Assessment and management of obesity and metabolic syndrome in children with CKD stages 2-5 on dialysis and after kidney transplantation-clinical practice recommendations from the Pediatric Renal Nutrition Taskforce.
Chronic kidney disease
Clinical practice recommendations
Diet
Kidney transplantation
Metabolic syndrome
Obesity
Pediatric Renal Nutrition Taskforce
Physical activity
Screen time
Sleep
Journal
Pediatric nephrology (Berlin, Germany)
ISSN: 1432-198X
Titre abrégé: Pediatr Nephrol
Pays: Germany
ID NLM: 8708728
Informations de publication
Date de publication:
01 2022
01 2022
Historique:
received:
03
04
2021
accepted:
18
05
2021
revised:
04
05
2021
pubmed:
11
8
2021
medline:
30
3
2022
entrez:
10
8
2021
Statut:
ppublish
Résumé
Obesity and metabolic syndrome (O&MS) due to the worldwide obesity epidemic affects children at all stages of chronic kidney disease (CKD) including dialysis and after kidney transplantation. The presence of O&MS in the pediatric CKD population may augment the already increased cardiovascular risk and contribute to the loss of kidney function. 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. We present CPRs for the assessment and management of O&MS in children with CKD stages 2-5, on dialysis and after kidney transplantation. We address the risk factors and diagnostic criteria for O&MS and discuss their management focusing on non-pharmacological treatment management, including diet, physical activity, and behavior modification in the context of age and CKD stage. 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. Research recommendations are provided. The CPRs will be periodically audited and updated by the PRNT.
Identifiants
pubmed: 34374836
doi: 10.1007/s00467-021-05148-y
pii: 10.1007/s00467-021-05148-y
pmc: PMC8674169
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1-20Subventions
Organisme : Department of Health
Pays : United Kingdom
Informations de copyright
© 2021. The Author(s).
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