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Table of Contents
SHORT COMMUNICATION
Year : 2019  |  Volume : 5  |  Issue : 1  |  Page : 32

Approach to nutrition in children with chronic kidney disease: What Do We Understand from the Kidney Disease Outcomes Quality Initiative on Nutrition and Chronic Renal Failure guidelines


Associate Professor, Department of Nephrology, Kasturba Medical College and Hospital, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, India

Date of Web Publication15-Nov-2019

Correspondence Address:
Dharshan Rangaswamy
Department of Nephrology, Kasturba Medical College and Hospital, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jrnm.jrnm_48_19

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How to cite this article:
Rangaswamy D. Approach to nutrition in children with chronic kidney disease: What Do We Understand from the Kidney Disease Outcomes Quality Initiative on Nutrition and Chronic Renal Failure guidelines. J Renal Nutr Metab 2019;5:32

How to cite this URL:
Rangaswamy D. Approach to nutrition in children with chronic kidney disease: What Do We Understand from the Kidney Disease Outcomes Quality Initiative on Nutrition and Chronic Renal Failure guidelines. J Renal Nutr Metab [serial online] 2019 [cited 2019 Dec 13];5:32. Available from: http://www.jrnm.in/text.asp?2019/5/1/32/271043



Children with chronic kidney disease (CKD) are at an increased risk for protein–energy malnutrition. As the number of children with CKD continues to increase, their nutritional status assumes greater significance considering its lasting impact on linear growth, neurocognitive development, and sexual development. The Kidney Disease Outcomes Quality Initiative (K/DOQI), a trademark of the National Kidney Foundation, developed the evidence-based guidelines with an objective to provide holistic quality care and improve outcomes in patients with kidney and urologic diseases.[1],[2]

The recommendations are intended to assist the clinical judgment of the health-care provider when making clinical decisions. They are not the standard of care or an exclusive course of management. Each statement is graded based on the strength of recommendations, from the best information available at the time of publication. The guideline assists practitioners in assessing the nutritional status of children with CKD, including those on dialysis or with a kidney transplant, to provide adequate macro- and micronutrient intake to achieve normal pattern of growth and body composition; to monitor and treat complications of CKD, including bone mineral, Vitamin D, fiuid, and electrolyte abnormalities; and reduction of the risk of chronic morbidities and mortality in adulthood.

Thefirst document of the K/DOQI Pediatric Clinical Practice Guidelines for Nutrition in Chronic Renal Failure was published in 2000,[1] and thefirst revision to the guidelines was updated in 2008.[2] The older version principally addressed nutritional needs of children on dialysis. This was expanded to include children with CKD stages 2–5 and kidney transplant recipients. There are very little published data on the topic of pediatric nutrition in CKD, and the 2000 guidelines were modified based on the new information available over the last 8 years. A variety of topics not addressed in the original guidelines, such as the dietary modification of sodium, potassium, calcium, phosphorus, and fiuid, all of which found to have profound impact on patient outcomes were included in the revised guidelines. The updated 2008 guidelines also incorporated new references to dietary recommendations, anthropometric reference values, and growth charts that replaced those on which the 2000 guidelines were based.

Financial support and sponsorship

Nil.

Confiicts of interest

There are no confiicts of interest.



 
  References Top

1.
Kopple JD. National kidney foundation K/DOQI clinical practice guidelines for nutrition in chronic renal failure. Am J Kidney Dis 2001;37:S66-70.  Back to cited text no. 1
    
2.
KDOQI Work Group. KDOQI clinical practice guideline for nutrition in children with CKD: 2008 update. Executive summary. Am J Kidney Dis 2009;53:S11-104.  Back to cited text no. 2
    




 

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