Chronic Kidney Disease

The Basics of a Balanced Diet: Understanding Macronutrients and Micronutrients

At PRINE Health, we believe in empowering our patients with the knowledge to manage conditions such as kidney disorders, diabetes, and obesity. A balanced diet plays a crucial role in this process, emphasizing the importance of both macronutrients and micronutrients. Here’s a concise guide to these dietary components and how our new nutrition consult service can assist you.

 

What Are Macronutrients and Micronutrients?

Macronutrients are essential because they provide the energy our bodies need to perform their functions, including growth, repair and maintenance of bodily tissues, and providing the fuel for physical activity. They are required in larger amounts. Carbohydrates are the body’s primary energy source, proteins are fundamental for tissue repair and enzyme functions, and fats insulate and protect our organs, as well as provide a concentrated source of energy and support cell growth.

 

Micronutrients, despite being needed in smaller amounts, have major impacts on our health. They include vitamins and minerals that our bodies cannot produce sufficiently. Micronutrients support a range of functions, from producing enzymes, hormones, and other substances crucial for proper growth and development to maintaining strong bones and ensuring the health of our nervous and immune systems.

 

Macronutrients: Your Body’s Primary Fuel

  • Carbohydrates: Our bodies’ primary energy source, carbohydrates, should be mainly sourced from whole grains, fruits, and vegetables for sustained energy release.
  • Proteins: Essential for repair and growth, proteins should be selected based on their quality. Protein intake might need adjustment for individuals with kidney conditions, as too much can increase the kidney burden.
  • Fats: Vital for hormonal functions and vitamin absorption. Opt for sources rich in unsaturated fats, such as avocados, nuts, seeds, and olive oil, while minimizing saturated and trans fats.

Micronutrients: The Vital Details

Vitamins

  • Vitamin A: Necessary for vision, the immune system, and reproduction. 
    • Foods rich in Vitamin A include carrots, sweet potatoes, spinach, and fortified milk.
  • B Vitamins (including B12, B6, Thiamine, Riboflavin, Niacin, and Folate): These aid in energy production, iron absorption, and immune function.
    • Sources include whole grains, beans, poultry, meat, eggs, dairy products, leafy green vegetables, and fruits.
  • Vitamin C: Important for skin health, antioxidant function, and immune response.
    • Found in citrus fruits, strawberries, bell peppers, and broccoli.
  • Vitamin D: Key for bone health and immune function.
    • Can be obtained from fortified dairy products, fish oils, and exposure to sunlight.
  • Vitamin E: An antioxidant that helps protect cells from damage.
    • Sources include nuts, seeds, spinach, and broccoli.
  • Vitamin K: Necessary for blood clotting and bone health.
    • Found in green leafy vegetables, fish, meat, and eggs.

Minerals

  • Calcium: Essential for bone and tooth health, muscle function, and nerve signaling.
    • Rich sources include dairy products, fortified plant milks, leafy greens, and almonds.
  • Iron: Critical for making red blood cells that carry oxygen around the body.
    • Red meat, poultry, lentils, spinach, and iron-fortified cereals are good sources.
  • Magnesium: Involved in over 300 biochemical reactions in the body, including muscle and nerve function, glucose control, and energy production.
    • Found in nuts, seeds, whole grains, and leafy green vegetables.
  • Potassium: Helps regulate fluid balance, muscle contractions, and nerve signals.
    • Bananas, oranges, potatoes, and tomatoes are excellent sources.
  • Zinc: Important for wound healing, immune function, and DNA synthesis.
    • Meat, shellfish, legumes, nuts, and seeds contain high amounts of zinc.

Customized Nutrition Consults at PRINE

Understanding the intricacies of a balanced diet can be challenging, especially when dealing with specific health conditions. At PRINE, we now offer online virtual nutrition consultations tailored to kidney disorders, diabetes, obesity, and related conditions. These consults complement your physician’s advice by focusing on your dietary needs and offering personalized information, resources, and dietary strategies.

 

Take the First Step Towards a Healthier You

Discuss with your physician and reach out to PRINE Health for a nutrition consult that’s tailored to you. Visit our website to learn more or to request a consultation. Let’s work towards a balanced diet supporting your health.

Everything You Need to Know about Peripheral Artery Disease

The vascular system is an intricate network of arteries and veins that distribute and replenish oxygen-rich blood throughout the body. One of the most common vascular conditions affecting patients all over the world is Peripheral Artery Disease. This article will touch on this disease, what it is, how it works, the symptoms it may present, and how modern medicine can manage and treat this condition. 

 

What Is PAD?

Peripheral Artery Disease (PAD) is the narrowing of the arteries, commonly in the lower extremities. This leads to a decreased flow of blood to the affected extremities and is often confused for “poor circulation.” PAD is most commonly caused by atherosclerosis, the buildup of fats or plaque on the artery that causes decreased blood flow in the first place.

Symptoms to Watch Out For

PAD disease may be asymptomatic, but it can also show up as leg, ankle, or foot pain, especially when walking—a condition called claudication. This pain can be mild or severe, and it usually dies down with rest. This is because walking requires a stronger blood flow than rest, especially at a higher pace. Claudication may be tricky to pinpoint, as a number of patients have different ways to describe it, such as cramping pain, leg fatigue, pressure, weakness, or aching. 

 

Other PAD disease symptoms include:

  • Decreased pulse in the leg
  • Coldness on the leg, especially farther down 
  • Skin color changes on the affected limbs, becoming paler with time
  • Sores on the limb that won’t heal
  • Hair loss or slower hair growth in the affected limb
  • Erectile dysfunction

Causes and Risk Factors

The main cause of PAD disease, as we’ve discussed, is atherosclerosis. This plaque buildup that leads to lower blood flow is made up of fat, cholesterol, fibrous tissue, and calcium. Atherosclerosis can result from a number of factors—some of them inevitable—that can increase your risk of developing PAD.

Age and family history play a big role. Most patients with PAD in the US are 65 years or older, though the condition can affect anyone at any age. Genetically, a family history of PAD, heart disease, stroke, or blood vessel disease can be an indicator of predisposition, according to the NIH.

 

A few conditions also contribute to PAD development:

  • Diabetes
  • Obesity
  • High blood pressure
  • Unhealthy blood cholesterol or triglycerides 
  • Kidney disease

Lifestyle behaviors can also lead to plaque buildup. Smoking, for example, can damage your blood vessels and increase your cholesterol levels. A lack of physical activity and increased levels of stress also increase the risks. A diet high in saturated fats—like butter, palm and coconut oil, and red meat—can further feed the plaque. Maintaining a healthy lifestyle and reducing habits that increase the risks is the only way to prevent this disease.

 

Treatment and Management

The most common way to treat PAD disease is to address the factors that further increase atherosclerosis, often through a mixture of medication and lifestyle changes. While this may be adequate for certain cases of PAD, as we have discussed throughout this blog, other conditions may increase atherosclerosis because of how they affect blood pressure and vessel structure. In some cases, more comprehensive PAD treatment options are best.

PRINE Vascular, one of our network’s specialties, explores a more multidisciplinary approach to addressing the factors that contribute to PAD. Since atherosclerosis can be increased by conditions like diabetes and kidney disease, PRINE Health doctors can refer their patients to endocrinologists and nephrologists to address these concerns for more extensive treatment.

If you or a loved one experiences any of the symptoms discussed in this article, don’t hesitate to reach out to a PRINE Vascular location near you. 

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