The impact of processing meat and fish products on phosphorus intake in chronic kidney disease patients

Nefrologia. 2013 Nov 13;33(6):797-807. doi: 10.3265/Nefrologia.pre2013.Sep.12168.
[Article in English, Spanish]

Abstract

Introduction and objectives: The use of phosphate additives in meat and fish processing leads to a phosphorus overload that we cannot quantify through labelling or food composition tables. We analysed this increase by measuring phosphorus content in these products by spectrophotometry.

Materials and method: We determined the phosphorus/protein ratio in fresh meat and fish products with varying degrees of processing by spectrophotometry (phosphorus) and the Kjeldahl method (proteins). We contrasted these results with those reflected in the food composition tables.

Results: The phosphorus/protein ratio was higher in processed meat products (15.83 mg/g) than in battered (11.04 mg/g) and frozen meat products (10.5mg/g), and was lower in fresh (8.41 mg/g) and refrigerated meat products (8.78 mg/g). Fresh white fish had a phosphorus/protein ratio of 8.58mg/g, while it increased by 22% (10.3mg/g) in frozen white fish and by 46% (12.54 mg/g) in battered fish. The information in the tables was poor and confusing, and no reference is made to the brands tested.

Conclusions: Processing meat and fish products poses a serious obstacle to the reduction of phosphorus intake. The current regulatory framework does not assist us in the objective of reducing phosphorus additives, since it considers them safe for public consumption. Overcoming these barriers requires a coordinated effort to demonstrate that a high intake of these additives may be harmful to the general population and it should be more closely examined by regulators.

MeSH terms

  • Animals
  • Cross-Sectional Studies
  • Cryopreservation
  • Dietary Proteins / analysis
  • Fish Products / adverse effects
  • Fish Products / analysis
  • Flour / analysis
  • Food Additives / adverse effects
  • Food Additives / analysis
  • Food Additives / pharmacology*
  • Food Handling*
  • Food Labeling / legislation & jurisprudence
  • Food Preservation
  • Humans
  • Hyperparathyroidism, Secondary / etiology
  • Hyperparathyroidism, Secondary / prevention & control
  • Meat / adverse effects
  • Meat / analysis*
  • Meat Products / adverse effects
  • Meat Products / analysis
  • Phosphorus, Dietary / administration & dosage*
  • Phosphorus, Dietary / adverse effects
  • Phosphorus, Dietary / analysis
  • Refrigeration
  • Renal Insufficiency, Chronic / complications
  • Renal Insufficiency, Chronic / diet therapy
  • Renal Insufficiency, Chronic / metabolism*
  • Reproducibility of Results
  • Seafood / adverse effects
  • Seafood / analysis*
  • Spain

Substances

  • Dietary Proteins
  • Food Additives
  • Phosphorus, Dietary