Diet and Lifestyle PKD Conference

January 2015

Hayley O'Kane Renal Dietitian

Royal Infirmary, Edinburgh

Plan for the session • Background

• Advice for ADPKD

– Living Healthily

–Salt

–Other factors to consider

• Useful information

• Questions

• No "magic wand"

• 66% of ADPKD patients develop high blood pressure (BP)

• 50% of ADPKD patients aged 20-34 years have high BP

• Early effective treatment of high BP is essential

• Raised BP

– Can speed up progression of kidney damage

– Increases risk of heart disease and stroke

• Early PKD

Background

Living healthily

Smoking

Living healthily Healthy Eating

Living healthily Maintain a healthy weight

Living healthily

Fluid

AIM 2 litres per day

Living healthily

Alcohol

Living healthily

Exercise

ADULTS Ideally Daily 150 minutes per week

CHILDREN At least 60 minutes per day

Salt

Quiz

Time

Which has the

lowest salt content?

Shredded Wheat(2) with Semi Skim Milk

1 boiled egg with 1 slice of buttered toast

2 slices of toast with butter and jam

Cornflakes (30g) with Semi-Skimmed Milk

Shredded Wheat(2) with Semi Skim Milk

0.57g

0.15g

0.51g

0.78g

Which of these lunch

options have the lowest salt content?

Ham & Cheese Sandwich (Pre-Pack)

Roast Beef Sandwich (Home-made)

½ tin Heinz Cream of Tomato Soup

4 Crackers, Low Fat Cream Cheese & Cucumber

4 Crackers, Low Fat Cream Cheese & Cucumber

0.8g

2.5g

0.6g

1.2g

Which of these snacks have the

second highest salt content?

1 Apple

2 digestive biscuits

Packet of crisps

1 Lunch box size malt loaf

Small bag of sweet n salty popcorn

2 digestive biscuits

trace

0.2g

0.45g

0.4g 0.15g

Developing a taste for salt at a young age leads to a

preference for higher salt foods in later life

Salt - How can we cut down?

• Take the salt cellar off the table

• Cook fresh foods, where possible

• Use a little in cooking (if you must). Preferably use alternative flavourings such as herbs, spices, garlic, pepper

• Limit intake of processed foods

• Read food labels

• Avoid salt substitutes e.g. Lo Salt

Simple Swaps

Ham or cheese

sandwich

Chicken, egg or

tuna sandwich

Crisps

Plain

popcorn

Biscuits Fruit

Swap For

Checking Food Labels

Food Labels

• Per portion/per 100g? • GDA – guideline daily amount • RNI – reference nutrient intake • SALT = Sodium x 2.5

Food Labels - Help at Hand

Other factors to consider

•Feeling full/reduced appetite?

•Renal dietary restrictions

Summary

• Healthy, balanced diet - low in salt

• Good fluid intake

• Maintain healthy BMI

• Stop Smoking

• Exercise

• Sensible Alcohol Intake

Useful Information

foodswitch.co.uk

food.gov.uk - search salt bda.uk.com/foodfacts/home