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Salt in wooden bowl

Understanding Salt/Sodium Restrictions in IGA Nephropathy: A Comprehensive Guide

Written by: Lauren Levy - MS, RDN, CSR, FNKF
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Many people with IgAN experience swelling in their hands and feet and protein and/or blood in their urine. Doctors typically recommend a low-sodium diet regardless of kidney function, but why? This article reviews what sodium is, why it is important to limit it, and how best to identify and make changes. 

Table of Contents

  • What is Salt/Sodium, and Why it is important for IgAN Patients
  • Guidelines for Salt/Sodium Restrictions
  • Practical Tips for Reducing Salt in Your Diet (2)
  • Common Myths About Salt and Sodium in IgAN
  • Conclusion
  • References

What is Salt/Sodium, and Why it is important for IgAN Patients

Sodium is a mineral that keeps the right amount of fluid in our bodies, controls our blood pressure, and helps our nerves and muscles function. However, too much sodium can cause problems. The most common form of sodium is salt. Salt is found in many of the foods we eat. Too much sodium can increase blood pressure and swelling. 

Guidelines for Salt/Sodium Restrictions

The general guideline limits sodium to <2300mg daily (1). Some people will be asked to limit their sodium intake to 1500-2300mg daily. Generally, people with IgAN are advised to limit their sodium intake. Here are some tips to help. 

  • Read food labels: Look at the nutrition facts on packaged foods. Check the “sodium” amount. Choose foods with lower sodium.
  • Cook at home more often: Restaurant food and fast food usually have a lot of salt. When you cook at home, you control how much salt goes in.
  • Use herbs and spices: Instead of adding salt, use herbs and spices to flavor your food.
  • Avoid processed foods: Things like chips, bread, wraps, canned soups, and deli meats are often high in sodium.
  • Choose natural, low-sodium foods: Fresh fruits, vegetables, and lean meats are naturally low in sodium.

Practical Tips for Reducing Salt in Your Diet (2)

  • Add veggies and fruits to your meals: Aim to fill half of your plate with these foods as they are naturally low in sodium.
  • Buy no-salt-added canned goods: when you cannot find low sodium canned options, make sure to rinse canned foods. 
  • Use herbs and spices: Try basil, oregano, garlic powder, or pepper instead of salt.
  • Avoid salty snacks: Have low-sodium snacks quickly on hand at home, like unsalted nuts, fruits, or unsalted tortilla chips.
  • Plan meals: Planning your meals ahead of time helps you choose fresh, whole foods and avoid last-minute, salty options.
  • Read nutrition labels: Check every label! Sodium can be hidden in unexpected places.

Common Myths About Salt and Sodium in IgAN

Some people think you have to completely avoid salt. That’s not true. Your body needs some sodium. The key is moderation. You don’t have to give up all salt, but you do need to be mindful of how much you’re eating. It’s about making healthier choices most of the time.

Conclusion

Watching your sodium intake is very important if you have IgA Nephropathy. It helps protect your kidneys and manage your blood pressure. Don’t feel like you have to make huge changes all at once. Small, consistent changes can significantly improve blood pressure. If you are looking for new low-sodium recipes to try, check out our recipes section here on the IgAN Recipes tab. It is important to understand that each person’s needs are different, and working with a nutrition professional like a renal dietitian can help to better understand what foods are best for you. 

References

  1. National Kidney Foundation. Sodium and your CKD diet: How to spice your cooking. National Kidney Foundation. https://www.kidney.org/kidney-topics/sodium-and-your-ckd-diet-how-to-spice-your-cooking
  2. Cukebook. Low sodium diet. CukeBook. https://www.cukebook.org/guides/diet/low-sodium-diet/
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Category: Diet & Nutrition

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About Lauren Levy – MS, RDN, CSR, FNKF

Lauren is a renal dietitian since 2009. Owner/Founder of Happy Health Nutrition and a plant-based eater; Lauren believes kidney health is a lifestyle and not a diet. Kidney disease impacts all aspects of life and food choices are vitally important for kidney health. Lauren enjoys working with people, experimenting with recipes, and finding ways that healthy choices feel attainable, sustainable, and enjoyable. Lauren works to take the frustration and confusion out of the renal diet and empower people to follow a kidney-friendly lifestyle.

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References

  • Hall, Y.N., Fuentes, E.F., Chertow, G.M. et al. Race/ethnicity and disease severity in IgA nephropathy. BMC Nephrol 5, 10 (2004). https://doi.org/10.1186/1471-2369-5-10
  • Kiryluk K, Li Y, Sanna-Cherchi S, Rohanizadegan M, Suzuki H, et al. (2012) Geographic Differences in Genetic Susceptibility to IgA Nephropathy: GWAS Replication Study and Geospatial Risk Analysis. PLoS Genet 8(6): e1002765. doi:10.1371/journal.pgen.1002765