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Nutritional management and growth in children with chronic kidney disease

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Abstract

Despite continuing improvements in our understanding of the causes of poor growth in chronic kidney disease, many unanswered questions remain: why do some patients maintain a good appetite whereas others have profound anorexia at a similar level of renal function? Why do some, but not all, patients respond to increased nutritional intake? Is feed delivery by gastrostomy superior to oral and nasogastric routes? Do children who are no longer in the ‘infancy’ stage of growth benefit from enteral feeding? Do patients with protein energy wasting benefit from increased nutritional input? How do we prevent obesity, which is becoming so prevalent in the developed world? This review will address these issues.

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  1. Department of Nephrology, Gt Ormond St Hospital for Children Foundation Trust, Gt Ormond St, London, WC1N 3JH, UK

    Lesley Rees & Helen Jones

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  1. Lesley Rees
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  2. Helen Jones
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Correspondence to Lesley Rees.

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Rees, L., Jones, H. Nutritional management and growth in children with chronic kidney disease. Pediatr Nephrol 28, 527–536 (2013). https://doi.org/10.1007/s00467-012-2258-x

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