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Nutritional Challenges in Pediatric Chronic Kidney Disease

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Pediatric Kidney Disease

Abstract

Provision of adequate nutrition is a cornerstone in the optimal management of and improving outcomes in children with chronic kidney disease (CKD). Major challenges in the nutritional management of children with CKD remain as most guidelines are based on opinion rather than evidence. Important considerations include energy, macronutrients, fluids and electrolytes, micronutrients, and calcium/phosphorus/vitamin D. Extremes of body mass index, representing under-nutrition and over-nutrition are associated with poor outcomes and should be avoided when designing nutritional strategies for children with CKD. Successful nutritional management requires a multidisciplinary team that includes not only physicians but also skilled dietitians and nurses.

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Acknowledgment

We thank Dr. Donna Secker, whose work as co-author for the first edition version of this chapter is heavily reflected in this current chapter.

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Authors and Affiliations

  1. Department of Nephrology, Rady Children’s Hospital San Diego, 3020 Children’s Way, MC 5029, San Diego, CA, 92123, USA

    Rayna Levitt

  2. Department of Pediatrics, Nemours/AI du Pont Hospital for Children, 1600 Rockland Rd, Wilmington, DE, 19803, USA

    Joshua J. Zaritsky

  3. Department of Pediatric Nephrology, University of California, San Diego, 9500 Gilman Drive, MC 0630, La Jolla, CA, 92093-0630, USA

    Robert H. Mak

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  1. Rayna Levitt
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Correspondence to Robert H. Mak .

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Editors and Affiliations

  1. Division of Nephrology, The Hospital for Sick Children, Toronto, Ontario, Canada

    Denis F. Geary

  2. Division of Pediatric Nephrology, University of Heidelberg, Heidelberg, Germany

    Franz Schaefer

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Levitt, R., Zaritsky, J.J., Mak, R.H. (2016). Nutritional Challenges in Pediatric Chronic Kidney Disease. In: Geary, D., Schaefer, F. (eds) Pediatric Kidney Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-52972-0_56

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