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REVIEW ARTICLE
Year : 2019  |  Volume : 5  |  Issue : 1  |  Page : 7-9

Translating growth and nutrition guidelines for children with chronic renal failure and chronic kidney disease Stages 2–5 and 5D into practice


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

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


DOI: 10.4103/jrnm.jrnm_47_19

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There is a remarkable lack of published data available for the topic of nutrition in children in all stages of CKD. Kidney Disease Outcomes Quality Initiative (KDOQI) published their guidelines for children on maintenance dialysis in the year 2000 to address the concerns of malnutrition and growth failure in them. In the 2008 update, they included infants, children, and adolescents with chronic kidney disease (CKD) stage 2 to 5 and also children on long term dialysis or renal transplant. The quality of evidence in the guidelines involving pediatric nephrology studies are frequently low due to small sample size, the lack of randomized control trials and the lack of information for long and short term clinical outcomes. With the current available data the article address the practical key components for nutritional management of children with CKD and thus reduce the risk of chronic morbidities in adulthood.


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