Castro-González M I, Miranda-Becerra D, Pérez-Gil R F
Instituto Nacional de Ciencias Medicas Nutrición Salvador Zubirán, Dirección de Nutrición, Depto. Nutrición Animal, México, DF.
Arch Latinoam Nutr. 2010 Mar;60(1):70-8.
The renal diet must include limited amounts of high quality protein, phosphorus P and potassium K. n-3 polyunsaturated fatty acids (n-3PUFA EPA and DHA), present in fishes and mollusks, render beneficial properties against progression of renal damage. The aim of this study was to evaluate protein PR, phosphorus P, potassium K, calcium Ca and n-3PUFA in processed fishes and mollusks as an alimentary option for renal patients. Canned tuna (water AA and oil AC), sardine in tomate sauce ST and chipotle SC and smoked salmon SA, fresh jumbo flying squid CA, common octopus PU and oyster OS were evaluated. Significant difference was detected (p <.0.05) for K between different types of fish. SA contained 38g/100g PR, 307 mg/100g of P, 371 mg/ 100g K and 106 mg/100g n-3PUFA. Sardines contained (279-304 mg/100g of P and 283-322 mg/100g K and tunas 142-160 mg/100g P and 141-154 mg/100g K. Tunas and sardines had elevated concentration of n-3PUFA (4114 and 4790 mg/ 100g respectively), P:n-3PUFA and K:n-3PUFA ratio was low in tunas (0.03) and sardines (0.06). AA and AC contained (10.1 and 11.1 mgP/gPR), while ST and SC provided 26.4-19.1 mg/P/gPR. n-3PUFA/gPR were similar for tunas and sardines (302-424mg/gPR). Mollusks: CA presented the highest values of P and PR (2.4 mg/100g and 18.4g/100g). n-3PUFA ranged from 4.3 to 79 mg/100g in PU and OS respectively. Among processed fishes, only canned tunas are recommended for the diet of renal patients, in an individualized basis. The risk-benefit ratio of sardines in the renal diet should be evaluated, due to their high content of P and n-3PUFA. Salmon and mollusks are not recommended for the renal diet.
肾脏疾病饮食必须包含限量的优质蛋白质、磷(P)和钾(K)。鱼类和贝类中含有的n-3多不饱和脂肪酸(n-3PUFA,即二十碳五烯酸(EPA)和二十二碳六烯酸(DHA))对延缓肾脏损害具有有益作用。本研究旨在评估加工鱼类和贝类中的蛋白质(PR)、磷(P)、钾(K)、钙(Ca)和n-3PUFA,作为肾病患者的一种饮食选择。对罐装金枪鱼(水浸AA和油浸AC)、番茄酱沙丁鱼(ST)、辣椒沙丁鱼(SC)和烟熏三文鱼(SA)、新鲜的大飞柔鱼(CA)、普通章鱼(PU)和牡蛎(OS)进行了评估。不同种类的鱼之间钾含量存在显著差异(p<0.05)。烟熏三文鱼每100克含38克PR、307毫克P、371毫克K和106毫克n-3PUFA。沙丁鱼含(279 - 304毫克/100克P和283 - 322毫克/100克K),金枪鱼含(142 - 160毫克/100克P和141 - 154毫克/100克K)。金枪鱼和沙丁鱼的n-3PUFA浓度较高(分别为4114和4790毫克/100克),金枪鱼(0.03)和沙丁鱼(0.06)的P:n-3PUFA和K:n-3PUFA比值较低。水浸和油浸金枪鱼含(10.1和11.1毫克P/克PR),而番茄酱沙丁鱼和辣椒沙丁鱼提供26.4 - 19.1毫克P/克PR。金枪鱼和沙丁鱼的n-3PUFA/克PR相似(302 - 424毫克/克PR)。贝类:大飞柔鱼的P和PR值最高(分别为2.4毫克/100克和18.4克/100克)。章鱼和牡蛎的n-3PUFA分别为4.3至79毫克/100克。在加工鱼类中,仅建议肾病患者个体化食用罐装金枪鱼。由于沙丁鱼的P和n-3PUFA含量较高,应评估其在肾脏疾病饮食中的风险效益比。不建议肾病患者食用三文鱼和贝类。