Nutritional management of the infant with chronic kidney disease stages 2–5 and on dialysis
- Author
- Vanessa Shaw, Caroline Anderson, An Desloovere (UGent) , Larry A. Greenbaum, Dieter Haffner, Christina L. Nelms, Fabio Paglialonga, Nonnie Polderman, Leila Qizalbash, José Renken-Terhaerdt, Stella Stabouli, Jetta Tuokkola, Johan Vande Walle (UGent) , Bradley A. Warady and Rukshana Shroff (UGent)
- Organization
- Project
- Abstract
- The nutritional management of children with chronic kidney disease (CKD) is of prime importance in meeting the challenge of maintaining normal growth and development in this population. The objective of this review is to integrate the Pediatric Renal Nutrition Taskforce clinical practice recommendations for children with CKD stages 2-5 and on dialysis, as they relate to the infant from full term birth up to 1 year of age, for healthcare professionals, including dietitians, physicians, and nurses. It addresses nutritional assessment, energy and protein requirements, delivery of the nutritional prescription, and necessary dietary modifications in the case of abnormal serum levels of calcium, phosphate, and potassium. We focus on the particular nutritional needs of infants with CKD for whom dietary recommendations for energy and protein, based on body weight, are higher compared with children over 1 year of age in order to support both linear and brain growth, which are normally maximal in the first 6 months of life. Attention to nutrition during infancy is important given that growth is predominantly nutrition dependent in the infantile phase and the growth of infants is acutely impaired by disruption to their nutritional intake, particularly during the first 6 months. Inadequate nutritional intake can result in the failure to achieve full adult height potential and an increased risk for abnormal neurodevelopment. We strongly suggest that physicians work closely with pediatric renal dietitians to ensure that the infant with CKD receives the best possible nutritional management to optimize their growth and development.
- Keywords
- Nephrology, Pediatrics, Perinatology and Child Health, uraemic toxins, CKD, nutrition, Infant, Nutrition, Growth, Energy, Protein, Phosphate, Chronic kidney disease, SODIUM POLYSTYRENE SULFONATE, CLINICAL-PRACTICE RECOMMENDATIONS, CHRONIC RENAL-INSUFFICIENCY, POTASSIUM CONTENT, YOUNG-CHILDREN, NITROGEN-BALANCE, MINERAL-CONTENT, GROWTH CHARTS, FORMULA, PRETREATMENT
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Citation
Please use this url to cite or link to this publication: http://hdl.handle.net/1854/LU-8748758
- MLA
- Shaw, Vanessa, et al. “Nutritional Management of the Infant with Chronic Kidney Disease Stages 2–5 and on Dialysis.” PEDIATRIC NEPHROLOGY, vol. 38, no. 1, 2023, pp. 87–103, doi:10.1007/s00467-022-05529-x.
- APA
- Shaw, V., Anderson, C., Desloovere, A., Greenbaum, L. A., Haffner, D., Nelms, C. L., … Shroff, R. (2023). Nutritional management of the infant with chronic kidney disease stages 2–5 and on dialysis. PEDIATRIC NEPHROLOGY, 38(1), 87–103. https://doi.org/10.1007/s00467-022-05529-x
- Chicago author-date
- Shaw, Vanessa, Caroline Anderson, An Desloovere, Larry A. Greenbaum, Dieter Haffner, Christina L. Nelms, Fabio Paglialonga, et al. 2023. “Nutritional Management of the Infant with Chronic Kidney Disease Stages 2–5 and on Dialysis.” PEDIATRIC NEPHROLOGY 38 (1): 87–103. https://doi.org/10.1007/s00467-022-05529-x.
- Chicago author-date (all authors)
- Shaw, Vanessa, Caroline Anderson, An Desloovere, Larry A. Greenbaum, Dieter Haffner, Christina L. Nelms, Fabio Paglialonga, Nonnie Polderman, Leila Qizalbash, José Renken-Terhaerdt, Stella Stabouli, Jetta Tuokkola, Johan Vande Walle, Bradley A. Warady, and Rukshana Shroff. 2023. “Nutritional Management of the Infant with Chronic Kidney Disease Stages 2–5 and on Dialysis.” PEDIATRIC NEPHROLOGY 38 (1): 87–103. doi:10.1007/s00467-022-05529-x.
- Vancouver
- 1.Shaw V, Anderson C, Desloovere A, Greenbaum LA, Haffner D, Nelms CL, et al. Nutritional management of the infant with chronic kidney disease stages 2–5 and on dialysis. PEDIATRIC NEPHROLOGY. 2023;38(1):87–103.
- IEEE
- [1]V. Shaw et al., “Nutritional management of the infant with chronic kidney disease stages 2–5 and on dialysis,” PEDIATRIC NEPHROLOGY, vol. 38, no. 1, pp. 87–103, 2023.
@article{8748758, abstract = {{The nutritional management of children with chronic kidney disease (CKD) is of prime importance in meeting the challenge of maintaining normal growth and development in this population. The objective of this review is to integrate the Pediatric Renal Nutrition Taskforce clinical practice recommendations for children with CKD stages 2-5 and on dialysis, as they relate to the infant from full term birth up to 1 year of age, for healthcare professionals, including dietitians, physicians, and nurses. It addresses nutritional assessment, energy and protein requirements, delivery of the nutritional prescription, and necessary dietary modifications in the case of abnormal serum levels of calcium, phosphate, and potassium. We focus on the particular nutritional needs of infants with CKD for whom dietary recommendations for energy and protein, based on body weight, are higher compared with children over 1 year of age in order to support both linear and brain growth, which are normally maximal in the first 6 months of life. Attention to nutrition during infancy is important given that growth is predominantly nutrition dependent in the infantile phase and the growth of infants is acutely impaired by disruption to their nutritional intake, particularly during the first 6 months. Inadequate nutritional intake can result in the failure to achieve full adult height potential and an increased risk for abnormal neurodevelopment. We strongly suggest that physicians work closely with pediatric renal dietitians to ensure that the infant with CKD receives the best possible nutritional management to optimize their growth and development.}}, author = {{Shaw, Vanessa and Anderson, Caroline and Desloovere, An and Greenbaum, Larry A. and Haffner, Dieter and Nelms, Christina L. and Paglialonga, Fabio and Polderman, Nonnie and Qizalbash, Leila and Renken-Terhaerdt, José and Stabouli, Stella and Tuokkola, Jetta and Vande Walle, Johan and Warady, Bradley A. and Shroff, Rukshana}}, issn = {{0931-041X}}, journal = {{PEDIATRIC NEPHROLOGY}}, keywords = {{Nephrology,Pediatrics,Perinatology and Child Health,uraemic toxins,CKD,nutrition,Infant,Nutrition,Growth,Energy,Protein,Phosphate,Chronic kidney disease,SODIUM POLYSTYRENE SULFONATE,CLINICAL-PRACTICE RECOMMENDATIONS,CHRONIC RENAL-INSUFFICIENCY,POTASSIUM CONTENT,YOUNG-CHILDREN,NITROGEN-BALANCE,MINERAL-CONTENT,GROWTH CHARTS,FORMULA,PRETREATMENT}}, language = {{eng}}, number = {{1}}, pages = {{87--103}}, title = {{Nutritional management of the infant with chronic kidney disease stages 2–5 and on dialysis}}, url = {{http://doi.org/10.1007/s00467-022-05529-x}}, volume = {{38}}, year = {{2023}}, }
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