KDOQI Clinical Practice Guideline for Nutrition in Children with CKD: 2008 update. Executive summary.

KDOQI Clinical Practice Guideline for Nutrition in Children with CKD: 2008 update. Executive summary.
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DOI:
10.1053/j.ajkd.2008.11.017
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发表时间:
2009-03-01
期刊:
American journal of kidney diseases : the official journal of the National Kidney Foundation
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定期评估营养状况并提供充足的营养是 CKD 儿童整体管理的关键组成部分。肾功能受损儿童营养管理的传统和主要重点是防止 PEM 的发展并满足患者的维生素和矿物质需求。最近,以肥胖为特征的营养过剩以及不平衡饮食和生活方式的长期影响越来越受到儿科 CKD 人群的关注,对此问题的关注必须纳入营养管理计划中。因此,针对各种 CKD 儿童的营养护理重点必须始终集中在实现以下目标上:
Regular evaluation of nutritional status and provision of adequate nutrition are key components in the overall management of children with CKD. The traditional and predominant focus of nutritional management for children with impaired kidney function is to prevent the development of PEM and meet the patient’s vitamin and mineral needs. More recently, overnutrition characterized by obesity and the long-term implications of unbalanced dietary and lifestyle practices are of increasing concern to the pediatric CKD population, and attention to this issue must be incorporated into the nutrition management scheme. Thus, the focus of nutritional care for children across the spectrum of CKD must always be centered on the achievement of the following goals: