Diet 7 for kidney disease: indications and menu for the day

04/19/2019 Article

• Diet "Table No. 7"
• Diet “Table No. 7a”
• Diet “Table No. 7b”

In medical-prophylactic and sanatorium-resort institutions, they use the traditional numbered system of diets by M. I. Pevzner for nutrition for certain diseases. The “7 table” diet is indicated for kidney diseases, such as acute and chronic nephritis (pyelonephritis, glomerulonephritis).

Diet No. 7, complete in energy value, is limited in the consumption of free liquid, salt (sodium chloride) and all substances that irritate the kidneys, stimulate the cardiovascular and central nervous systems, meat, dairy and mushroom broths, foods rich in essential oils and oxalic acid.

Depending on the severity and specifics of the condition, there are variations of this diet.

Diet "Table No. 7"

Diet No. 7 is prescribed for diseases:

• chronic nephritis (glomerulonephritis) without exacerbation and kidney failure;
• acute nephritis (glomerulonephritis) during the recovery period (from the 3-4th week of treatment);
• nephropathy of pregnancy;
• other diseases for which a low-salt diet is indicated.

Purpose : moderately sparing night function, reducing hypertension and edema, improving the excretion of nitrogenous and other metabolic products from the body.

General characteristics : the protein content is somewhat limited, fats and carbohydrates are within physiological norms. Food is prepared without salt. Salt is given to the patient in the amount specified by the doctor (3-6 g). The amount of free liquid is reduced to an average of 1 liter. Exclude extractive substances from meat, fish, mushrooms, sources of oxalic acid and essential oils. Culinary processing without mechanical and with moderate chemical sparing. Meat and fish (100-150 g per day) are boiled. The food temperature is normal.

Chemical composition and calorie content of dietary table No. 7 : carbohydrates - 400-450 g (80-90 g of sugar); proteins - 80 g (50-60% animal), fats - 90-100 g (25% vegetable), calories - 2700-2900 kcal; free liquid - 0.9-1.1 l.

Diet : 4-5 times a day.

Do's and don'ts

Recommended and excluded dishes:
Table “Dos and Don’ts”

Example of daily dishes from the weekly menu

• First breakfast: soft-boiled egg, crumbly buckwheat porridge, tea;
• Second breakfast: baked apples;
• Lunch: vegetarian borscht with sour cream (1/2 serving), boiled meat with fried potatoes, dried fruit compote;
• Afternoon snack: rosehip decoction;
• Dinner: baked carrot-apple meatballs, noodle soup with cottage cheese, tea.

Menu for the week

The menu for a week for the “Table 7” diet assumes that the following dishes and products are on the table. You can also download the menu directly from our website.

Print menu “Table No. 7”

Diet “Table No. 7a”

Diet No. 7a is prescribed in the following cases:

• acute nephritis (glomerulonephritis) in severe form after fasting days and moderate severity from the first days of illness;
• chronic nephritis (glomerulonephritis) with severe renal failure.

Purpose : maximum sparing of kidney function, improvement of excretion of metabolic products from the body, reduction of hypertension and edema.

General characteristics : predominantly plant-based diet with a sharp restriction of proteins, with the exception of sodium chloride. The amount of fats and carbohydrates is moderately reduced. Avoid products rich in extractives, essential oils, and oxalic acid. Culinary processing without mechanical sparing: boiling, baking, light frying. Food is prepared without salt, bread is salt-free. The amount of liquid should correspond to or no more than 300-400 ml exceed the amount of urine of the patient over the previous day.

Chemical composition and calorie content of dietary table No. 7A : carbohydrates - 350 g (80 g sugar); proteins - 20 g (50-60% animal, and in case of chronic kidney failure - 70-75%), fats - 80 g (15% vegetable), 8.8-9.2 MJ (2100-2200 kcal); sodium chloride, free liquid - 1.5-2 liters or more.

Diet : 5-6 times a day.

Do's and don'ts

Recommended and excluded foods and dishes:
Table “Dos and Don’ts”

Example of daily dishes from the weekly menu

• First breakfast: carrot-apple cutlets baked in vegetable oil, sago milk porridge, tea.
• Second breakfast: fresh fruit.
• Lunch: vegetarian vegetable soup (1/2 serving), boiled meat with tomato sauce, boiled potatoes, jelly.
• Afternoon snack: decoction of wheat bran with sugar.
• Dinner: sago pilaf with fruit, vegetable salad with vegetable oil, tea.
• At night: fruit juice. If necessary, reduce the amount of free liquid (tea, jelly).

Recipes

Marmalade

• Glass of natural juice
• 15 grams of gelatin
• Powdered sugar (optional)

Dissolve gelatin in a glass of juice and leave to swell for 15 minutes. Then put the mixture on the stove and heat it, but do not bring it to a boil. Pour the mixture into molds and put in a cool place until hardened. When the marmalade is ready, you can roll it in powdered sugar.

