What are the protein 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

Protein is required to maintain positive nitrogen balance for growth and maintain body protein turn over. The protein intake must be carefully controlled, avoiding protein malnutrition from an excessively restricted diet while avoiding toxicity from nitrogenous waste products from an excessively generous diet.

The diet should include 1.1-1.2 g/kg/d protein, with 60-70% protein from high biologic value origin. High biologic value proteins are of utmost importance, because they are beneficial in promoting muscle anabolism and decreasing muscle wasting.

Protein restriction is not recommended in children, because it has not been shown to influence the decrease in renal function in children with chronic kidney disease.


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