Energy and protein requirements for children with CKD stages 2-5 and on dialysis-clinical practice recommendations from the Pediatric Renal Nutrition Taskforce

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Shaw , V , Polderman , N , Renken-Terhaerdt , J , Paglialonga , F , Oosterveld , M , Tuokkola , J , Anderson , C , Desloovere , A , Greenbaum , L , Haffner , D , Nelms , C , Qizalbash , L , Vande Walle , J , Warady , B , Shroff , R & Rees , L 2020 , ' Energy and protein requirements for children with CKD stages 2-5 and on dialysis-clinical practice recommendations from the Pediatric Renal Nutrition Taskforce ' , Pediatric Nephrology , vol. 35 , no. 3 , pp. 519-531 . https://doi.org/10.1007/s00467-019-04426-0

Title: Energy and protein requirements for children with CKD stages 2-5 and on dialysis-clinical practice recommendations from the Pediatric Renal Nutrition Taskforce
Author: Shaw, Vanessa; Polderman, Nonnie; Renken-Terhaerdt, Jose; Paglialonga, Fabio; Oosterveld, Michiel; Tuokkola, Jetta; Anderson, Caroline; Desloovere, An; Greenbaum, Laurence; Haffner, Dieter; Nelms, Christina; Qizalbash, Leila; Vande Walle, Johan; Warady, Bradley; Shroff, Rukshana; Rees, Lesley
Contributor: University of Helsinki, HUS Children and Adolescents
Date: 2020-03
Language: eng
Number of pages: 13
Belongs to series: Pediatric Nephrology
ISSN: 0931-041X
URI: http://hdl.handle.net/10138/313239
Abstract: 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.
Subject: Energy
Protein
Chronic kidney disease
Pediatric Renal Nutrition Taskforce
Clinical practice recommendations
APPETITE-REGULATING HORMONES
CHRONIC KIDNEY-DISEASE
YOUNG-CHILDREN
PERITONEAL-DIALYSIS
DIETARY-PROTEIN
CONSERVATIVE TREATMENT
NUTRIENT INTAKE
AMINO-ACIDS
GROWTH
INFANTS
3123 Gynaecology and paediatrics
3126 Surgery, anesthesiology, intensive care, radiology
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