The Renal Exchange List

Lets always practice the
The Principles of
MOVABA

Moderation
Variety
Balance

Diet For Renal Disease

The renal diet focuses on the adjustment in the intake of protein, sodium, potassium, calcium, phosphorus and fluids and an adequate intake of protein and calories to meet the need of the patient.

Food Groups

Food groups are grouped together because they share similar nutritional properties.
Food groups for Chronic Kidney Disease focus on specific content– protein, sodium, phosphorus, and potassium content.

What Is a Renal Exchange List?

The renal exchange is a list of foods containing similar levels of protein, sodium, potassium, phosphorus, calcium and fluid. The major food group has one or more sub-groups based on the levels of sodium, potassium, phosphorus, calcium and fluid.

Vegetable List
1 exchange is equal to:

1/2 Cup Cooked:

Patola, Upo, Kamatis, Sayote (bunga), Sibuyas, Singkamas, Sili ( berde), Talong, Labong, Ampalaya (bunga) Saging puso, Kalabasa(bunga), Langka hilaw, Okra, Sitaw (berde), Labanos, Koliplower, Karott, Repolyo, Kangkong, kamatis, Bataw,

1/4 Cup Cooked:

Togue, Malunggay, Kamoteng kahoy (dahon), Letsugas, Petchay, Sayote dahon, Sitsaro, Kalabasa (bulaklak,dahon), Saluyot, Sigarilyas, Gabi (dahon), Kamote (dahon), Himbabao (bulaklak), Mustasa, Spinach, Paayap, Pipino

Fruit List
1 exchange is equal to:

Low Potassium: (can be eaten daily)

Buko,water-1/4cup; Ubas-12 pieces
Kalamansi-1/4cup; Tsiko-1 small
Kaymito-1/2 medium; Dalanghita-1medium
Istroberi-1/2 cup; Mangga,paho-2 small
Manga,hilaw,kalabaw-1 medium slice
Mansanas,pula-1 small; Papaya,hinog-1/2 slice
Pinya-1 slice; Tiyesa-1/4 medium
High Potassium: (can be eaten 2-3x a week)

Santol-1 medium; Milon– 1/2 slice; Lansones-7 medium, Bayabas, puti-2 medium; Saging, Bungulan-1/2 of 1 medium; Saging,lakatan– 1 small; Saging,saba– 1 small; Saging,Latundan-1 small;
Guwayabano1/2 slice; Bayabas (pula)– 2 medium;
Makopa-6 small; Siniguelas-5 small
Mansanas (berde)-1 small; Balimbing-3/4 Large;
Pakwan-1slice; Atis–1/2 small; Mangga,hinog-1 medium slice

Processed fruits:

Fruit Cocktail-1/4cup; Fruit cocktail, tropical-3 tbsp. ;Mango,juice,sweetened-3 tbsp. ;
Pineapple,crushed,sweetened-3 tbsp.
Pineapple juice,unsweetened-1/4 cup
Prune Juice-1/4 cup

Rice List
1 exchange is equal to:

Noodles and Cereals

Bihon-1 Cup; Lugaw-1 Cup; Rice(cooked)-1/2 Cup
Spaghetti( pasta) –1 cup; Macaroni (pasta)-1cup; Mais (nilaga)-1 cob

Breads:

Pan Americano-2 pcs. ; Pan de leche-1 piece;
Pan de sal– 2 pieces; Francis/ Elorde– 1 pc.
Root Crops

Kamote (Dilaw)-1 pc; Kamoteng Kahoy-1 pc;
Gabi-1 pc; Patatas1 1/2 pc; Ubi– 1 1/4 Cups

Meat and Fish List
1 exchange is equal to:

Internal Organs: (can be eaten 2-3x a week)
Beef,atay-1 slice; Chicken Atay– 1 1/2 pcs
Pork,atay-1 slice

Lean Meats:

Pork, Beef and Chicken Meat– 1 matchbox size
Chicken,pitso– 1/4 breast meat

Fishes:

Large Size:
Banak, Bangus, Dalag, Labahita, Maya-maya, Salmon, Tambakol, Tanigi= 1 slice
Kanduli; Lapu-lapu= 1 piece

Medium Size:
Alumahan,Apahap, Biyang puti, Karpa, kitang, Dalagang bukid, Hito, Matangbaka, Pompano, Samara, Talakitok, Tulingan, Alakaak, dapa, Hasa-hasa=1 piece
Sapsap-2 small

Small Sizes:
Bisugo, Galunggong, Salay-salay– 1 piece
Asuhos, Tamban, Tilapya– 2 small
Ayungin, Lapad, Tawilis, Tunsoy= 2 small or 3/4 Cup very small
Seafoods: ( can be eaten twice a week)

Pusit– 2 1/4 medium pcs, Sugpo-1 medium;Hipon,puti-1/2 Cup, Hipon (suahe)-9 pieces or 1/4 Cup; Alimango-1/2 cup flaked or 2 medium;Alimasag-1/2 cup flaked or 3 medium; Tulya-1/3 cup shelled or 7 cups with shell

Egg: (can be eaten 2-3 a week if yolk is included)
pugo-9 eggs; Pato-1 piece; Chicken-1 piece
Penoy -1 piece

Beans and Nuts:
Kasuy-1/3 Cup; Mani,nilaga-1/2 Cup; Munggo, berde/ dilaw/pula-1/2 cup; Patani,buto,tuyo-1/2 Cup

Fat List
1 exchange is equal to:

Butter, Margarine, Mayonnaise= 1 teaspoon
Avocado, green– 1/2 medium; Coconut, milk-1 tbsp Coconut,grated-2 tbsp; Peanut butter-2 tbsp
Whipping cream-1 tbsp

Sugar List
1 exchange is equal to:

Peanut Brittle-1/2 bar(8cm)
Softdrinks (coca-cola,pepsi cola)-3 Tbsp.

Adopted from the Medical Nutrition Therapy for Filipinos 6th edition