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TABLE OF CONTENTS
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| 1 | Nutrition Assessment and Management of Children with Chronic Kidney Disease
Peggy Solan, RD, CD
The most common causes of chronic kidney disease
(CKD) in children are obstructive uropathy, renal dysplasia,
reflux nephropathy, and focal segmental glomerular
sclerosis. In the United States, the age breakdown for children
with CKD (excluding dialysis patients) between 1994
and 2006 was 20% infants (n=1,287), 16% toddlers
(n=1,031), 32% 6 to 12 years of age (n=2,065), and 28%
over the age of 12 years (n=1,788) (1). |
| 7 | An Example of Conducting Research in Clinical Practice: Nutrition Education for Pediatric Renal Transplant Recipients
Kelly N. McKean, MS, RD, CD
End-stage renal disease (ESRD) is a chronic disease characterized by failure of the kidneys to excrete waste products,
concentrate urine, maintain fluid and electrolyte balances, and produce hormones. Dialysis is generally the first
mode of treatment. However, a renal transplant is the leading therapy. Nearly three out of every four pediatric
patients receive a transplant within the first three years after initiation of treatment for ESRD (1). A transplant is considered
the preferred treatment for children and adolescents with end-stage renal disease because it allows for maximum
cognitive, psychological, and physical development and a more normal lifestyle. It also leads to decreased mortality. |
| 8 | From the Editor
Paula M. Charuhas, MS, RD, FADA, CNSD
Children with chronic kidney disease often require frequent and multiple dietary modifications throughout
their course of treatment. These changes occur during a time of rapid growth and development. Ongoing
nutrition assessment and monitoring by the registered dietitian are essential to ensure provision of adequate
nutrients for optimal growth and development during all stages of kidney disease. |
| 11 | Case Study: Nutrition Support of an Infant with Congenital Nephrotic Syndrome
Jennifer Sabo, RD, CNSD, CSP
Congenital nephrotic syndrome (CNS) is a rare, inherited disorder characterized by proteinuria and total body edema.
The condition develops when the body is unable to produce adequate nephrin, a protein found in the kidneys. Symptoms
of CNS include low birth weight, large placenta, decreased urine output, and poor appetite. Nutrition is an important component
in the treatment of CNS to ensure that adequate energy and protein support are provided for optimal growth and
development. |
| 14 | Research Related to Pediatric Renal Disease
Emily Melton, BS
List of relevant refs |
| 16 | Renal Nutrition References from the American Dietetic Association
ADA
Various available refs |
| 18 | CPE Questions
PNPG
This self-study program is available only to members of the Pediatric Nutrition Practice Group. After reading
the continuing professional education articles, answer the following questions by indicating your responses
online at www.pediatricnutrition.org (login to the Member's Only section, and follow the prompts to
Building Block for Life). This activity has been approved for two hours of continuing professional education
for registered dietitians and dietetic technicians, registered by The Commission on Dietetic Registration. |
Copyright ©2008 Pediatric Nutrition Practice Group, ADA.
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FOR THIS ISSUE:EDITORPaula M. Charuhas, MS, RD, FADA, CNSD
Seattle Cancer Care Alliance
825 Eastlake Avenue East
G6201
Seattle, Washington 98109-1023
Co-EDITORLiesje Nieman, RD, CNSD, LDN
Children's Hospital of Philadelphia
34th Steet and Civic Center Boulevard
Philadelphia, Pennsylvania 19104-4399
SUBMISSION DEADLINESFocus:
Volume 31, No. 3 ,February 15, 2008
Cultural Competency in Clinical and
Community Practice
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