High-Protein Frozen Desserts
2015; Elsevier BV; Volume: 25; Issue: 4 Linguagem: Inglês
10.1053/j.jrn.2015.04.001
ISSN1532-8503
Autores Tópico(s)Folate and B Vitamins Research
ResumoFrozen desserts hold popular appeal as they are easy to consume and comforting, especially in warm weather. In a clinical context, frozen desserts can be a suitable option for providing calories and protein to patients in need. Nutrition product companies have recognized this need and created a variety of high-protein dessert foods. In addition, some frozen desserts are considered good sources of protein although not being produced or marketed specifically for protein content. Achieving adequate protein intake can be challenging for the chronic kidney disease (CKD) population, especially those on hemodialysis or peritoneal dialysis. Although frozen desserts are an appealing option to CKD patients, many of these products are inherent sources of phosphorus, potassium, and fluid. An understanding of the nutrient composition of various frozen desserts will aid in determining the appropriate use of these products in the context of the diet as a whole. For the purpose of this comparison, there must first be a definition of what is considered “high protein.” According to the Food and Drug Administration (FDA), the recommended daily value for protein based on a generic 2000-cal diet is 50 g/day.1U.S. Department of Health and Human Services: U.S. Food and Drug Administration. Guidance for Industry: a food labeling guide (14. Appendix F: Calculate the percent daily value for the appropriate nutrients). January 2013. http://www.fda.gov/Food/GuidanceRegulation/GuidanceDocumentsRegulatoryInformation/LabelingNutrition/ucm064928.htm. Accessed January 24, 2015.Google Scholar Furthermore, as per FDA labeling regulation, for a product to claim on the package that it is “high protein,” it must contain ≥20% of the recommended daily value for protein. To claim that a product is a “good source” of protein, that product must contain 15% to 19% of the daily value of protein.2U.S. Department of Health and Human Services: U.S. Food and Drug Administration. How to understand and use the nutrition facts label. http://www.fda.gov/Food/IngredientsPackagingLabeling/LabelingNutrition/ucm274593.htm. Accessed January 24, 2015.Google Scholar These products must display the percentage daily value in the nutrition facts label, based on the Protein Digestibility Corrected Amino Acid Score. This score is a method based on the value of protein in human nutrition and is calculated as follows: Protein Digestibility Corrected Amino Acid Score (%) = [(mg of limiting amino acid in 1 g of test protein)/(mg of same amino acid in 1 g of reference protein)] × fecal true digestibility (%) × 100.3Schaafsma G. The protein digestibility-corrected amino acid score.J Nutr. 2008; 130: 18655-18675Google Scholar By deduction, based on a 50 g/day daily value, a “high protein” product would be one that contains ≥10 g of protein per serving. To include a greater number of products in this comparison, those that are considered a “good source” of protein are also included and considered to be those products that contain 5 to 9 g of protein per serving. For the purposes of this analysis, a “frozen dessert” is defined as a product that is sweet in nature and intended to be served very