Dietary Sources of Phosphorus among Adults in the United States: Results from NHANES 2001–2014

@article{McClure2017DietarySO,
  title={Dietary Sources of Phosphorus among Adults in the United States: Results from NHANES 2001–2014},
  author={Scott T McClure and Alex R. Chang and Elizabeth Selvin and Casey M. Rebholz and Lawrence J. Appel},
  journal={Nutrients},
  year={2017},
  volume={9}
}
Interest in the health effects of dietary phosphorus is burgeoning, yet sources and trends in phosphorus consumption have not been well characterized. We describe trends in and primary sources of dietary phosphorus in a nationally representative sample of 34,741 US adults, 20+ years old (NHANES 2001–2014). Dietary sources of phosphorus were estimated in nine food groups and 26 food categories. Phosphorus consumption was expressed in absolute intake, phosphorus density, and proportion… Expand
Trends in Total, Added, and Natural Phosphorus Intake in Adult Americans, NHANES 1988–1994 to NHANES 2015–2016
TLDR
Consumption of added phosphorus has decreased over the past few decades, possibly due to increased demand for foods with less additives/ingredients but may also be due to inaccurate phosphorus values in nutrition databases. Expand
The Percentage of Dietary Phosphorus Excreted in the Urine Varies by Dietary Pattern in a Randomized Feeding Study in Adults.
TLDR
Findings in prehypertensive and stage 1 hypertensive adults strongly suggest that urinary phosphorus excretion should not be used as a recovery biomarker for dietary phosphorus intake, given the wide range of urinary phosphorous excretion across dietary patterns. Expand
Habitual Intakes, Food Sources and Excretions of Phosphorus and Calcium in Three German Study Collectives
Phosphorus intake in Europe is far above recommendations. We present baseline data from three human intervention studies between 2006 and 2014 regarding intake and excretion of phosphorus andExpand
Dietary Phosphate Consumption in Australians With Stages 3b and 4 Chronic Kidney Disease.
  • M. Conley, N. Lioufas, +7 authors K. Campbell
  • Medicine
  • Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation
  • 2020
TLDR
Dietary phosphate intakes of Australians with CKD are high and come from a variety of sources, including phosphate additives, which requires a patient-centered, tailored approach with an emphasis on maintaining nutritional adequacy and awareness of phosphate additives. Expand
Effects of Excessive Dietary Phosphorus Intake on Bone Health
TLDR
An overview of dietary phosphorus, its sources, recommended intakes, and its absorption and metabolism in health and in chronic kidney disease is provided and to discuss recent findings in this area with a focus on the effects of inorganic phosphate additives in bone health. Expand
Effects of phosphorus and calcium to phosphorus consumption ratio on mineral metabolism and cardiometabolic health.
TLDR
The study identifies weight, leptin and insulin as responsive to dietary phosphorus and that certain aspects of the systemic phosphorus response are attenuated by a corresponding high calcium intake. Expand
Effect of dietary phosphorus intake and age on intestinal phosphorus absorption efficiency and phosphorus balance in male rats
TLDR
Investigation of the effects of dietary phosphorus intake level on phosphorus absorption using the in situ ligated loop technique in three different aged rats shows that phosphorus absorption was higher in 10-week-old rats compared with 20- and 30- week-olds and this corresponded to higher gene expression of the major phosphate transporter, NaPi-2b, as well as higher whole-body phosphorus balance and net phosphorus absorption. Expand
Dietary Phosphorus and Ambulatory Blood Pressure in African Americans: The Jackson Heart Study
TLDR
Higher phosphorus intake was not associated with clinic or ABPM-defined hypertension overall, but most metrics of higher phosphorus intake were associated with lower odds of sustained hypertension compared to sustained normotension, white-coat hypertension, and masked hypertension. Expand
Dietary phosphorus intake and blood pressure in adults: a systematic review of randomized trials and prospective observational studies.
TLDR
No consistent association between total dietary phosphorus intake and BP in adults in the published literature nor any randomized trials designed to examine this association are found. Expand
Dietary phosphorus intake and serum prostate-specific antigen in non-prostate cancer American adults: A secondary analysis of the National Health and Nutrition Examination Survey (NHANES), 2003-2010.
TLDR
Dietary phosphorus intake was positively associated with increased PSA when dietary phosphorus intake is beyond 1151 mg after adjusting other covariates, and there is a non-linear correlation between phosphorus intake and PSA. Expand
...
1
2
3
4
...

