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Nutritional Assessment and Prescription for Children Receiving Maintenance Dialysis

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Pediatric Dialysis

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Abstract

Nutrition is a cornerstone in the care of pediatric patients receiving chronic dialysis and impacts outcomes beginning at infancy and continuing through young adulthood. While small strides have been made to improve the nutritional status of this population, achieving ideal growth remains a challenge.

Optimization of nutritional status is pivotal for growth and development, to prevent or reverse the consequences of undernutrition and to positively affect the long-term morbidity and mortality risk. Nutrition care and interventions are complex in scope, beginning with thorough assessments that include detailed and routine anthropometric, biochemical, clinical, and dietary reviews.

Children on dialysis require complex formula and diet manipulations. Early and ongoing dietary education and counseling are essential, and the pediatric renal dietitian plays an important role in empowering patients and caregivers in achieving optimal self-management and best outcomes.

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Authors and Affiliations

  1. PedsFeeds, University of Nebraska, Kearney, NE, USA

    Christina L. Nelms

  2. Division of Nephrology, British Columbia Children’s Hospital, Vancouver, BC, Canada

    Nonnie Polderman

  3. Jim Pattison Children’s Hospital, Royal University Hospital, Saskatoon, SK, Canada

    Rosanne J. Woloschuk

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  1. Christina L. Nelms
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  2. Nonnie Polderman
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  3. Rosanne J. Woloschuk
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Correspondence to Christina L. Nelms .

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Editors and Affiliations

  1. Department of Pediatrics, University of Missouri-Kansas City, School of Medicine, Division of Pediatric Nephrology, Children’s Mercy Kansas City, Kansas City, MO, USA

    Bradley A. Warady

  2. Stanford University School of Medicine, Division of Pediatric Nephrology, Department of Pediatrics, Palo Alto, CA, USA

    Steven R. Alexander

  3. Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, University of Heidelberg, Heidelberg, Germany

    Franz Schaefer

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Nelms, C.L., Polderman, N., Woloschuk, R.J. (2021). Nutritional Assessment and Prescription for Children Receiving Maintenance Dialysis. In: Warady, B.A., Alexander, S.R., Schaefer, F. (eds) Pediatric Dialysis. Springer, Cham. https://doi.org/10.1007/978-3-030-66861-7_26

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