Assessment of nutritional status in children with kidney diseases—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce

• Published in: Pediatric nephrology (Berlin, West) Vol. 36; no. 4; pp. 995 - 1010
• Main Authors: Nelms, Christina L., Shaw, Vanessa, Greenbaum, Larry A., Anderson, Caroline, Desloovere, An, Haffner, Dieter, Oosterveld, Michiel J. S., Paglialonga, Fabio, Polderman, Nonnie, Qizalbash, Leila, Rees, Lesley, Renken-Terhaerdt, José, Tuokkola, Jetta, Vande Walle, Johan, Shroff, Rukshana, Warady, Bradley A.
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01-04-2021; Springer; Springer Nature B.V
• Subjects: Care and treatment; Child; Child Nutritional Physiological Phenomena; Children; Clinical medicine; Diet; Dietary intake; Guidelines; Humans; Kidney Diseases; Medicine; Medicine & Public Health; Nephrology; Nutrition; Nutrition Assessment; Nutritional Status; Pediatric research; Pediatrics; Practice guidelines (Medicine); Practice Guidelines as Topic; Product/Service Evaluations; Urology; What’s new in Nutrition; United States; Pediatric Renal Nutrition Taskforce; Clinical practice recommendations; Children; Kidney diseases; Nutrition; Assessment
• ISSN: 0931-041X; 1432-198X; 1432-198X
• DOI: 10.1007/s00467-020-04852-5

In children with kidney diseases, an assessment of the child’s growth and nutritional status is important to guide the dietary prescription. No single metric can comprehensively describe the nutrition status; therefore, a series of indices and tools are required for evaluation. The Pediatric Renal Nutrition Taskforce (PRNT) is an international team of pediatric renal dietitians and pediatric nephrologists who develop clinical practice recommendations (CPRs) for the nutritional management of children with kidney diseases. Herein, we present CPRs for nutritional assessment, including measurement of anthropometric and biochemical parameters and evaluation of dietary intake. The statements have been graded using the American Academy of Pediatrics grading matrix. Statements with a low grade or those that are opinion-based must be carefully considered and adapted to individual patient needs based on the clinical judgment of the treating physician and dietitian. Audit and research recommendations are provided. The CPRs will be periodically audited and updated by the PRNT.