cold. These products can be freezing liquids, semisolids, and solids. Items that are sold frozen and intended to be thawed before serving were excluded from this analysis. Beyond this definition, the FDA has additional criteria for foods to be classified as ice cream, sorbet, melamine, and so forth based on percentage of milk, milk fat, milk proteins, egg, and so forth.4U.S. Department of Health and Human Services: U.S. Food and Drug Administration. CFR—Code of Federal Regulations Title 21 – Food and Drugs, Chapter 1, Subchapter B—Food for Human Consumption, Part 135 Frozen Desserts. Revised as of April, 2014. http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?CFRPart=135&showFR=1. Accessed January 24, 2015.Google Scholar These definitions will assist in determining the type of products included in the analysis. This product review included an extensive Internet search using search terms “high protein frozen dessert,” “frozen nutrition supplement,” “high protein ice cream,” “high protein frozen yogurt,” “Greek frozen yogurt,” “high protein gelato” and brand-specific searches, as well as grocery store visits including Giant Eagle, Whole Foods, Trader Joe's, and ALDI. Some products identified have limited geographic availability and include information on where they can be found on their Web sites. The tables included in this review are likely not exhaustive of all frozen desserts that contain ≥5 g of protein per serving, as new products are constantly being created and/or may be regionally available without a Web presence. Manufacturers were contacted to provide additional information on nutrient content as available. Many products did not have phosphorus and potassium information available; thus, appropriate use of these goods in the context of the patient's diet must be based on the practitioner's extrapolation per ingredients and similar products. For generic comparison, according to the USDA Nutrient Database, a 0.75 cup serving of rich chocolate ice cream contains 279 calories, 5.2 g of protein, 63 mg of sodium, 128 mg of phosphorus, and 264 mg of potassium.5United States Department of Agriculture. Agricultural Research Service National Nutrient Database for Standard Reference Release 27. Ice creams, Chocolate, Rich. http://ndb.nal.usda.gov/ndb/foods/show/8587?man=&lfacet=&count=&max=35&qlookup=ice+cream&=&format=Abridged&reportfmt=other&rptfrm=&ndbno=&nutrient1=&nutrient2=&nutrient3=&subset=&totCount= &measureby=&_action_show=Apply+Changes&Qv=1&Q15170=0.5&Q15171=1. Accessed March 7, 2015.Google Scholar Although the standard serving size for ice cream is defined as half a cup per the FDA, the serving size was increased to provide comparable (5 g) protein content.6U.S. Department of Health and Human Services: U.S. Food and Drug Administration. CFR—Code of Federal Regulations Title 21 – Food and drugs, Chapter 1, Subchapter B – Food for human consumption, Part 101 Food labeling. Revised as of April, 2014. http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=101.12. Accessed March 25, 2015.Google Scholar This product analysis indicated that the varieties of frozen dessert that are the most likely to be better sources of protein are those that are rich, higher in calories, and more likely to contain nuts and nut butters. A review of ingredients lists indicated whether products contain additional phosphorus additives.7Kalantar-Zadeh K. Gutekunst L. Mehrotra R. et al.Understanding sources of dietary phosphorus in the treatment of patients with chronic kidney disease.Clin J Am Soc Nephrol. 