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Nutritional Challenges in Pediatric Kidney Disease

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Pediatric Kidney Disease

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Abstract

Families often seek information about nutrition and care from the Internet about their child with chronic kidney disease (CKD). While helpful information may be within reach, much of the information is not credible or applies to adults with CKD. It is important for decisions about nutrition management of this population to be made by an interdisciplinary team. Rather than relying on a single indicator, it is critical to use a variety of data, including age, cause or type of CKD, stage of CKD, laboratory values, feeding ability, cultural issues and socioeconomic factors in order to determine the most appropriate form of medical nutrition therapy. Its association with outcomes underscores the significance of nutritional management in children with CKD. While evidenced based guidelines have been published, they should be utilized as a guideline or starting point for care. Well-designed and adequately powered clinical trials continue to be important to further define guidelines for practice. Molecular studies into the pathophysiology of CKD cachexia hold the promise of novel therapies to treat potentially fatal comorbidities.

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Authors and Affiliations

  1. Division of Nephrology, Rady Children’s Hospital, University of California San Diego, San Diego, CA, USA

    Rayna Levitt & Caitlin E. Carter

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  1. Rayna Levitt
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  2. Caitlin E. Carter
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  1. Division of Pediatric Nephrology, Heidelberg University, Heidelberg, Germany

    Franz Schaefer

  2. Emory School of Medicine, Emory University, Atlanta, GA, USA

    Larry A. Greenbaum

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Levitt, R., Carter, C.E. (2023). Nutritional Challenges in Pediatric Kidney Disease. In: Schaefer, F., Greenbaum, L.A. (eds) Pediatric Kidney Disease. Springer, Cham. https://doi.org/10.1007/978-3-031-11665-0_58

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  • DOI: https://doi.org/10.1007/978-3-031-11665-0_58

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  • Print ISBN: 978-3-031-11664-3

  • Online ISBN: 978-3-031-11665-0

  • eBook Packages: MedicineMedicine (R0)

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