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Southeast Asian renal exchange list.

V S Ziegler1, K P Sucher, N J Downes

  • 1Department of Nutrition and Food Science, San José State University, California 95192.

Journal of the American Dietetic Association
|January 1, 1989
PubMed
Summary

A modified renal exchange list for Vietnamese immigrants was developed to manage kidney disease risk. This tool helps patients and dietitians navigate dietary challenges posed by traditional Vietnamese cuisine.

Area of Science:

  • Nutrition Science
  • Renal Dietetics
  • Immigrant Health

Background:

  • Southeast Asian (SE Asian) immigration to the US presents unique public health challenges.
  • SE Asian refugees may have higher risks for kidney disease due to pre-existing conditions like hepatitis B.
  • Dietary management for kidney disease is complicated by the high potassium and sodium content in traditional Vietnamese diets.

Purpose of the Study:

  • To develop a modified renal exchange list tailored for Vietnamese immigrants.
  • To provide a practical tool for managing renal diets among this population.
  • To address the challenges faced by patients and dietitians in planning renal diets for Vietnamese individuals.

Main Methods:

  • A modified renal exchange list was created, excluding milk, carbohydrate, and fat groups.

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  • The list focuses on foods commonly available and consumed by Vietnamese immigrants.
  • Foods were categorized by protein, potassium, caloric, and phosphorus content.
  • Asian grocery stores were surveyed to identify relevant food items.
  • Nutrient composition data was sourced from established food composition tables.

    • Main Results:

    • A comprehensive renal exchange list was developed specifically for the Vietnamese diet.
    • The list categorizes foods based on key nutrients relevant to renal diets (protein, potassium, calories, phosphorus).
    • It includes foods readily available in Asian grocery stores, facilitating practical application.

    Conclusions:

    • The developed renal exchange list is a valuable resource for dietitians and renal patients of Vietnamese origin.
    • This tool can assist in the close monitoring of diet, potentially retarding the progression of renal disease.
    • Addressing the specific dietary needs of immigrant populations is crucial for effective chronic disease management.