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Nutritional Management of the Pediatric CKD Patient

  • Pediatric Nephrology (B Dixon and E Nehus, Section Editors)
  • Published:
Current Treatment Options in Pediatrics Aims and scope Submit manuscript

Abstract

Purpose of Review

Children with chronic kidney disease (CKD) have unique nutritional needs related to decreased kidney function. This review discusses outcomes related to nutritional status in children with CKD. It reviews recommendations specific to children with CKD including nutritional assessment, energy needs, and macro- and micronutrient requirements. In addition, other considerations including supplemental feeding and potential barriers are briefly summarized.

Recent Findings

While malnutrition has been long associated with CKD, obesity is increasingly being recognized in CKD and may contribute to progression of disease. The practice of dietary potassium restriction is being questioned. Education regarding phosphorus management should include inorganic sources from food additives and preservatives in addition to the usual organic sources of phosphorus. There are emerging options for formula alternatives including blenderized diets that meet the dietary restrictions of this population. Recognizing and addressing food insecurity and providing guidance on cooking techniques may enhance adherence.

Summary

The nutritional management of children with CKD is complex. An individualized approach by a multi-disciplinary team can help educate and promote success in these lifelong dietary modifications.

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References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Division of Pediatric Nephrology, Nationwide Children’s Hospital, 700 Children’s Dr., Columbus, OH, 43205, USA

    Jason Thomas MD & Hiren P. Patel MD

  2. Department of Clinical Nutrition and Lactation, Nationwide Children’s Hospital, Columbus, OH, USA

    Jessica Nieves MS, RD, LD, CLC

  3. The Ohio State University College of Medicine, Columbus, OH, USA

    Hiren P. Patel MD

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  1. Jason Thomas MD
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  2. Jessica Nieves MS, RD, LD, CLC
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Correspondence to Hiren P. Patel MD.

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Jason Thomas declares that he has no conflict of interest.

Jessica Nieves declares that she has no conflict of interest.

Hiren P. Patel declares that he has no conflict of interest.

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Thomas, J., Nieves, J. & Patel, H.P. Nutritional Management of the Pediatric CKD Patient. Curr Treat Options Peds 6, 38–51 (2020). https://doi.org/10.1007/s40746-020-00190-8

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