scholarly journals Trends in Total, Added, and Natural Phosphorus Intake in Adult Americans, NHANES 1988–1994 to NHANES 2015–2016

Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2249
Author(s):  
Kristin Fulgoni ◽  
Victor Fulgoni

Dietary phosphorus intake in the USA has been consistently greater than the Recommended Daily Allowance (RDA) with several studies reporting associations between intake and health risks as well as all-cause mortality within healthy subjects and patients with chronic kidney disease (CKD). The current study utilized a novel approach to calculate added phosphorus content in foods to determine sources (National Health and Nutrition Examination Survey, NHANES 2001–2016, n = 39,796) and trends in consumption (NHANES 1988–1994, 2001–2016, n = 55,744) of total, naturally occurring, and added phosphorus. Among adults (19+ years), the mean intake of total and natural phosphorus (mg/day) in 1988–1994 as compared with 2015–2016 increased (total: 1292 ± SE 11 vs. 1398 ± SE 17; natural: 1113 ± SE 10 vs. 1243 ± SE 16 mg/day); in contrast, added phosphorus intake decreased during this time (178 ± SE 2.9 vs. 155 ± SE 4.1 mg/day). Added phosphorus as a percent of total ranged from about 14.6% in 1988–1994 to about 11.6% in 2015–2016. The top five sources of total and naturally occurring phosphorus, representing approximately 20% of intake, were cheese, pizza, chicken (whole pieces), reduced-fat milk, and eggs/omelets. The top five sources of added phosphorus were cheese, soft drinks, cakes/pies, rolls/buns, and cookies/brownies, representing 45% of added phosphorus in the diet. 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. Further studies are needed to validate the added phosphorus calculations utilized in this study and nutrition databases should consider providing added phosphorus content.

1967 ◽  
Vol 18 (4) ◽  
pp. 635 ◽  
Author(s):  
FM Tomas ◽  
RJ Moir ◽  
M Somers

Rumen fluid, serum, and parotid salivary inorganic phosphorus concentrations in sheep given four levels of dietary phosphorus (0.42–4.02 g/day) were directly related to phosphorus intake. There was a very high correlation (r = +0.91; P < 0.001) between inorganic phosphorus concentrations in centrifuged rumen fluid and in parotid saliva. Serum inorganic phosphorus concentrations were positively correlated with those of saliva (r = +0.64; P< 0.05) and also with those in centrifuged rumen fluid (r = +0.75; P<0.01). The range in the mean daily saliva volumes collected from one parotid gland in each sheep was 3.2 to 4.2 l/day. The calculated minimum total salivary phosphorus secretion ranged from 3.0 g/day on the lowest dietary phosphorus intake to 5.3 g/day on the highest, the corresponding ratios of salivary to dietary phosphorus being from 7.24 to 1 .32 g/g. It appeared that salivary phosphorus was the major source of phosphorus to the rumen, and was also the principal determinant of rumen fluid inorganic phosphorus levels.


2019 ◽  
Vol 149 (5) ◽  
pp. 816-823 ◽  
Author(s):  
Scott T McClure ◽  
Casey M Rebholz ◽  
Katherine M Phillips ◽  
Catherine M Champagne ◽  
Elizabeth Selvin ◽  
...  

ABSTRACTBackgroundUrinary phosphorus excretion has been proposed as a recovery biomarker of dietary phosphorus intake. However, it is unclear whether phosphorus excretion is constant across a range of dietary and nondietary factors.ObjectiveWe assessed whether percentage urinary phosphorus excretion is constant across 3 dietary patterns in the Dietary Approaches to Stop Hypertension (DASH) trial.MethodsDASH is a completed feeding study of 459 prehypertensive and stage 1 hypertensive adults (52% male, 56% black). After a 3-wk run-in on a typical American (control) diet, participants were randomly assigned to the control diet, a diet rich in fruits and vegetables (FV diet), or a diet rich in fruits, vegetables, and low-fat dairy with reduced saturated fat and cholesterol (DASH diet) for 8 wk. We estimated the percentage phosphorus excretion as urinary phosphorus excretion (from 24 h urine) divided by phosphorus intake (from analyzed food composites). Differences between group means for all 3 diets were compared by ANOVA followed by pairwise comparisons with Tukey's honest significant difference test.ResultsAt the end of the intervention, the mean phosphorus intake was 1176 mg/d (95% CI: 1119, 1233 mg/d), 1408 mg/d (1352, 1464 mg/d), and 2051 mg/d (1994, 2107 mg/d) in the control, FV, and DASH diet, respectively (P < 0.001, all comparisons). The mean phosphorus excretion was 734 mg/d (682, 787 mg/d), 705 mg/d (654, 756 mg/d), and 872 mg/d (820, 923 mg/d) in the control, FV, and DASH diet, respectively (P = 0.74 control vs. FV, P < 0.001 all other comparisons). The mean percentage phosphorus excretion was 63% (60%, 67%), 51% (48%, 54%), and 43% (39%, 46%) in the control, FV, and DASH diet, respectively (P < 0.001, all comparisons).ConclusionsThese 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 phosphorus excretion across dietary patterns. This trial is registered at clinicaltrials.gov as NCT0000054.


