TY - JOUR
T1 - Energy and protein requirements for children with CKD stages 2-5 and on dialysis–clinical practice recommendations from the Pediatric Renal Nutrition Taskforce
AU - Shaw, Vanessa
AU - Polderman, Nonnie
AU - Renken-Terhaerdt, José
AU - Paglialonga, Fabio
AU - Oosterveld, Michiel
AU - Tuokkola, Jetta
AU - Anderson, Caroline
AU - Desloovere, An
AU - Greenbaum, Laurence
AU - Haffner, Dieter
AU - Nelms, Christina
AU - Qizalbash, Leila
AU - Vande Walle, Johan
AU - Warady, Bradley
AU - Shroff, Rukshana
AU - Rees, Lesley
PY - 2019
Y1 - 2019
N2 - Dietary management in pediatric chronic kidney disease (CKD) is an area fraught with uncertainties and wide variations in practice. Even in tertiary pediatric nephrology centers, expert dietetic input is often lacking. The Pediatric Renal Nutrition Taskforce (PRNT), an international team of pediatric renal dietitians and pediatric nephrologists, was established to develop clinical practice recommendations (CPRs) to address these challenges and to serve as a resource for nutritional care. We present CPRs for energy and protein requirements for children with CKD stages 2–5 and those on dialysis (CKD2–5D). We address energy requirements in the context of poor growth, obesity, and different levels of physical activity, together with the additional protein needs to compensate for dialysate losses. We describe how to achieve the dietary prescription for energy and protein using breastmilk, formulas, food, and dietary supplements, which can be incorporated into everyday practice. Statements with a low grade of evidence, or based on opinion, must be considered and adapted for the individual patient by the treating physician and dietitian according to their clinical judgment. Research recommendations have been suggested. The CPRs will be regularly audited and updated by the PRNT.
AB - Dietary management in pediatric chronic kidney disease (CKD) is an area fraught with uncertainties and wide variations in practice. Even in tertiary pediatric nephrology centers, expert dietetic input is often lacking. The Pediatric Renal Nutrition Taskforce (PRNT), an international team of pediatric renal dietitians and pediatric nephrologists, was established to develop clinical practice recommendations (CPRs) to address these challenges and to serve as a resource for nutritional care. We present CPRs for energy and protein requirements for children with CKD stages 2–5 and those on dialysis (CKD2–5D). We address energy requirements in the context of poor growth, obesity, and different levels of physical activity, together with the additional protein needs to compensate for dialysate losses. We describe how to achieve the dietary prescription for energy and protein using breastmilk, formulas, food, and dietary supplements, which can be incorporated into everyday practice. Statements with a low grade of evidence, or based on opinion, must be considered and adapted for the individual patient by the treating physician and dietitian according to their clinical judgment. Research recommendations have been suggested. The CPRs will be regularly audited and updated by the PRNT.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85076851778&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/31845057
U2 - https://doi.org/10.1007/s00467-019-04426-0
DO - https://doi.org/10.1007/s00467-019-04426-0
M3 - Article
C2 - 31845057
SN - 0931-041X
JO - Pediatric nephrology (Berlin, Germany)
JF - Pediatric nephrology (Berlin, Germany)
ER -