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Those who are concerned about kidney✨

2025/11/17 Edited to

... Read more腎臓が気になって「クレアチニンを下げる食べ物」「eGFRを上げるには食べ物が大事?」を調べている人は多いと思います。私も親の検査値(クレアチニン・eGFR)が気になって、まず“食事でできること”を整理しました。※持病や治療内容で制限が変わるので、ここは「主治医の指示が最優先」で、無理なく続ける前提です。 ■まず意識したい基本は「減塩」 クレアチニンが高い/eGFRが低めの人は、血圧管理が大事と言われることが多く、食事では減塩が土台になりやすいです。味付けは「塩を足す」より、だし・酢・レモン・胡椒・生姜・にんにく・香味野菜で満足感を作ると続きました。加工食品(ハム・ソーセージ・カップ麺・総菜の味濃い系)は塩分が増えやすいので、“頻度を落とす”だけでも体感が違いました。 ■クレアチニンが高い時の食事:たんぱく質は「量と質」を見直す 「たんぱく質=悪」ではなく、必要量を守ることがポイントでした。自己流で極端に減らすと筋肉が落ちやすいので、医師や栄養士さんに目安を確認するのが安心。食べるなら、脂身が多い肉より魚・大豆製品・鶏むねなど“脂質が控えめで食べやすいもの”を中心に、食べ過ぎない工夫(小皿に分ける、外食の大盛りをやめる)をしました。 ■抗酸化を意識して、野菜・果物は「種類」を増やす 本でも抗酸化の話が出ていましたが、実際にやったのは“色の違う野菜を1日で足す”こと。トマト、ブロッコリー、きのこ、海藻などを味噌汁やスープに入れると手軽です。ただし腎機能の状態によってはカリウム制限がある場合もあるので、果物や青菜の量は検査結果に合わせて調整しました。 ■eGFRを上げるために私が意識した「続け方」 ・水分は「一気飲み」より、こまめに(制限がある人は指示に従う) ・夜遅い食事を減らす(塩分・脂質が増えがち) ・体重を急に増やさない ・むくみ、息切れ、尿量の変化はメモして受診時に共有 ■腎臓リハビリ:ウォーキングの目安 運動なしでも…という話は魅力的ですが、軽い運動がOKな人はウォーキングが取り入れやすかったです。目安は1回20〜50分を週3〜5回。いきなり頑張らず、「会話できるくらいのペース」で、主治医の許可が出てから始めるのが安心でした。 食事は“完璧”より“続く形”がいちばん効きました。クレアチニンやeGFRの数値を見ながら、減塩+加工食品を減らす+たんぱく質の量を整える、この3つから始めると取り組みやすいと思います。

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