Daily Tribune (Philippines)

How much K is ok?

In general, healthy potassium levels can be maintained with a balanced diet and eating the recommende­d number of servings for fruits and vegetables

- THE DOCTOR DIARIES Brian Michael icasas caBral, MD

In the body, potassium (symbol:K) is one of the minerals and electrolyt­es essential for the the normal functionin­g of all cells. It helps ensure the proper function of the muscles and nerves, including those that control your heartbeat and breathing.

Potassium is best obtained from the food that we eat, and our bodies use the potassium it needs. The extra potassium that the body does not need is removed from the blood by the kidneys.

But if the body cannot remove the excess potassium through the urine because of other health problems that affect the function of the kidneys, such as diabetes, hypertensi­on and heart failure, then potassium levels can increase to alarming levels, which can cause dangerous abnormal heart rhythms and even cause cardiac arrest and death.

Diets that are adequate in potassium can help control blood pressure and have been linked to a lower chance of having a stroke. But don’t go out and start taking supplement­s for this reason. Potassium supplement­s should only be used if they are prescribed by your doctor.

According to the Food and Nutrition Research Institute (FNRI) of the Department of Science and Technology (DOST), adequate intake of potassium for Filipino adults is 2,000 mg a day, taken mostly from fruits and vegetables.

Current diets, however, do not meet the recommenda­tion of at least five servings of vegetables and fruits a day because it has just become more convenient to eat fast food or prepackage­d foods. Some fruits and vegetables can also sometimes be more expensive, especially during typhoon season.

(A serving of vegetables is one cup of raw leafy vegetables or 1/2 cup raw non-leafy vegetables, or 1/2 cup cooked leafy or non-leafy vegetables. A serving of fruit is about 1/2 cup.) Some examples of food high in potassium include:

1. Potatoes

2. Tomatoes, tomato sauce, tomato juice

3. Beans

4. Squash

5. Green leafy vegetables – spinach, bok choy

6. Okra

7. Bananas

8. Melon

9. Watermelon

10. Oranges and orange juice

11. Avocado

12. Kiwi

13. Dried fruit — prunes, raisins

14. Coconut water and meat (buko)

15. Some salt substitute­s (read nutrition labels) Patients with kidney disease should be careful not to take in too much potassium, but they shouldn’t go without it either. Those with severe kidney disease or on dialysis should still get some about 1000 mg per day. A potassium level that is too low can lead to fatigue, weakness and constipati­on. This deficiency can then escalate to paralysis, respirator­y failure and painful gut obstructio­n.

The number of servings is also important. Too much of a low-potassium food makes it a high-potassium food. The recommende­d serving of low-potassium foods is about half a cup.

Some examples of food low in potassium:

1. Salmon (3 oz.) – 300 mg

2. Canned tuna (3 oz.) - 200 mg

3. Asparagus (6 spears) – 200 mg

4. Broccoli (half-cup) – 200 mg

5. Carrots (half-cup cooked) – 200 mg

6. Corn (half an ear) – 200 mg

7. Zucchini (half-cup) – 200 mg

8. Apple (tennis-ball size) – 200 mg

9. Grapes (half cup) – 100 mg

10. Pineapple (half cup) – 100 mg

Potassium levels can also be affected by certain medication­s, such as diuretics (hydrochlor­othiazide, furosemide), which tend to lower potassium levels, while other medication­s for blood pressure (enalapril, lisinopril, ramipril, perindopri­l, losartan, candesarta­n, irbesartan) have the opposite effect and can raise potassium levels. So can common painkiller­s such as ibuprofen or naproxen. If you take any of these ask your doctor if your potassium levels need to be monitored.

In general, healthy potassium levels can be maintained with a balanced diet and eating the recommende­d number of servings for fruits and vegetables. Remember to never take potassium supplement­s without a doctor’s prescripti­on, and consult with your doctor to find out the amount of potassium

that’s right for you.

 ?? PHOTOGRAPH COURTESY OF PEXELS/ ALLEKSANA ?? BANANAS are the go-to food when it comes to potassium.
PHOTOGRAPH COURTESY OF PEXELS/ ALLEKSANA BANANAS are the go-to food when it comes to potassium.
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 ?? ?? POTATOES are an excellent source of potassium.
POTATOES are an excellent source of potassium.

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