Make every day Kidney Appreciation Day

In case you missed World Kidney Day (March 8) today is a good day to appreciate kidney health. The pair of kidneys or single kidney clean the body of daily acidic waste from metabolism and dietary sources and remove other excess minerals and toxins. Adequate water is essential for kidney health as dehydration can cause damage that may not be reversible.

The amount of water a person needs per day varies with the size of the person and the amount of heat, humidity and exercise they experience throughout their day. The eight cups per day for an average person is just an estimate based on typical conditions and average size. Dr. Batmanghelidj specialized in water needs for chronic illness or general health and his rough guideline for adults was to aim to drink ounces of water per day equal to half your body weight (in pounds), so a 150 pound adult might benefit from drinking 75 ounces of water per day ~ about 9 cups of water. The fluid content of herbal tea, juice, milk, or soup would be helping reach the goal, while a diuretic type fluid like coffee or caffeinated black or green teas, or alcoholic beverages would not. His book is older and the validity of some of his theories have been questioned but as a fairly easy to follow overview of the importance of water to health, it is helpful. (Your Body’s Many Cries for Water, pdf)

For more information on the chemistry of water see the collected work on the topic by Martin Chaplin (Water Structure Science), a review of inorganic, organic and biochemistry and physics will be helpful first –  I’ve only read a few sections and it is fascinating but slow going. The author explains with enough detail and graphs that even lacking the review of the college courses some of the information can be understood.

For more information on healthy diet for general health or aging and the prevention of chronic kidney or vascular disease see the recently published article about nutrition for health written by a nephrologist. A recent review of organic and biochemistry will be helpful but again some of the basic concepts can be picked up from the thorough description of the issues that may be causing chronic illness and chronic kidney disease.

The summary points – excess protein and sodium and acid producing foods is tasking on the kidneys and may increase risk of chronic illness while adequate to plentiful amounts of potassium rich vegetables and fruit is protective.

How much is considered excess protein?: “The average American consumes 1.2 gm protein/kg/day [23], exceeding the recommended intake (~0.8–1.0 gm/kg/day) for a healthy adult.” (1)

Math – the 150 pound average person is about 68 kilograms (kg) and is averaging an intake of 82 grams of protein per day (1.2 gm/kg/day) instead of the recommended range of 54.4-68 grams per day. For perspective to daily meals – 8 ounces of milk contains about 8 grams of protein, one ounce of meat or one egg or a half cup of beans, about 7 grams, one piece of bread, about 2-3 grams. (Protein content of foods, Today’s Dietitian)

Second only to anyone who doesn’t keep children in cages – nephrologists (kidney/renal health specialists) are my favorite people. The author of the article is saying with a lot of detail that prevention is the best medicine. Treat yourself to healthy habits and you may be lucky enough to never need to meet a nephrologist as a patient. Diets for kidney dialysis patients are extremely restrictive.

Mark your calendars – World Kidney Day 2019 is planned for March 14th. (World Kidney Day)

  • For more information about kidney disease and risk factors see “Who Lives, Who Dies with Kidney Disease,” by Mohammad Akmal and Vasandhara Raghaven, (2018), amazon.com. The book includes personal stories of a variety of patients, real, with some names and identifying details changed for anonymity, starting with some of the first patients diagnosed and treated with kidney dialysis or kidney transplants. The stories may inspire and may leave you reaching for a tissue for tears – they may leave you appreciating kidney health for you and your loved ones and the pioneers who have made treatment more possible. Kidney donors are also worthy of appreciation, today and everyday. The latter part of the book includes an overview of chronic and acute conditions that place patients more at risk for developing kidney disease, preventative care that may help and current medical treatments that are available.

Disclaimer: Opinions are my own and the information is provided for educational purposes within the guidelines of fair use. While I am a Registered Dietitian this information is not intended to provide individual health guidance. Please see a health professional for individual health care purposes. Thanks.