2010; 5: 523-525Crossref Scopus (343) Google Scholar For patients with CKD, some of the traditional frozen dessert options, particularly those that are dairy based, may be best consumed on rare occasion. However, with the increasing variety in high-protein frozen dessert options and the introduction of more frozen nutrition supplements and frozen Greek yogurt, these products may have more of a place in the CKD diet. High-protein frozen desserts offer an appealing and easy-to-consume option to consider for the CKD population. Table 1 lists frozen desserts classified as “high protein” and containing ≥10 g of protein per serving. Table 2 lists frozen desserts classified as “good source of protein” containing 5 to 9 g of protein per serving.Table 1High-Protein Frozen Desserts, ≥10 g of Protein per ServingHigh-Protein Options (≥10 g/Serving)Serving SizeProtein (in Grams Per Serving)CaloriesPotassium (mg)Sodium (mg)Phosphorus (mg)Phosphorus AdditivesBodyQuest Protein Ice Cream Chocolate4 oz161606518034NoBodyQuest Protein Ice Cream Lemon4 oz161603518025NoBodyQuest Protein Ice Cream Strawberry4 oz161603518025NoBodyQuest Protein Ice Cream Vanilla4 oz161603518025Nodërinice Low Fat Ice Cream Protein Rich Chi Energy Coffee1/2 cup10100n/a25n/aNodërinice Low Fat Ice Cream Protein Rich Dragon Green Tea1/2 cup10100n/a25n/aNodërinice Low Fat Ice Cream Protein Rich Midnight Chocolate Bliss1/2 cup10100n/a25n/aNodërinice Low Fat Ice Cream Protein Rich Strawberry Chill1/2 cup10100n/a25n/aNodërinice Low Fat Ice Cream Protein Rich Vanilla Bean Dream1/2 cup1090n/a25n/aNoForte High Protein Gelato, Chocolate4 oz1516032070280NoForte High Protein Gelato, Espresso4 oz1516024470268NoForte High Protein Gelato, Ginger4 oz1516020270266NoForte High Protein Gelato, Vanilla4 oz1516019070267NoGNC Low Fat Ice Cream Cup3.5 oz16n/an/an/an/aYesMightyShakes® No Sugar Added Strawberry6 oz11300340130200YesProYo High Protein Frozen Yogurt Blueberry Pomegranate4 oz201601676077NoProYo High Protein Frozen Yogurt Dutch Chocolate4 oz201601626081NoProYo High Protein Frozen Yogurt Vanilla4 oz201601647582NoProYo High Protein Frozen Yogurt Vanilla-Banana4 oz201601596078No Open table in a new tab Table 2“Good Sources of Protein” Frozen Desserts, 5-9-g Protein per ServingGood Sources of Protein (5-9 g/Serving)Serving SizeProtein (in Grams Per Serving)CaloriesPotassium (mg)Sodium (mg)Phosphorus (mg)Phosphorus AdditivesAdonia Greek Frozen Yogurt Blueberry Bar1 bar (∼2 oz)575n/a35n/aNoAdonia Greek Frozen Yogurt Blueberry1/2 cup9130n/a60n/aNoAdonia Greek Frozen Yogurt Espresso1/2 cup9130n/a65n/aNoAdonia Greek Frozen Yogurt Key Lime1/2 cup9130n/a60n/aNoAdonia Greek Frozen Yogurt Mango1/2 cup9130n/a60n/aNoAdonia Greek Frozen Yogurt Peach1/2 cup9130n/a50n/aNoAdonia Greek Frozen Yogurt Peach Bar1 bar (∼2 oz)575n/a35n/aNoAdonia Greek Frozen Yogurt Raspberry1/2 cup9130n/a60n/aNoAdonia Greek Frozen Yogurt Vanilla1/2 cup9130n/a60n/aNoBen & Jerry's Frozen Yogurt Cherry Garcia1/2 cup5170n/a55n/aNoBen & Jerry's Peanut Butter Half Baked1/2 cup5280n/a110n/aNoBen & Jerry's Candy Bar Pie1/2 cup5300n/a210n/aNoBen & Jerry's Chocolate Fudge Brownie1/2 cup5260n/a70n/aNoBen & Jerry's