Mak Robert H, Iyengar Arpana, Lai Wai Ming, McAlister Louise, Oliveira Eduardo A, Xu Hong, Yap Hui Kim, Shroff Rukshana
Division of Pediatric Nephrology, Rady Children's Hospital, University of California San Diego, La Jolla.
Department of Pediatric Nephrology, St John's National Academy of Health Sciences, Bangalore, India.
J Ren Nutr. 2023 Nov;33(6S):S49-S55. doi: 10.1053/j.jrn.2023.07.006. Epub 2023 Aug 7.
The nutritional status and management of children with chronic kidney disease (CKD) are complex and require a combined pediatric nephrology team work approach with physicians, nutritionists, nurses, and physical/occupational therapists. Prospective observational studies such as Children with CKD in the US, the 4C study in Europe and the International Pediatric Peritoneal Dialysis Network have advanced the field. However, most recommendations and guidelines from international task forces such as Kidney Diseases Improving Global Outcomes and Pediatric Renal Nutrition Taskforce are opinion-based rather than evidence-based. There is exciting ongoing research to improve nutrition in children with CKD to help them thrive.
慢性肾脏病（CKD）患儿的营养状况及管理十分复杂，需要儿科肾脏病综合团队协作，成员包括医生、营养师、护士以及物理治疗师/职业治疗师。美国的CKD患儿研究、欧洲的4C研究以及国际儿科腹膜透析网络等前瞻性观察性研究推动了该领域的发展。然而，诸如改善全球肾脏病预后组织和儿科肾脏营养工作组等国际特别工作组的大多数建议和指南都是基于意见而非证据。目前有令人振奋的研究正在进行，旨在改善CKD患儿的营养状况，帮助他们茁壮成长。
