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Nelms CL, Shaw V, Greenbaum LA, et al. Assessment of nutritional status in children with kidney diseases-clinical practice recommendations from the Pediatric Renal Nutrition Taskforce. Pediatr Nephrol. 2020;36(4):995-1010doi: 10.1007/s00467-020-04852-5.
Nelms, C. L., Shaw, V., Greenbaum, L. A., Anderson, C., Desloovere, A., Haffner, D., Oosterveld, M. J. S., Paglialonga, F., Polderman, N., Qizalbash, L., Rees, L., Renken-Terhaerdt, J., Tuokkola, J., Vande Walle, J., Shroff, R., & Warady, B. A. (2021). Assessment of nutritional status in children with kidney diseases-clinical practice recommendations from the Pediatric Renal Nutrition Taskforce. Pediatric nephrology (Berlin, Germany), 36(4), 995-1010. https://doi.org/10.1007/s00467-020-04852-5
Nelms, Christina L, et al. "Assessment of nutritional status in children with kidney diseases-clinical practice recommendations from the Pediatric Renal Nutrition Taskforce." Pediatric nephrology (Berlin, Germany) vol. 36,4 (2021): 995-1010. doi: https://doi.org/10.1007/s00467-020-04852-5
Nelms CL, Shaw V, Greenbaum LA, Anderson C, Desloovere A, Haffner D, Oosterveld MJS, Paglialonga F, Polderman N, Qizalbash L, Rees L, Renken-Terhaerdt J, Tuokkola J, Vande Walle J, Shroff R, Warady BA. Assessment of nutritional status in children with kidney diseases-clinical practice recommendations from the Pediatric Renal Nutrition Taskforce. Pediatr Nephrol. 2021 Apr;36(4):995-1010. doi: 10.1007/s00467-020-04852-5. Epub 2020 Dec 14. PMID: 33319327; PMCID: PMC7910229.
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Pediatr Nephrol. 2021 Apr;36(4):995-1010. doi: 10.1007/s00467-020-04852-5. Epub 2020 Dec 14.

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

Pediatric nephrology (Berlin, Germany)

Christina L Nelms, Vanessa Shaw, Larry A Greenbaum, Caroline Anderson, An Desloovere, Dieter Haffner, Michiel J S Oosterveld, Fabio Paglialonga, Nonnie Polderman, Leila Qizalbash, Lesley Rees, José Renken-Terhaerdt, Jetta Tuokkola, Johan Vande Walle, Rukshana Shroff, Bradley A Warady

Affiliations

  1. University of Nebraska, Kearney, NE, USA.
  2. University College London Great Ormond Street Hospital Institute of Child Health, London, WC1N 3JH, UK.
  3. University of Plymouth, Plymouth, UK.
  4. Emory University, Atlanta, GA, USA.
  5. Children's Healthcare of Atlanta, Atlanta, GA, USA.
  6. University Hospital Southampton NHS Foundation Trust, Southampton, UK.
  7. University Hospital Ghent, Ghent, Belgium.
  8. Children's Hospital, Hannover Medical School, Hannover, Germany.
  9. Emma Children's Hospital, Amsterdam University Medical Center, Amsterdam, The Netherlands.
  10. Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
  11. British Columbia Children's Hospital, Vancouver, Canada.
  12. Great Northern Children's Hospital, Newcastle upon Tyne, UK.
  13. Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
  14. Children's Hospital and Clinical Nutrition Unit, Internal Medicine and Rehabilitation, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
  15. University College London Great Ormond Street Hospital Institute of Child Health, London, WC1N 3JH, UK. [email protected].
  16. Children's Mercy Kansas City, Kansas City, MO, USA.

PMID: 33319327 PMCID: PMC7910229 DOI: 10.1007/s00467-020-04852-5

Abstract

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.

Keywords: Assessment; Children; Clinical practice recommendations; Kidney diseases; Nutrition; Pediatric Renal Nutrition Taskforce

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