The dietary management of calcium and phosphate in children with CKD stages 2-5 and on dialysis-clinical practice recommendation from the Pediatric Renal Nutrition Taskforce

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McAlister , L , Pugh , P , Greenbaum , L , Haffner , D , Rees , L , Anderson , C , Desloovere , A , Nelms , C , Oosterveld , M , Paglialonga , F , Polderman , N , Qizalbash , L , Renken-Terhaerdt , J , Tuokkola , J , Warady , B , Walle , J V , Shaw , V & Shroff , R 2020 , ' The dietary management of calcium and phosphate in children with CKD stages 2-5 and on dialysis-clinical practice recommendation from the Pediatric Renal Nutrition Taskforce ' , Pediatric Nephrology , vol. 35 , no. 3 , pp. 501-518 . https://doi.org/10.1007/s00467-019-04370-z

Title: The dietary management of calcium and phosphate in children with CKD stages 2-5 and on dialysis-clinical practice recommendation from the Pediatric Renal Nutrition Taskforce
Author: McAlister, Louise; Pugh, Pearl; Greenbaum, Laurence; Haffner, Dieter; Rees, Lesley; Anderson, Caroline; Desloovere, An; Nelms, Christina; Oosterveld, Michiel; Paglialonga, Fabio; Polderman, Nonnie; Qizalbash, Leila; Renken-Terhaerdt, Jose; Tuokkola, Jetta; Warady, Bradley; Walle, Johan Vande; Shaw, Vanessa; Shroff, Rukshana
Contributor: University of Helsinki, HUS Children and Adolescents
Date: 2020-03
Language: eng
Number of pages: 18
Belongs to series: Pediatric Nephrology
ISSN: 0931-041X
URI: http://hdl.handle.net/10138/313237
Abstract: In children with chronic kidney disease (CKD), optimal control of bone and mineral homeostasis is essential, not only for the prevention of debilitating skeletal complications and achieving adequate growth but also for preventing vascular calcification and cardiovascular disease. Complications of mineral bone disease (MBD) are common and contribute to the high morbidity and mortality seen in children with CKD. Although several studies describe the prevalence of abnormal calcium, phosphate, parathyroid hormone, and vitamin D levels as well as associated clinical and radiological complications and their medical management, little is known about the dietary requirements and management of calcium (Ca) and phosphate (P) in children with CKD. The Pediatric Renal Nutrition Taskforce (PRNT) is an international team of pediatric renal dietitians and pediatric nephrologists, who develop clinical practice recommendations (CPRs) for the nutritional management of various aspects of renal disease management in children. We present CPRs for the dietary intake of Ca and P in children with CKD stages 2-5 and on dialysis (CKD2-5D), describing the common Ca- and P-containing foods, the assessment of dietary Ca and P intake, requirements for Ca and P in healthy children and necessary modifications for children with CKD2-5D, and dietary management of hypo- and hypercalcemia and hyperphosphatemia. The statements have been graded, and statements with a low grade or those that are opinion-based must be carefully considered and adapted to individual patient needs based on the clinical judgment of the treating physician and dietitian. These CPRs will be regularly audited and updated by the PRNT.
Subject: Calcium
Phosphate
Nutrition
Chronic kidney disease (CKD)
Children
CHRONIC KIDNEY-DISEASE
BONE-MINERAL DENSITY
FOOD-FREQUENCY QUESTIONNAIRE
GROWTH-FACTOR 23
VITAMIN-D
VASCULAR CALCIFICATION
PHOSPHORUS INTAKE
HEALTH IMPACT
METABOLISM
CHILDHOOD
3123 Gynaecology and paediatrics
3126 Surgery, anesthesiology, intensive care, radiology
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