Managing the Nutritional Requirements of the Pediatric End-Stage Kidney Disease Graduate.

Document Type

Article

Publication Date

5-2022

Identifier

DOI: 10.1053/j.ackd.2022.04.004

Abstract

The pediatric patient with end-stage kidney disease who transitions to the adult dialysis unit or nephrology center requires a unique nutritional focus. Clinicians in the adult center may be faced with complex issues that have often been part of the patient's journey since early childhood. The causes of kidney disease in children are often quite different than those which affect the adult population and may require different nutritional priorities. Abnormal growth including severe short stature, underweight, overweight or obesity, and poor musculature may affect the long-term health and psychosocial well-being of these patients. Nutritional assessment of these patients should include a focus on past growth and anthropometric data, dietary information, including appetite, quality of diet, and assessment of biochemical data through a pediatric lens. This review discusses the unique factors that must be considered when transitioning pediatric patients and notes major recommendations from a compilation of pediatric guideline statements.

Journal Title

Advances in chronic kidney disease

Volume

29

Issue

3

First Page

283

Last Page

291

MeSH Keywords

Child; Child, Preschool; Humans; Kidney Diseases; Kidney Failure, Chronic; Nephrology; Nutritional Requirements; Obesity

Keywords

Adolescents transition; ESKD; Graduate; Pediatric; Renal nutrition

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