  1. Qi Qian, Dietary Influence on Body Fluid Acid-Base and Volume Balance: The Deleterious “Norm” Furthers and Cloaks Subclinical Pathophysiology, Nutrients 2018, 10(6), 778; Open Access, http://www.mdpi.com/2072-6643/10/6/778/htm  (1)
  2. Fereydoon Batmanghelidj, M.D., Your Body’s Many Cries for Water, Global Health Solutions, Inc.; Third Ed. (November 1, 2008), https://www.amazon.com/Your-Bodys-Many-Cries-Water/dp/0970245882/ (2), http://www.cci-coral-club.okis.ru/file/cci-coral-club/knigi/FereydoonBatmanghelidj_Your_Bodys_Many_Cries_for_Water_eng.pdf (pdf)
  3. Martin Chaplin, BSc, PhD, CChem, FRSC, Water Structure Science: a website concerned with the physical, chemical and biological properties of water., London South Bank University, (Water Structure Science)   http://www1.lsbu.ac.uk/water/water_structure_science.html (3
  4. Protein Content of Foods, webinar pdf, Today’s Dietitian, (Protein content of foods, Today’s Dietitian)   http://www.todaysdietitian.com/pdf/webinars/ProteinContentofFoods.pdf (4)
  5. World Kidney Day 2019, cute-calendar.com, (World Kidney Dayhttps://www.cute-calendar.com/event/world-kidney-day/33701.html (5)

Electrolytes are essential, magnesium helps protect brain cells

     Our bodies are like an ocean, not a fresh water lake. Our blood and cell fluid has a balance of salts and proteins that are essential for keeping things flowing and interacting as needed. Salts in our body are called electrolytes and they work in a buddy system.
Sodium and potassium are buddies that chemically can donate one electron for chemical bonds or energy interactions and calcium and magnesium can donate two electrons each. These minerals power nerve signals, muscle contractions and the movement of chemicals across cell membranes. All four are equally essential to have in our diet everyday.• Salt (Sodium chloride) has been a valuable trade commodity in ancient cultures. Seafood and salt mines are good sources.

Potassium is found in all fruits and vegetables.

Calcium is found in hard water, in dairy products, almonds, sesame seeds, beans, greens, canned fish, fortified foods.

Magnesium is found in hard water, beans, nuts, seeds, greens, whole grains, chocolate and a little in most foods.

     Having too much or too little of any of the four essential electrolytes in our blood and body fluid can be life threatening. They work together as teams that balance each other. Salt is not bad for us, we just need potassium in similar amounts. Processed foods tend to be overly salted and low in potassium. If we eat that way occasionally, no big deal, but if we eat that way most days then we may become low in potassium.

We lose electrolytes everyday in sweat and in the urine and feces. Muscle cramps can be a symptom of potassium deficiency and heart attacks can occur with abrupt drops in potassium. Muscle cramps may also be a symptom of magnesium or calcium imbalances.

Sweating a lot can leave us low in sodium and other electrolytes. Heatstroke can be due to excess heat [3] but it may also be due to hyponatremia or low sodium blood levels which can leave you feeling weak, dizzy and confused. Drinking plain water without also having a salty food may leave you feeling sick to your stomach if you are too dehydrated. Having a little salt or salty food first and then sipping the water might feel better when trying to rehydrate after a workout. The stomach controls what it lets into the more fragile intestine. If the stomach fluid is too thin and watery or too concentrated and acidic then the stomach will reject the fluid and cause vomiting. If the body has enough stored fluid and electrolytes then the stomach has systems for drawing in what it needs to digest whatever you eat. If you are dehydrated from excessive sweating then your stomach would not have those extra stores to use.

Magnesium may not be as familiar of a nutrient as calcium but it is just as essential to life. Excessive sweating during sports has been associated with sudden stroke later in the day in young athletes. It has been suggested that a sudden drop in magnesium from sweat losses may be the cause. Magnesium acts as the gate keeper in cell membranes and prevents calcium from flooding in from the blood. Calcium turns things on in the body and magnesium turns them off.

