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Nutritional management of children with chronic renal failure

Summary of the task force on nutritional management of children with chronic renal failure

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Abstract

Current information on the adaptations to progressive loss of renal function is presented. The assessment of renal function in infants and children using serum creatinine concentration and its derivatives is considered as are various methods for assessment of growth. Children with creatinine clearances less than 50% of normal, who do not have uremic symptoms (and who are not on dialysis), should be ingesting diets providing close to 100% of the RDA for calories with 8% of the calories as protein. Recommendations for nutritional management of children on chronic peritoneal dialysis are also presented.

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Authors and Affiliations

  1. The Children's Mercy Hospital, 24th at Gillham Road, 64108, Kansas City, MO, USA

    Stanley Hellerstein, Malcolm A. Holliday, Warren E. Grupe, Richard N. Fine, Robert S. Fennell, Russell W. Chesney & James C. M. Chan

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  1. Stanley Hellerstein
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  2. Malcolm A. Holliday
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  3. Warren E. Grupe
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  4. Richard N. Fine
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  5. Robert S. Fennell
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  6. Russell W. Chesney
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  7. James C. M. Chan
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Additional information

This manuscript was prepared for the Food and Drug Administration under the auspices of the Committee on Nutrition of the American Academy of Pediatrics. A task force, consisting of the authors was convened to carry out an indepth review and critique of various aspects of nutritional management of children with chronic renal failure. Dr. Hellerstein was coordinator of the project and wrote the final report using the documents contributed by the participants, their thoughtful comments during discussions and their critiques of a preliminary manuscript.

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Hellerstein, S., Holliday, M.A., Grupe, W.E. et al. Nutritional management of children with chronic renal failure. Pediatr Nephrol 1, 195–211 (1987). https://doi.org/10.1007/BF00849294

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