Chocolate Therapy1/2 cup5250n/a60n/aNoBen & Jerry's Chubby Hubby1/2 cup7340n/a160n/aNoBen & Jerry's Everything But The…1/2 cup5310n/a65n/aNoBen & Jerry's Frozen Yogurt Chocolate Fudge Brownie1/2 cup5180n/a85n/aNoBen & Jerry's Frozen Yogurt Half Baked1/2 cup5180n/a75n/aNoBen & Jerry's Greek Frozen Yogurt Banana Peanut Butter1/2 cup5210n/a90n/aNoBen & Jerry's Greek Frozen Yogurt Blueberry Vanilla Graham1/2 cup5200n/a115n/aNoBen & Jerry's Greek Frozen Yogurt Liz Lemon1/2 cup6180n/a70n/aNoBen & Jerry's Greek Frozen Yogurt Pineapple Passionfruit1/2 cup5180n/a65n/aNoBen & Jerry's Greek Frozen Yogurt Raspberry Fudge Chunk1/2 cup5190n/a55n/aNoBen & Jerry's Greek Frozen Yogurt Vanilla Honey Caramel1/2 cup6190n/a85n/aNoBen & Jerry's Hazed and Confused1/2 cup5280n/a80n/aNoBen & Jerry's Mint Chocolate Cookie1/2 cup5280n/a120n/aNoBen & Jerry's New York Super Fudge Chunk1/2 cup5300n/a55n/aNoBen & Jerry's Peanut Buttah Cookie Core1/2 cup6320n/a140n/aNoBen & Jerry's Peanut Butter Fudge Core1/2 cup6300n/a95n/aNoBen & Jerry's Peanut Butter Cup1/2 cup7370n/a140n/aNoBen & Jerry's Pistachio Pistachio1/2 cup6280n/a65n/aNoBen & Jerry's Salted Caramel Core1/2 cup5270n/a180n/aNoBen & Jerry's What a Cluster1/2 cup7320n/a140n/aNoBlue Bunny BIG Bopper Ice Cream Sandwich1 sandwich (142 g)647019035097NoBlue Bunny BIG Double Strawberry Ice Cream Sandwich1 sandwich (110 g)525017014096YesBlue Bunny BIG Mississippi Mud Ice Cream Sandwich1 sandwich (114 g)6280260220123YesBlue Bunny BIG Neapolitan Ice Cream Sandwich1 sandwich (106 g)5240210190118NoBlue Bunny BIG Vanilla Ice Cream Sandwich1 sandwich (105 g)5240190190114NoBlue Bunny Champ! Caramel Lovers Ice Cream Cone1 cone (97 g)6310180150112NoBlue Bunny Champ! Hot Fudge Ice Cream Cone1 cone (167 g)6310170150118YesBlue Bunny Champ! Vanilla Ice Cream Cone1 cone (97 g)6290180130111NoBlue Bunny Champ! King Size Bunny Tracks Ice Cream Cone1 cone (167 g)8490170190166NoBlue Bunny Champ! King Size Vanilla Brownie Ice Cream Cone1 cone (164 g)5460160170141YesBlue Bunny Nutt'n Better Ice Cream Candy Bar1 bar (72 g)5280857063NoEnlightened The Good For You Ice Cream Almond1 bar (2.6 oz)870n/a40n/aNoEnlightened The Good For You Ice Cream Coffee1 bar (2.6 oz)870n/a30n/aNoEnlightened The Good For You Ice Cream Fudge1 bar (2.6 oz)870n/a30n/aNoEnlightened The Good For You Ice Cream Mind (sandwich)1 sandwich (∼2.4 oz)7100n/a100n/aNoEnlightened The Good For You Ice Cream Orange Cream1 bar (2.6 oz)870n/a30n/aNoEnlightened The Good For You Ice Cream Peanut Butter1 bar (2.6 oz)980n/a70n/aNoEnlightened The Good For You Ice Cream Vanilla Bean (sandwich)1 sandwich (2.4 oz)7100n/a100n/aNoFigo Organic Gelato Chocolate Peanut Butter4 oz5228n/a97n/aNoGNC Low-Fat Ice Cream Bar Chocolate1 bar (2.7 oz)6110n/a70n/aYesGNC Low-Fat Ice Cream Bar Chocolate Chip1 bar (2.7 oz)6110n/a70n/aYesGNC Low-Fat Ice Cream Sandwich Cookies & Cream1 sandwich (3.2 oz)7170n/a115n/aYesGNC Low Fat Ice Cream Sandwich Mint Chocolate Chunk1 sandwich (3.2 oz)7170n/a115n/aYesGNC Low-Fat Ice Cream Sandwich Vanilla1 sandwich (3.2 oz)7170n/a115n/aYesHäagen-Dazs Butter Pecan Ice Cream1/2 cup5300n/a95n/aNoHäagen-Dazs Chocolate Ice Cream1/2 cup5260n/a45n/aNoHäagen-Dazs Chocolate Peanut Butter Ice Cream1/2 cup8340n/a85n/aNoHäagen-Dazs Dark Chocolate Chip Gelato1/2 cup5270n/a80n/aNoHäagen-Dazs Rocky Road Ice Cream1/2 cup5290n/a60n/aNoHäagen-Dazs Spiced