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  不少人认为豆制品的嘌呤高、尿酸高,不宜食用。其实,豆制品吃对了是对健康有所助益的。今天,医生就来帮肾病患者挑选最适合的豆类和豆制品。

  大豆提供优质蛋白

  “优质蛋白”指的是高生物价蛋白质,即高生物利用率的蛋白质。因其所含的氨基酸比例与人体相似,易于消化吸收,所以称为优质蛋白,如肉类、蛋类、奶类等;植物蛋白质因含非必需氨基酸,不易消化吸收,因此生物利用率较低,且代谢后产生较多的含氮废物,如米、面、坚果类。

  但是,大豆是个例外,它所含的是优质蛋白。大豆蛋白是高生物效价的完全蛋白,其也是大豆的主要成分,约占35%至50%。大豆蛋白质的氨基酸有18种之多,除蛋氨酸稍低外,其余所含人体必需氨基酸的组成和比例与动物蛋白质相似,而且富含谷类蛋白缺乏的赖氨酸,是与谷类蛋白质互补的天然理想食品。

  大豆蛋白包含许多特殊的成分,如异黄酮、皂角苷、植酸、纤维及胰岛素抑制剂等,各种不同的成分发挥不同的生理作用,其中大豆异黄酮有弱的类雌激素作用,也有降低胆固醇、提供抗癌基因、抗氧化等作用。

  大豆皂角苷可抑制血清中脂类的氧化,抑制过氧化脂质的形成,具有抗氧化、抗自由基作用,并能降低血中胆固醇和甘油三酯含量。而植酸能帮助控制血磷水平。

  这三种才是大豆

  肾病患者,随着肾功能下降到一定程度,应控制蛋白质的质和量,原则上要求采取“优质低蛋白”的饮食策略。旨在摄入优质蛋白并控制总蛋白量,满足身体需求的同时减轻代谢负担。因此,肾病患者是可以科学地食用大豆和豆制品的。

  特别需要提醒大家的是:要区分大豆和杂豆。

  大豆是指黄豆、黑豆和青豆,这三种豆所含蛋白质才是优质蛋白质。而剩下的红豆、绿豆和赤小豆等都属于杂豆类,其主要成分为淀粉类,其蛋白质属于非优质蛋白,而且钾、磷、嘌呤含量高,所以要少吃或者避免食用杂豆类食品。

  此外,豇豆、扁豆、豆芽菜等蔬菜以食用植物根茎类和膳食纤维为主,豆类成分较少,故不属于肾病禁忌食品,肾衰患者也可适量食用。

  两种豆制品对肾友好

  豆制品种类繁多,包括豆腐、豆腐丝、豆浆、油豆皮、豆筋等,其中有些豆制品如油豆皮、豆干等,在加工过程中添加了大量的盐和油,会导致高血压、水肿和高脂血症,不建议患者食用。

  对于肾病患者来说比较理想的豆制品是豆腐和豆浆。对于病情稳定的肾病患者,根据体重以及其他动物蛋白质摄入量的情况,可酌情加用豆腐和豆浆。再次提醒大家,大豆主要指黄豆,大家在选购豆制品时也需注意是否由大豆加工而成。

  北京青年报文/沈存张康(首都医科大学附属北京中医医院)

  4月22日电据中央气象台网站消息,中央气象台4月22日10时继续发布强对流天气蓝色预警。

  预计4月22日14时至23日14时,华南等地的部分地区将有8级以上雷暴大风或冰雹天气,其中,广西西部和东北部等地的部分地区将有10级以上雷暴大风;华南中西部、江南南部等地的部分地区将有小时雨量大于20毫米的短时强降水天气,其中,福建东北部和西南部、广西西部和东北部等地的部分地区小时雨量大于50毫米,最大可达60毫米以上。

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