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Potassium Removal from Juices Using an Individual Single-Use Ion-Exchange Device

Received: 7 February 2017    Accepted: 28 February 2017    Published: 15 March 2017
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Abstract

There are more than 100 million patients with various stages of chronic kidney disease (CKD) with decrease in CKD1 to loss in CKD 5 (end stage renal disease, ESRD) in the ability of the kidney to excrete K+ causing hyperkalemia and potentially heart attack. To avoid hyperkalemia, kidney patients have to drastically limit the consumption of fruit and vegetable juices that significantly decreases the nutritional value of their diet. Previous research using ion-exchange column chromatography demonstrated some efficiency in the K+ removal from juices without pulp, whereas no approaches have been generated for the K+ removal from juices with pulp (e.g. the most popular in the USA orange juice). Currently there are no commercially available low K+ fruit/vegetable juices for renal patients nor do patients have the ability to lower the K+ in juices on an individual basis. A device is reported that individual patients can use to remove K+ from juices with or without pulp using permeable t-sacs with Dowex Monosphere 99/320 Ca cation-exchange resin. The device significantly lowers the K+ content (by ~80% of original), is simple to use, and will be of benefit to patients who are on K+ restricted diets.

Published in Journal of Food and Nutrition Sciences (Volume 5, Issue 2)
DOI 10.11648/j.jfns.20170502.12
Page(s) 28-33
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Diet, Potassium, Chronic Kidney Disease, Juice

References
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[6] Levey, A. S.; Atkins, R.; Coresh, J.; Cohen, E. P.; Collins, A. J.; Eckardt, K. U.; Nahas, M. E.; Jaber, B. L.; Jadoul, M.; Levin, A.; Powe, N. R.; Rossert, J.; Wheeler, D. C.; Lameire, N. and Eknoyan, G. (2007). Chronic kidney disease as a global public health problem: approaches and initiatives - a position statement from Kidney Disease Improving Global Outcomes. Kidney Int., 72, 247–259.
[7] Kalantar-Zadeh, K.; Tortorici, A. R.; Chen, J. L.; Kamgar, M.; Lau, W. L.; Moradi, H.; Rhee, C. M.; Streja, E. and Kovesdy, C. P. (2015). Dietary restrictions in dialysis patients: is there anything left to eat? Semin. Dial., 28, 159–168.
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[11] Lillimoe, K. D.; Romolo, J. L.; Hamilton, S. R.; Pennington, L. R.; Burdick, J. F. and Williams, G. M. (1987). Intestinal necrosis due to sodium polystyrene (Kayexalate) in sorbitol enemas: clinical and experimental support for the hypothesis. Surgery, 101, 267–272.
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[14] Chaaban, A.; Abouchacra, S.; Gebran, N.; Abayechi, F.; Hussain, Q.; Al Nuaimi, N. and Hassan, M. E. (2013). Potassium binders in hemodialysis patients: a friend or foe? Ren. Fail., 35, 185–188.
[15] Bunchman, T. E.; Wood, E. G.; Schenck, M. H.; Weaver, K. A.; Klein, B. L. and Lynch, R. E. (1991). Pretreatment of formula with sodium polystyrene sulfonate to reduce dietary potassium intake. Pediatr. Nephrol., 5, 29–32.
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Cite This Article
  • APA Style

    Alexander Pushkin, Rachel Mund, Anna Nadya Pushkin, Allan Zevelev, Debra Newman, et al. (2017). Potassium Removal from Juices Using an Individual Single-Use Ion-Exchange Device. Journal of Food and Nutrition Sciences, 5(2), 28-33. https://doi.org/10.11648/j.jfns.20170502.12

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    ACS Style

    Alexander Pushkin; Rachel Mund; Anna Nadya Pushkin; Allan Zevelev; Debra Newman, et al. Potassium Removal from Juices Using an Individual Single-Use Ion-Exchange Device. J. Food Nutr. Sci. 2017, 5(2), 28-33. doi: 10.11648/j.jfns.20170502.12

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    AMA Style

    Alexander Pushkin, Rachel Mund, Anna Nadya Pushkin, Allan Zevelev, Debra Newman, et al. Potassium Removal from Juices Using an Individual Single-Use Ion-Exchange Device. J Food Nutr Sci. 2017;5(2):28-33. doi: 10.11648/j.jfns.20170502.12

