Evaluation of the possible inclusion of certain fish species in chronic kidney disease diets based on their adverse and beneficial nutrient ratios

Abstract

The goal of this study was to quantify the adverse (phosphorus, protein, sodium, potassium and cholesterol) and beneficial [n–3 fatty acids: eicosapentaenoic acid (EPA) + docosahexaenoic acid (DHA); vitamins D₃ and E] nutrients in 14 fish species in order to evaluate their inclusion in chronic kidney disease (CKD) diets. Using AOAC methods, we obtained the following results per 100 g of fish: 50.86–227.52 mg phosphorus, 14.7–30.6 g protein and 3.83–1667.35 mg EPA+DHA. CKD patients with protein or phosphorus restrictions should avoid broadbill swordfish, black bullhead and spotted scorpionfish. However, patients may include parrot sand bass, black bullhead, broadbill swordfish, longjaw leatherjacket, oilfish, Atlantic tripletail, spotted scorpionfish and round herring in their diets based on the (P)/(EPA+DHA) ratios of these fish. Some fish species may be included in CKD diets because of their high biological value protein content – associated with cardiovascular and renal protective nutrients (EPA+DHA) – and low P, Na, K and cholesterol content, their consumption by CKD patients should be encouraged.

Keywords::

• Fish chemical composition
• renal nutrition management
• fatty acids