Journal article
Nutritional management of the child with chronic kidney disease and on dialysis
Pediatric nephrology (Berlin, West), Vol.40(1), pp.69-84
01/2025
DOI: 10.1007/s00467-024-06444-z
PMCID: PMC11584487
PMID: 38985211
Abstract
While it is widely accepted that the nutritional management of the infant with chronic kidney disease (CKD) is paramount to achieve normal growth and development, nutritional management is also of importance beyond 1 year of age, particularly in toddlers, to support the delayed infantile stage of growth that may extend to 2-3 years of age. Puberty is also a vulnerable period when nutritional needs are higher to support the expected growth spurt. Inadequate nutritional intake throughout childhood can result in failure to achieve full adult height potential, and there is an increased risk for abnormal neurodevelopment. Conversely, the rising prevalence of overweight and obesity among children with CKD underscores the necessity for effective nutritional strategies to mitigate the risk of metabolic syndrome that is not confined to the post-transplant population. Nutritional management is of primary importance in improving metabolic equilibrium and reducing CKD-related imbalances, particularly as the range of foods eaten by the child widens as they get older (including increased consumption of processed foods), and as CKD progresses. The aim of this review is to integrate the Pediatric Renal Nutrition Taskforce (PRNT) clinical practice recommendations (CPRs) for children (1-18 years) with CKD stages 2-5 and on dialysis (CKD2-5D). We provide a holistic approach to the overall nutritional management of the toddler, child, and young person. Collaboration between physicians and pediatric kidney dietitians is strongly advised to ensure comprehensive and tailored nutritional care for children with CKD, ultimately optimizing their growth and development.While it is widely accepted that the nutritional management of the infant with chronic kidney disease (CKD) is paramount to achieve normal growth and development, nutritional management is also of importance beyond 1 year of age, particularly in toddlers, to support the delayed infantile stage of growth that may extend to 2-3 years of age. Puberty is also a vulnerable period when nutritional needs are higher to support the expected growth spurt. Inadequate nutritional intake throughout childhood can result in failure to achieve full adult height potential, and there is an increased risk for abnormal neurodevelopment. Conversely, the rising prevalence of overweight and obesity among children with CKD underscores the necessity for effective nutritional strategies to mitigate the risk of metabolic syndrome that is not confined to the post-transplant population. Nutritional management is of primary importance in improving metabolic equilibrium and reducing CKD-related imbalances, particularly as the range of foods eaten by the child widens as they get older (including increased consumption of processed foods), and as CKD progresses. The aim of this review is to integrate the Pediatric Renal Nutrition Taskforce (PRNT) clinical practice recommendations (CPRs) for children (1-18 years) with CKD stages 2-5 and on dialysis (CKD2-5D). We provide a holistic approach to the overall nutritional management of the toddler, child, and young person. Collaboration between physicians and pediatric kidney dietitians is strongly advised to ensure comprehensive and tailored nutritional care for children with CKD, ultimately optimizing their growth and development.
Details
- Title: Subtitle
- Nutritional management of the child with chronic kidney disease and on dialysis
- Creators
- Vanessa Shaw - Great Ormond Street HospitalCaroline Anderson - University of SouthamptonAn Desloovere - Ghent University HospitalLarry A Greenbaum - Emory UniversityLyndsay Harshman - University of IowaChristina L Nelms - Children's Mercy HospitalPearl Pugh - University of NottinghamNonnie Polderman - BC Children's HospitalJosé Renken-Terhaerdt - University Medical Center UtrechtEvelien Snauwaert - Ghent University HospitalStella Stabouli - Aristotle University of ThessalonikiJetta Tuokkola - University of HelsinkiJohan Vande Walle - Ghent University HospitalBradley A Warady - Children's Mercy HospitalFabio Paglialonga - Fondazione IRCCS Ca' Granda Ospedale Maggiore PoliclinicoRukshana Shroff - Great Ormond Street Hospital
- Resource Type
- Journal article
- Publication Details
- Pediatric nephrology (Berlin, West), Vol.40(1), pp.69-84
- DOI
- 10.1007/s00467-024-06444-z
- PMID
- 38985211
- PMCID
- PMC11584487
- NLM abbreviation
- Pediatr Nephrol
- ISSN
- 1432-198X
- eISSN
- 1432-198X
- Language
- English
- Electronic publication date
- 07/10/2024
- Date published
- 01/2025
- Academic Unit
- Nephrology, Dialysis and Transplantation; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Radiation Oncology
- Record Identifier
- 9984656555702771
Metrics
3 Record Views