Look also at the table 8 recipes, they are simple and delicious!

Vegetable puree soup

• 300 grams of pumpkin
• One zucchini
• 800 ml water
• Two tablespoons of vegetable oil
• Herbal mixture
• 50 ml cream

Cut the pumpkin and zucchini into small pieces. Heat the vegetable oil in a thick-bottomed pan and add the pumpkin. Fry for 2 minutes and add zucchini. Fry for another 3 minutes, cover with a lid and simmer for 5 minutes. Fill with water, let it boil, add a mixture of herbs and cook over low heat under the lid for 5 minutes. Add cream, bring to a boil again, turn off the heat and let it brew for 10 minutes. Puree the soup with a blender until pureed.

Salad with seaweed

• Carrot
• Beet
• Potato
• 100 grams of seaweed
• Olive oil
• Greenery

Boil the vegetables, cool and cut into small cubes. Place in a salad bowl and add seaweed. Lubricate the salad with olive oil.

Diet “Table No. 7b”

Diet No. 7b is used for:

• acute nephritis after diet No. 7A or immediately in mild form;
• chronic nephritis with moderate renal failure.

Purpose : maximum sparing of kidney function, improvement of excretion of metabolic products from the body, reduction of hypertension and edema.

General characteristics : diet with a significant decrease in protein and a sharp restriction of sodium chloride. Fats, carbohydrates and calories are within the physiological norm. Avoid products rich in extractives, essential oils, and oxalic acid. Culinary processing without mechanical sparing: boiling, baking, light frying. Food is prepared without salt, bread is salt-free. Food is prepared without salt. Compared to diet No. 7A, the amount of protein has been doubled, mainly due to the inclusion of 125 g (gross) of meat or fish, 1 egg, up to 125 g of milk and sour cream. Meat and fish can be replaced with cottage cheese, taking into account the protein content in these products. In diet No. 7B, the amount of protein-free, salt-free cornstarch bread, sago (or rice), as well as potatoes and vegetables (300 g and 650 g gross, respectively), sugar and vegetable oil is increased to 150 g to ensure the proper content of fats and carbohydrates.

Chemical composition and calorie content of dietary table No. 7B : proteins - 40-50 g (50-60% animal, and in case of chronic kidney failure - 70-75%), fats - 85-90 g (20-25% vegetable), carbohydrates - 450 g (100 g of sugar), calories - 2600-2800 kcal, Free liquid under the control of the amount of urine and other clinical indicators (see diet No. 7A), on average 1-1.2 liters.

Diet : 5-6 times a day.

Results and reviews from doctors ^

The results of using the therapeutic diet of table No. 7 are a decrease in exacerbation and gradual relief from irritation and inflammation of the kidneys. Together with drug treatment, the seventh diet gives a positive effect in a shorter period of time.

The duration of this technique is determined by the attending physician based on the patient’s condition and test results. Reviews of the 7 table diet show that it significantly facilitates the functioning of the kidneys, reducing inflammation.

However, depending on the type and degree of the disease, some patients note a rapid improvement in their condition, while others note that the positive effect does not occur immediately, but only after a long period of time.

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Table of permitted products

* data is per 100 g of product

Signs of illness

The disease is manifested by a sharp increase in temperature to 39-40 degrees, weakness occurs, sweating increases, headaches appear, sometimes nausea and vomiting, and lower back pain occurs, usually on one side.

Most often, a dull pain of varying strength occurs. If the disease occurs in the presence of urolithiasis, then an attack of renal colic may occur. If the disease proceeds without complications, then the outflow of urine is usually not impaired.

If not treated in a timely manner, acute pyelonephritis will become chronic, and the patient will regularly suffer from aching lower back pain, more often in damp, cool weather. Exacerbations of the chronic form of pyelonephritis occur occasionally.

A process of suppuration may develop, which will sharply worsen the patient’s condition. The temperature during the day can be normal, but in the evening it can rise sharply to 40-41°C. There may be painful urination, a need to frequently visit the toilet, and the urine becomes dark and may even contain blood.

With this disease, proper nutrition is of great importance, since it is necessary to reduce the load on diseased kidneys.

Causes of the disease

There are local and general factors for the development of the disease.

General: decreased immunity, overwork, weakness after illness, stress, depression, vitamin deficiency and lack of microelements.

Local - a violation of the outflow of urine that occurs with urolithiasis, with the formation of a tumor, with narrowing of the ureters.

Acute pyelonephritis develops quickly, and if treatment is started in time, you can be completely cured in two to three weeks. Chronic pyelonephritis occurs as a result of an untreated acute form of the disease, when the acute inflammation has been removed, but the causative agents of the disease remain and normal urinary flow has not been restored. The chronic form is often complicated by renal failure and increased blood pressure.

Table of prohibited products

*data is per 100 g of product