的比值 ； 磷的飲食金字塔

並列摘要

Chronic kidney disease patients are a high-risk group of cardiovascular diseases and are related to many factors, such as high blood phosphorus and high calcium phosphorus product. The main sources of dietary phosphorus are diverse types of organic phosphorus in animal foods (60% of the phosphorus absorbed) and plant foods (＜ 40% of the phosphorus absorbed), along with inorganic phosphorus in-food additives (100% of the phosphorus absorbed). There are six levels in the pyramid. All foods are distributed in different levels and depends on their phosphorus content, phosphorus to protein ratio, and phosphorus bioavailability (i.e., absorption rate). Each level corresponds to recommended intake frequency, ranging from ＂unrestricted＂ to ＂avoid as much as possible＂. The phosphorus pyramid is to support dietary counseling in order to reduce the dietary phosphorus load and is a visual tool friendly used in nutritional education strategies for health care professionals and patients.

並列關鍵字

chronic kidney disease ； phosphorus to protein ratio ； phosphorus pyramid