What are the energy requirements for children with chronic kidney disease (CKD)?

Updated: Jul 21, 2020
  • Author: Sanjeev Gulati, MD, MBBS, DNB(Peds), DM, DNB(Neph), FIPN(Australia), FICN, FRCPC(Canada); Chief Editor: Craig B Langman, MD  more...
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Answer

Energy requirements should meet at least the recommended dietary allowance (RDA) for normal children of same height age.

If protein-energy malnutrition (PEM) is present, protein and energy requirements need to be increased further to improve weight gain and linear growth. Calorie intake should be enough to enhance the efficiency of protein (protein-sparing effect) and to prevent the patient from lapsing into a catabolic state. Poor intake is common in these patients due to anorexia, nausea, and dietary restrictions.

When use of chronologic age does not account for the growth disruption, height age should be the basis for energy estimation. Supplementation can be used as per requirement (enteral or parenteral nutrition as needed).


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