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  • @article{10.11648/j.jfns.20170502.12,
      author = {Alexander Pushkin and Rachel Mund and Anna Nadya Pushkin and Allan Zevelev and Debra Newman and Ofelia Berina and Maria Golchin and Ira Kurtz},
      title = {Potassium Removal from Juices Using an Individual Single-Use Ion-Exchange Device},
      journal = {Journal of Food and Nutrition Sciences},
      volume = {5},
      number = {2},
      pages = {28-33},
      doi = {10.11648/j.jfns.20170502.12},
      url = {https://doi.org/10.11648/j.jfns.20170502.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfns.20170502.12},
      abstract = {There are more than 100 million patients with various stages of chronic kidney disease (CKD) with decrease in CKD1 to loss in CKD 5 (end stage renal disease, ESRD) in the ability of the kidney to excrete K+ causing hyperkalemia and potentially heart attack. To avoid hyperkalemia, kidney patients have to drastically limit the consumption of fruit and vegetable juices that significantly decreases the nutritional value of their diet. Previous research using ion-exchange column chromatography demonstrated some efficiency in the K+ removal from juices without pulp, whereas no approaches have been generated for the K+ removal from juices with pulp (e.g. the most popular in the USA orange juice). Currently there are no commercially available low K+ fruit/vegetable juices for renal patients nor do patients have the ability to lower the K+ in juices on an individual basis. A device is reported that individual patients can use to remove K+ from juices with or without pulp using permeable t-sacs with Dowex Monosphere 99/320 Ca cation-exchange resin. The device significantly lowers the K+ content (by ~80% of original), is simple to use, and will be of benefit to patients who are on K+ restricted diets.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Potassium Removal from Juices Using an Individual Single-Use Ion-Exchange Device
    AU  - Alexander Pushkin
    AU  - Rachel Mund
    AU  - Anna Nadya Pushkin
    AU  - Allan Zevelev
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    AU  - Ofelia Berina
    AU  - Maria Golchin
    AU  - Ira Kurtz
    Y1  - 2017/03/15
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    DO  - 10.11648/j.jfns.20170502.12
    T2  - Journal of Food and Nutrition Sciences
    JF  - Journal of Food and Nutrition Sciences
    JO  - Journal of Food and Nutrition Sciences
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    PB  - Science Publishing Group
    SN  - 2330-7293
    UR  - https://doi.org/10.11648/j.jfns.20170502.12
    AB  - There are more than 100 million patients with various stages of chronic kidney disease (CKD) with decrease in CKD1 to loss in CKD 5 (end stage renal disease, ESRD) in the ability of the kidney to excrete K+ causing hyperkalemia and potentially heart attack. To avoid hyperkalemia, kidney patients have to drastically limit the consumption of fruit and vegetable juices that significantly decreases the nutritional value of their diet. Previous research using ion-exchange column chromatography demonstrated some efficiency in the K+ removal from juices without pulp, whereas no approaches have been generated for the K+ removal from juices with pulp (e.g. the most popular in the USA orange juice). Currently there are no commercially available low K+ fruit/vegetable juices for renal patients nor do patients have the ability to lower the K+ in juices on an individual basis. A device is reported that individual patients can use to remove K+ from juices with or without pulp using permeable t-sacs with Dowex Monosphere 99/320 Ca cation-exchange resin. The device significantly lowers the K+ content (by ~80% of original), is simple to use, and will be of benefit to patients who are on K+ restricted diets.
    VL  - 5
    IS  - 2
    ER  - 

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Author Information
  • Department of Medicine, D. Geffen School of Medicine at UCLA, Los Angeles, USA

  • Department of Medicine, D. Geffen School of Medicine at UCLA, Los Angeles, USA

  • Department of Medicine, D. Geffen School of Medicine at UCLA, Los Angeles, USA

  • Department of Medicine, D. Geffen School of Medicine at UCLA, Los Angeles, USA

  • Department of Medicine, D. Geffen School of Medicine at UCLA, Los Angeles, USA

  • Department of Pathology and Laboratory Medicine, D. Geffen School of Medicine at UCLA, Los Angeles, USA

  • Department of Pathology and Laboratory Medicine, D. Geffen School of Medicine at UCLA, Los Angeles, USA

  • Department of Medicine, D. Geffen School of Medicine at UCLA, Los Angeles, USA

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