Pecan Turtle Ice Cream1/2 cup5310n/a125n/aNoHäagen-Dazs Tres Leches Brigadeiro Ice Cream1/2 cup5270n/a65n/aNoHäagen-Dazs Vanilla Swiss Almond Ice Cream1/2 cup5290n/a55n/aNoHäagen-Dazs Chocolate Caramelized Oat Ice Cream1/2 cup5300n/a65n/aNoHäagen-Dazs Low Fat Frozen Yogurt Coffee1/2 cup8180n/a45n/aNoHäagen-Dazs Low Fat Frozen Yogurt Vanilla1/2 cup9170n/a45n/aNoHäagen-Dazs Low Fat Frozen Yogurt Vanilla Raspberry Swirl1/2 cup5150n/a25n/aNoHalo Top Creamery Chocolate1/2 cup780n/a116n/aNoHalo Top Creamery Lemon Cake1/2 cup770n/a89n/aNoHalo Top Creamery Strawberry1/2 cup770n/a90n/aNoHalo Top Creamery Vanilla Bean1/2 cup770n/a89n/aNoHormel Solutions® Ready to Serve Custard4 oz7150320200168NoLyons ReadyCare Frozen Nutritional Treat Chocolate4 oz9300240120150YesLyons ReadyCare Frozen Nutritional Treat Orange4 oz9300240120150YesLyons ReadyCare Frozen Nutritional Treat Vanilla4 oz9300240120150YesLyons ReadyCare Frozen Nutritional Treat Wild Berry4 oz9300240120150YesMagic Cup Dessert Butter Pecan4 oz9290340115150YesMagic Cup Dessert Chocolate4 oz9290450120150YesMagic Cup Dessert No Sugar Added Vanilla4 oz9250340105150YesMagic Cup Dessert Orange Cream4 oz9290350110150YesMagic Cup Dessert Vanilla4 oz9290350110150YesMagic Cup Dessert Wild Berry4 oz9290350110150YesMightyShakes Orange Crème4 oz620015060100YesMightyShakes Plus Chocolate4 oz824022060150YesMightyShakes Vanilla6 oz930023090150YesMightyShakes Vanilla NSA Honey Consistency4 oz720023085150YesMightyShakes Chocolate6 oz930031090150YesMightyShakes Chocolate4 oz620015060100YesMightyShakes No Sugar Added Chocolate4 oz720023085150YesMightyShakes No Sugar Added Strawberry Banana4 oz720023085150YesMightyShakes No Sugar Added Vanilla4 oz720023085150YesMightyShakes Orange Crème6 oz930023090150YesMightyShakes Plus Strawberry4 oz824016060150YesMightyShakes Plus Vanilla4 oz824016060150YesMightyShakes Strawberry4 oz620015060100YesMightyShakes Vanilla4 oz620015060100YesOikos Greek Frozen Yogurt Black Cherry1/2 cup615012545n/a∗Dannon claims a nutrient content of 140-260 mg of phosphorus per serving in all Oikos frozen yogurt products.NoOikos Greek Frozen Yogurt Café Latte1/2 cup615015040n/a∗Dannon claims a nutrient content of 140-260 mg of phosphorus per serving in all Oikos frozen yogurt products.NoOikos Greek Frozen Yogurt Chocolate1/2 cup715025040n/a∗Dannon claims a nutrient content of 140-260 mg of phosphorus per serving in all Oikos frozen yogurt products.NoOikos Greek Frozen Yogurt Key Lime1/2 cup615013540n/a∗Dannon claims a nutrient content of 140-260 mg of phosphorus per serving in all Oikos frozen yogurt products.NoOikos Greek Frozen Yogurt Strawberry1/2 cup614013035n/a∗Dannon claims a nutrient content of 140-260 mg of phosphorus per serving in all Oikos frozen yogurt products.NoOikos Greek Frozen Yogurt Vanilla1/2 cup615013540n/a∗Dannon claims a nutrient content of 140-260 mg of phosphorus per serving in all Oikos frozen yogurt products.NoResource Ice Cream Plus4.5 oz9290300145200YesSteve's Ice Cream BKLYN Blackout4 oz5280n/a110n/aNoSteve's Ice Cream Mexican Chili Chocolate4 oz7280n/a90n/aNoSteve's Ice Cream Strawberry Ricotta4 oz5240n/a95n/aNoSteve's Ice Cream Sunday Morning4 oz6300n/a150n/aNoStonyfield Organic Frozen Greek Yogurt Blueberry1/2 cup610019065100NoStonyfield Organic Frozen Greek Yogurt Chocolate1/2 cup610018055100NoStonyfield Organic Frozen Greek