Journal article
The dietary management of sodium in children with kidney diseases-clinical practice recommendations from the Pediatric Renal Nutrition Taskforce
Pediatric nephrology (Berlin, West), Vol.41(5), pp.1535-1556
05/2026
DOI: 10.1007/s00467-025-06913-z
PMCID: PMC13009053
PMID: 41251793
Abstract
Sodium imbalance is a common concern in children with kidney diseases, presenting as either sodium excess or sodium deficit, each with significant clinical implications. Sodium excess contributes to fluid overload and hypertension, while increased sodium losses, particularly via urine or peritoneal fluid, can predispose patients to hypotension and growth failure. Effective sodium management is thus a critical component of care in pediatric kidney diseases, with dietary sodium intake playing a pivotal role in maintaining homeostasis. The Pediatric Renal Nutrition Taskforce (PRNT) has developed clinical practice recommendations (CPRs) for dietary sodium management in children with kidney diseases, addressing key aspects of sodium balance, including primary dietary sources, nutritional assessment of sodium intake, non-dietary factors influencing sodium balance, and recommended intakes. Strategies for reducing sodium intake in cases of sodium excess and augmenting intake in patients with increased sodium losses are also provided. The consensus of international experts was assessed through a Delphi process. These CPRs will be regularly updated by the PRNT.
Details
- Title: Subtitle
- The dietary management of sodium in children with kidney diseases-clinical practice recommendations from the Pediatric Renal Nutrition Taskforce
- Creators
- José Renken-Terhaerdt - University Medical Center UtrechtAn Desloovere - Ghent University HospitalMichiel Js Oosterveld - Emma KinderziekenhuisNonnie Polderman - BC Children's HospitalEvelien Snauwaert - Ghent University HospitalStella Stabouli - Aristotle University of ThessalonikiJohan Vande Walle - Ghent University HospitalCaroline Anderson - University Hospital Southampton NHS Foundation TrustSheridan Collins - Children's Hospital at WestmeadLarry A Greenbaum - Children's Healthcare of AtlantaMatthew Harmer - University Hospital Southampton NHS Foundation TrustLyndsay Harshman - University of IowaChristina L Nelms - Children's Mercy HospitalPearl Pugh - Nottingham University Hospitals NHS TrustVanessa Shaw - Great Ormond Street HospitalJetta Tuokkola - University of HelsinkiMolly R Wong Vega - Texas Children's HospitalBradley A Warady - Children's Mercy HospitalRukshana Shroff - Great Ormond Street HospitalFabio Paglialonga - Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
- Resource Type
- Journal article
- Publication Details
- Pediatric nephrology (Berlin, West), Vol.41(5), pp.1535-1556
- DOI
- 10.1007/s00467-025-06913-z
- PMID
- 41251793
- PMCID
- PMC13009053
- NLM abbreviation
- Pediatr Nephrol
- ISSN
- 0931-041X
- eISSN
- 1432-198X
- Publisher
- Springer Nature
- Grant note
- Vitaflo
Vitaflo International Ltd is a nutrition company which produces specialized clinical nutrition products for metabolic disorders, nutrition support, and specific conditions such as kidney disease. Vitaflo International Ltd has funded the meetings held by the Pediatric Renal Nutrition Taskforce. The Pediatric Renal Nutrition Taskforce wish to confirm that Vitaflo has not influenced the development or content of these Clinical Practice Recommendations.
- Language
- English
- Electronic publication date
- 11/18/2025
- Date published
- 05/2026
- Academic Unit
- Nephrology, Dialysis and Transplantation; Stead Family Department of Pediatrics; Iowa Neuroscience Institute
- Record Identifier
- 9985033874702771
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