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Renal diet for vegetarians: Which protein sources are best?

Because I have end-stage kidney failure, I must follow a special renal diet. However, I'm a vegetarian. What are the best sources of protein for someone like me who also needs to limit phosphorus and potassium?

- Ken / Arizona

Mayo Clinic urologist Erik Castle, M.D., and colleagues answer select questions from readers.

Answer

The answer depends on what type of vegetarian you are.

A proper renal diet is an essential part of any treatment plan for chronic kidney failure. Although a renal diet restricts protein, you still need to eat some protein every day. The chart below lists various protein sources for specific types of vegetarian diets. If you're a lacto-vegetarian, you can also consider the vegan protein sources. If you're a lacto-ovo vegetarian, you can consider vegan and lacto-vegetarian protein sources, and so on.

Type of vegetarian dietBest protein sources for renal diet
Vegan — allows only plant-based foods
  • Soy protein (tofu, tempeh)
  • Wheat protein (seitan)
  • Quorn (mycoprotein)
  • Nut butters (up to 2 tablespoons — about 28 grams — a day)
  • Soy milk
  • Soy yogurt
Lacto-vegetarian — allows plant-based foods, milk, dairy products
  • Low-sodium or reduced-sodium cottage cheese
Pesco-vegetarian — allows plant-based foods, milk, dairy products, eggs, fish
  • Fish, such as salmon or tuna
  • Shellfish, such as clams, crabs, lobster or shrimp
Note: Avoid smoked fish, which is high in sodium.
Pollo-vegetarian — allows plant-based foods, milk, dairy products, eggs, poultry
  • Chicken
  • Turkey
Note: Avoid smoked chicken and turkey, which are high in sodium. Also, because fresh poultry is often injected with sodium, look for "natural" on the label — which indicates no added sodium.

It's important to note that the protein sources listed above contain varying amounts of sodium, phosphorus and potassium, which may be limited on a renal diet. For help creating a renal diet that meets your individual needs, consult a registered dietitian who specializes in renal diets.

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Dec 1, 2008