Calcium causes muscle fibers to contract and magnesium allows them to relax again. Calcium activates the energy production in the cell’s mitochondria and too much calcium flooding into a brain cell at once can overwork the cell to the point of cell death.

Glutamate and aspartate are amino acids that also act as brain neurotransmitters and their movement is carefully controlled by the protein channels in our cell membranes. Magnesium keeps the protein channels shut, so a sudden drop in magnesium may also cause stroke due to excessive flooding of brain cells by glutamate or aspartate. It might be better to avoid drinking beverages that contain Nutrasweet (Aspartame contains aspartate) by themselves in sweaty situations. A magnesium containing electrolyte beverage like Glaceau’s “Smart Water” would provide the brain cells with magnesium which is needed to prevent calcium, glutamate and aspartate from entering the cell.

 Sweaty situations call for rehydrating with water, and a potassium rich fruit or vegetable or juice and having a salty snack. Have beans, nuts, sunflower or pumpkin seeds with your salty snack and you have your magnesium losses replaced as well.

Re-hydrating is also important if you are losing fluid in diarrhea or vomit. It’s also worth remembering to hydrate after night sweats or during high fevers. Darker yellow urine is a sign that you are dehydrated. Dry, chapped lips and skin are also symptoms.

No extra money is needed for a fancy bottled beverage when you understand your body’s electrolytes and know which foods and drinks are good sources. Dehydration is a frequent reason that people go to the hospital emergency room but with planning it is a problem that can be prevented.

Thinking about good hydration may help to be more aware of thirst signals. It can be easy to misinterpret thirst as hunger, so sometimes you can save calories and cut back on mindless snacking by trying a drink of water first.

Excerpt: Scientists See Dangers in Energy Drinks, By Jane E. Brody (NY Times, Pub: January 31, 2011) [link]

“The authors noted that “four documented cases of caffeine-associated death have been reported, as well as five separate cases of seizures associated with consumption of energy/power drinks.” Additional reports include an otherwise healthy 28-year-old man who suffered a cardiac arrest after a day of motocross racing; a healthy 18-year-old man who died playing basketball after drinking two cans of Red Bull; and four cases of mania experienced by individuals known to have bipolar disorder.”

/Speculation/ The seizures, cardiac arrest, death after athletics, and mania could all be due to sudden changes in magnesium and potassium levels. The caffeine increases urine volume and urinary magnesium losses and the athletes also lost magnesium in sweat. The protein channels that have inadequate magnesium allow calcium to over-flood cell interiors. The calcium can trigger muscle spasms which may lead to cardiac arrest or stroke. Brain cells would also be vulnerable to over-excitation by calcium or the free amino acids, aspartame and glutamate. Brain cells that are constantly active could be associated with mania or seizures.

We could help prevent brain damage by adequately protecting our cell membranes with more frequent intake of magnesium containing foods and beverages. Seizures, strokes, migraines and mania are related to brain cells getting over stimulated and  the resulting lack of oxygen and energy stores can lead to cell death. The glutamate receptor rich areas of the brain are frequently the most devastated in the brains of sufferers of senile dementia.

 An Easy Solution: put magnesium back in beverages – it is in ground water and it is an essential electrolyte. The U.S. regulated it out in the past and bottlers have been removing it ever since – our intestines are suffering. [water policy history review – a 1920 Water Power Act had to do with hydroelectric water rights more than mineral content. I haven’t found more information about a bottled water act yet, [waterencyclopedia.com]
Every sip of a beverage that does not contain magnesium requires magnesium to be drawn to the intestines and stomach from our stored reserves – which are our bones – our structural support. If we want to stop osteoporosis then we need to be sipping and eating foods with a reasonable quantity of magnesium throughout the day. Any time we consume foods or fluids that have an electrolyte content that doesn’t match the concentration that is normal for our body requires our bodies take nutrients out of the reserves stored within our bones, those reserves run out eventually, leaving bones brittle from osteoporosis.

/Disclosure: This information is provided for educational purposes and is not intended to provide individual health care. Please see a health professional for individualized health care./