2013 ◽  
Vol 99 (2) ◽  
pp. 320-327 ◽  
Author(s):  
Alex R Chang ◽  
Mariana Lazo ◽  
Lawrence J Appel ◽  
Orlando M Gutiérrez ◽  
Morgan E Grams

2018 ◽  
Vol 37 (5) ◽  
pp. 1625-1630 ◽  
Author(s):  
Francesca Romana Mancini ◽  
Aurélie Affret ◽  
Courtney Dow ◽  
Beverley Balkau ◽  
Françoise Clavel-Chapelon ◽  
...  

PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0207601 ◽  
Author(s):  
Colby J. Vorland ◽  
Pamela J. Lachcik ◽  
Loretta O. Aromeh ◽  
Sharon M. Moe ◽  
Neal X. Chen ◽  
...  

1966 ◽  
Vol 20 (4) ◽  
pp. 727-732 ◽  
Author(s):  
V. R. Young ◽  
J. R. Luick ◽  
G. P. Lofgreen

1. A combination of balance and isotope techniques was used to determine the influence of phosphorus depletion on the size of the exchangeable calcium pool and on the rates of Ca deposition in and removal from the whole skeleton of sheep. 2. The exchangeable Ca pool was reduced in size in the depleted sheep to approximately 50% of that in the controls. 3. The rates of Ca deposition in and removal from bone were reduced by P depletion and the rate of Ca transfer from the pool was reduced slightly. 4. The turnover rates of the exchangeable Ca pool and bone Ca in sheep appear to be similar to values published for man.


2018 ◽  
Vol 13 (7) ◽  
pp. 1002-1012 ◽  
Author(s):  
Elizabeth R. Stremke ◽  
Linda D. McCabe ◽  
George P. McCabe ◽  
Berdine R. Martin ◽  
Sharon M. Moe ◽  
...  

2014 ◽  
Vol 55 (1) ◽  
pp. 62-66 ◽  
Author(s):  
Yuuka Morimoto ◽  
Masae Sakuma ◽  
Hiroyuki Ohta ◽  
Akitsu Suzuki ◽  
Asami Matsushita ◽  
...  

1974 ◽  
Vol 25 (1) ◽  
pp. 147 ◽  
Author(s):  
J Leibholz

The flow of calcium and phosphorus to the proximal duodenum was measured over 22 24-hr periods in sheep fitted with re-entrant duodenal cannulae. The sheep were offered one of six diets in a ground and pelleted form supplying 1.4–30 g of nitrogen per day from three different protein sources. The estimated metabolizable energy content of the diets was 1.9 or 1.3 Mcal/kg. The diets supplied 2.0–5.8 g of calcium per day and 2.2–3.3 g of phosphorus per day. Between 49.9% and 61.2% of the dietary calcium intake appeared at the duodenum in the sheep given all diets except the one supplying 1.4 g of nitrogen per day, where the value was 98.5%. There were highly significant correlations between the daily calcium intake and the flow of calcium to the duodenum, the excretion of calcium in the faeces, the retention of calcium and the calcium content of the rumen. Between 85.0 and 119.1% of the daily phosphorus intake appeared at the duodenum in the sheep given all six diets. The flow of phosphorus was correlated with the dietary phosphorus intake. There were significant correlations between the flow of calcium and phosphorus to the duodenum and, also, their retention.


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