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慢性肾病患者的饮食中可以包含土豆吗?限制钾含量的新烹饪方法。

Is It Possible to Include Potato in the Diet of Chronic Kidney Disease Patients? New Culinary Alternatives for Limiting Potassium Content.

作者信息

Martínez-Pineda Montserrat, Yagüe-Ruiz Cristina, Vercet-Tormo Antonio

机构信息

Adjunct Professor in Human Nutrition and Dietetics, Faculty of Health and Sports Science, University of Zaragoza, Huesca, Spain.

Adjunct Professor in Human Nutrition and Dietetics, Faculty of Health and Sports Science, University of Zaragoza, Huesca, Spain; Associate Professor in Human Nutrition and Dietetics, Faculty of Health and Sports Science, University of Zaragoza, Huesca, Spain.

出版信息

J Ren Nutr. 2020 May;30(3):251-260. doi: 10.1053/j.jrn.2019.07.001. Epub 2019 Aug 20.

Abstract

OBJECTIVE(S): Despite the nutritional benefits of potato tuber, patients with chronic kidney disease (CKD) should limit the consumption because of its high potassium content. Some culinary treatments have previously been suggested to reduce the final content of this mineral; however, these are either not effective enough or involve very long procedures that affect the final flavor of the food. The aim of this work was to analyze the effect of culinary treatments on the reduction in potassium content in potatoes, offering new alternatives for minimizing the final content of this mineral to allow the increase of potato intake by patients with CKD.

DESIGN AND METHODS

Fresh potatoes, canned potatoes, and frozen french fried potatoes were submitted to three different culinary treatments: soaking, normal cooking, and frying. Two types of cut were studied: strips and dice. Initial and final potassium content and % humidity in each cooking treatment applied on the three types of potatoes were analyzed. Potassium content was analyzed using flame photometry.

RESULTS

Results show that potato soaking was ineffective for fresh raw potato, while normal cooking achieved insufficient reduction of potassium. However, when a soaking procedure was applied after normal cooking, it was found to be possible to leach up to 70% of the potassium, to final values of under 130 mg/100 g edible portion in both cut types studied. Subsequent frying did not leach potassium but rather increased potassium content; however, without reaching the 150 mg/100 g edible portion threshold. Similar results were observed for canned potatoes and frozen french fries.

CONCLUSIONS

With this new proposed culinary method, the potassium content of potatoes is reduced to an acceptable limit. Additionally, the technique maintains a low-potassium content even after frying potatoes, thus allowing potatoes to be incorporated into the CKD dietary pattern.

摘要

目的

尽管马铃薯块茎具有营养价值,但慢性肾脏病(CKD)患者因其钾含量高而应限制食用。此前已提出一些烹饪方法来降低这种矿物质的最终含量;然而,这些方法要么效果不够显著,要么涉及非常漫长的过程,会影响食物的最终风味。这项工作的目的是分析烹饪方法对降低马铃薯钾含量的影响,提供新的选择,以尽量减少这种矿物质的最终含量,从而使CKD患者能够增加马铃薯的摄入量。

设计与方法

将新鲜马铃薯、罐装马铃薯和冷冻薯条进行三种不同的烹饪处理:浸泡、常规烹饪和油炸。研究了两种切割方式:条状和块状。分析了对这三种类型的马铃薯进行的每种烹饪处理的初始和最终钾含量以及湿度百分比。使用火焰光度法分析钾含量。

结果

结果表明,浸泡对新鲜生马铃薯无效,而常规烹饪对钾的降低效果不足。然而,在常规烹饪后进行浸泡处理时,发现对于所研究的两种切割方式,都有可能浸出高达70%的钾,使最终值低于130毫克/100克可食用部分。随后的油炸并没有浸出钾,反而增加了钾含量;然而,未达到150毫克/100克可食用部分的阈值。罐装马铃薯和冷冻薯条也观察到了类似的结果。

结论

通过这种新提出的烹饪方法,马铃薯的钾含量降低到了可接受的限度。此外,即使在油炸马铃薯后,该技术仍能保持低钾含量,从而使马铃薯能够纳入CKD饮食模式。

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