References

SHOWING 1-10 OF 46 REFERENCES
High dietary phosphorus intake is associated with all-cause mortality: results from NHANES III.
TLDR
High phosphorus intake is associated with increased mortality in a healthy US population and because of current patterns in phosphorus consumption in US adults, these findings may have important public health implications. Expand
Dietary Intake Among US Adults, 1999-2012.
TLDR
In nationally representative US surveys conducted between 1999 and 2012, several improvements in self-reported dietary habits were identified, with additional findings suggesting persistent or worsening disparities based on race/ethnicity, education level, and income level. Expand
Association of dietary phosphate and serum phosphorus concentration by levels of kidney function.
TLDR
It seems prudent for the Nutrient Facts Label to include phosphorus but also for food manufacturers to consider alternatives to phosphate additives, as dairy products and cereals/grains having inorganic phosphate additives significantly increase serum phosphorus concentration, despite being consumed less frequently. Expand
Examining the Proportion of Dietary Phosphorus From Plants, Animals, and Food Additives Excreted in Urine.
TLDR
The apparent discrepancy between digestibility of phosphorus additives and the proportion excreted in urine suggests a need for human balance studies to determine the bioavailability of different sources of phosphorus. Expand
Associations among total and food additive phosphorus intake and carotid intima-media thickness – a cross-sectional study in a middle-aged population in Southern Finland
TLDR
It is indicated that a significant linear trend exists between energy-adjusted TP intake and FAP intake, and IMT among all subjects, and high dietary P intake should be further investigated due to its potential association with adverse cardiovascular health effects in the general population. Expand
Effectiveness of the US Department of Agriculture 5-step multiple-pass method in assessing food intake in obese and nonobese women.
TLDR
Obese women more accurately recalled food intake than did overweight and normal-weight women despite undereating on the day of the study, and the USDA 5-step multiple-pass method effectively assessed mean energy intake within 10% of mean actual intake on the previous day. Expand
PHOSPHORUS METABOLISM AND MANAGEMENT IN CHRONIC KIDNEY DISEASE: Phosphorus Homeostasis in Normal Health and in Chronic Kidney Disease Patients with Special Emphasis on Dietary Phosphorus Intake
TLDR
Despite all the oral phosphorus binders currently available in the market, dietary restriction of this mineral remains a cornerstone for the prevention and treatment of hyperphosphatemia. Expand
Differences among total and in vitro digestible phosphorus content of plant foods and beverages.
  • H. Karp, P. Ekholm, +4 authors C. Lamberg-Allardt
  • Chemistry, Medicine
  • Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation
  • 2012
TLDR
In foods containing phosphate additives, the proportion of DP is high, which supports previous conclusions of the effective absorbability of P from P additives. Expand
Inadequate Awareness among Chronic Kidney Disease Patients Regarding Food and Drinks Containing Artificially Added Phosphate
TLDR
It is suggested that CKD patients undergoing hemodialysis are not adequately aware of the hidden source of phosphate in their diet, and the need for educational initiatives to raise awareness of this issue is emphasized. Expand
Phosphate content of beverages in addition to food phosphate additives: real and insidious danger for renal patients.
  • L. Calò, V. Savica, P. Davis
  • Medicine
  • Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation
  • 2012
TLDR
The study of Benini et al., reporting on the contribution of the ‘‘hidden’’ phosphate in the food, essentially that used as food additive, to the worsening of phosphate balance control in patients with renal disease, adds another important evidence to the crucial issue of identifying the hidden phosphate in food additive. Expand
...
1
2
3
4
5
...