Yogurt Frozen Honey1/2 cup611019060100NoStonyfield Organic Frozen Greek Yogurt Super Fruits1/2 cup611020060100NoStonyfield Organic Frozen Greek Yogurt Vanilla1/2 cup610021065100NoStonyfield Organic Frozen Yogurt Gotta Have Java1/2 cup510022065150NoTalenti Gelato Chocolate Peanut Butter Cup1/2 cup5260n/a45n/aNoTalenti Gelato Fudge Brownie1/2 cup5240n/a50n/aNoThrive Premium Ice Cream Chocolate6 oz925055090250YesThrive Premium Ice Cream Mint Fudge6 oz925044090250YesThrive Premium Ice Cream Salted Caramel6 oz925044090250YesThrive Premium Ice Cream Strawberry6 oz925044085250YesThrive Premium Ice Cream Sugar-Free Milk Chocolate6 oz925044090250YesThrive Premium Ice Cream Sugar-Free Vanilla6 oz925044090250YesThrive Premium Ice Cream Vanilla6 oz925044080250YesTrader Joe's Frozen Vanilla Fat-Free Yogurt1/2 cup6100n/a75n/aNoWeight Watchers Blueberry Swirl Greek Frozen Yogurt Bars1 bar (100 g)58010560109NoWeight Watchers Peach Greek Frozen Yogurt Bars1 bar (100 g)58010560109NoYasso Frozen Greek Yogurt Blueberry1 bar (2.5 oz)580n/a35n/aNoYasso Frozen Greek Yogurt Chocolate Chip Cookie Dough1 bar (2.5 oz)5100n/a50n/aNoYasso Frozen Greek Yogurt Chocolate Fudge1 bar (2.5 oz)680n/a35n/aNoYasso Frozen Greek Yogurt Coconut1 bar (2.5 oz)590n/a35n/aNoYasso Frozen Greek Yogurt Mint Chocolate Chip1 bar (2.5 oz)5100n/a40n/aNoYasso Frozen Greek Yogurt Peanut Butter Cup1 bar (2.1 oz)5130n/a65n/aNoYasso Frozen Greek Yogurt Sea Salt Caramel1 bar (2.5 oz)5100n/a100n/aNoYasso Frozen Greek Yogurt Strawberry1 bar (2.5 oz)580n/a35n/aNoYasso Frozen Greek Yogurt Vanilla Bean1 bar (2.5 oz)580n/a40n/aNoYasso Frozen Greek Yogurt Coffee Chocolate Chip1 bar (2.5 oz)5100n/a40n/aNo“n/a” indicates nutrient content not available.∗ Dannon claims a nutrient content of 140-260 mg of phosphorus per serving in all Oikos frozen yogurt products. Open table in a new tab “n/a” indicates nutrient content not available. Adonia: http://adoniabyciaobella.com/Ben & Jerry's: http://www.benjerry.com/flavors.Blue Bunny: http://www.bluebunny.com.BodyQuest Protein Ice Cream: http://www.bodyquesticecream.com/dërinice: http://www.derinice.com/Enlightened: http://www.eatenlightened.com/products/Figo!: http://www.figogelato.com/flavors-vanilla-trio.html.Forte: http://www.tasteforte.com/#!rich-and-creamy-nutrition/cb4a.GNC: http://gncfrozen.com/Häagen-Dazs: http://www.haagendazs.us/Products/Halo Top Creamery: http://www.halotop.com/Hormel custard: http://www.hormelhealthlabs.com/product_info.aspx?item_no=28869.Lyons ReadyCare Frozen Nutritional Treat: http://www.lyonsreadycare.com/treats.html.Magic Cup: http://www.hormelhealthlabs.com/2colTemplate_product.aspx?page=CO_MagicCup&cond_id=117&cat_id=119.MightyShakes: http://www.hormelhealthlabs.com/2colTemplate_product.aspx?page=CO_MightyShakes&cond_id=141&cat_id=148.Oikos: http://www.oikosyogurt.com/greek-yogurt/greek-frozen-yogurt.ProYo: http://proyofrozenyogurt.com/products/# Resource Ice Cream Plus: http://www.careinitiative.com/pdfs/7%20Resource%20Ice%20Cream%20Plus.pdf.Steve's: http://stevesicecream.com/Stonyfield: http://www.stonyfield.com/products/all#Frozen.Talenti: https://www.talentigelato.com/our-products/Thrive: http://thriveicecream.com/Yasso: http://www.yasso.com/Weight Watchers and Trader Joe's product information from label and customer service calls only.
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