Cod, flounder, halibut, whitefish, catfish, salmon, tuna steaks and shrimp are good choices for your kidney diet.
Potassium and phosphorus content varies with the fish variety–catfish, cod, orange roughy, sea bass and sole are among the lowest. Salmon contains higher amounts of potassium and phosphorus but can still be worked into a kidney diet by combining it with lower potassium sides and adjusting phosphorus binders if needed.
Chronic kidney disease (CKD) and transplant
Most people with kidney disease or transplants do not have to limit fish. When you reach the later stages of kidney disease your doctor may want you to limit the amount of protein you eat. Eating fish can still be a great option but you might need to eat smaller portions.
Tilapia, or other white fishes such as cod or whitefish, are heart healthy low phosphorus meats.
Fresh or frozen red meats without breading, marinades or sauce are better choices for a kidney diet. On average, fresh meat contains 65 mg of phosphorus per ounce and 7 grams of protein per ounce. Seafood is an excellent source of low-fat, high-quality protein.
Salmon is one of the most popular fish on the menu, and it's one of the richest in omega-3s, vitamins, and minerals. However, it's also naturally high in potassium and phosphorus, so people living with CKD shouldn't go overboard with portion sizes.
Low-sodium canned tuna.
Tuna is kidney-friendly and an inexpensive source of protein. Make homemade tuna salad with yogurt instead of mayo and throw it into a pita for a delicious meal.
Tuna is a good source of protein for people with kidney disease. When considering tuna, be sure to choose low-sodium canned albacore tuna. Tuna is also low in phosphorus and high in omega-three fatty acids, making it a healthy choice for people with kidney disease.
Some of the lowest potassium meats are clams, oysters, and tuna.
Although shrimp has more cholesterol than other seafood, the amount is still reasonable for a kidney diet. Plus, there's practically no fat in a serving of shrimp. Look for fresh shrimp that has never been frozen, and check the labels for added phosphates or salt.
The health benefits of salmon make it an excellent choice for the kidney diet. Salmon is loaded with omega-3 fatty acids that help decrease chronic inflammation and protect against heart disease and cancer.
Large amounts of fried foods are not recommended as part of a healthy diet for anyone, whether a person has chronic kidney disease (CKD) or not.
Examples of very lean white fish include cod, haddock, grouper, halibut, tilapia, and bass (6).
Cooked fish consumption transiently increases blood creatinine concentration and consequently lowers the estimates of glomerular filtration rate derived from creatinine-based equations. Consideration should be given to avoidance of cooked fish consumption before glomerular filtration rate estimation.
Hard cheeses such as cheddar, Edam and Red Leicester are high in phosphate. Better options include: cream cheese • cottage cheese • mozzarella • feta • brie • Stilton.
Leafy greens are rich in potassium, which you may need to watch with kidney disease. The amount of potassium you can have each day will depend on your stage of kidney disease or the type of dialysis you receive. Most people with CKD do not have to limit leafy greens because of potassium.
Beta-carotene, the water-soluble form of vitamin A in carrots, helps the kidneys filter toxins out of the blood and prevent urinary tract infections, according to Dr. George D.
Dishes without sauces or with a light sauce are more suitable e.g. steamed whole fish, braised meats, crispy skin chicken, sweet sauces such as plum, lemon, orange, and sweet and sour may also be lower in salt.
Avocados are often touted for their many nutritious qualities, including their heart-healthy fats, fiber, and antioxidants. While avocados are usually a healthy addition to the diet, those with kidney disease may need to avoid them. This is because avocados are a very rich source of potassium.
Mushrooms are rich in Vitamin D and are essential to regulate kidney function and help prevent kidney disease.
Choose soy, almond, cashew, or rice milk for less phosphorus and less potassium than cow's milk. Avoid cow's milk substitutes that are "Enriched" or have the word phosphorus or "phos" in the ingredient list. For a change, try hot cereal like oatmeal, cream of wheat, cream of rice, or Malto-meal.