The Management of Dietary Fiber Intake in Children With Chronic Kidney Disease - Clinical Practice Recommendations From the Pediatric Renal Nutrition Taskforce.

IF 3.4 3区 医学 Q2 NUTRITION & DIETETICS
An Desloovere, Nonnie Polderman, José Renken-Terhaerdt, Vanessa Shaw, Caroline Anderson, Larry A Greenbaum, Christina L Nelms, Leila Qizalbash, Stella Stabouli, Jetta Tuokkola, Bradley A Warady, Johan Vande Walle, Fabio Paglialonga, Rukshana Shroff, Evelien Snauwaert
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引用次数: 0

Abstract

The benefits of dietary fiber are widely accepted. Nevertheless, a substantial proportion of children fail to meet the recommended intake of dietary fiber. Achieving adequate fiber intake is especially challenging in children with chronic kidney disease (CKD). An international team of pediatric renal dietitians and pediatric nephrologists from the Pediatric Renal Nutrition Taskforce (PRNT) has developed clinical practice recommendations (CPRs) for the dietary intake of fiber in children and adolescents with CKD. In this CPR paper, we propose a definition of fiber, provide advice on the requirements and assessment of fiber intake, and offer practical guidance on optimizing dietary fiber intake in children with CKD. In addition, given the paucity of available evidence and to achieve consensus from international experts, a Delphi survey was performed in which all the clinical practice recommendations were reviewed.

慢性肾病患儿膳食纤维摄入管理--儿科肾脏营养工作组的临床实践建议。
膳食纤维的益处已被广泛接受。然而,相当一部分儿童的膳食纤维摄入量未能达到建议水平。对于患有慢性肾病(CKD)的儿童来说,摄入足够的纤维尤其具有挑战性。由儿科肾脏营养工作组 (PRNT) 的儿科肾脏营养师和儿科肾病专家组成的国际团队已针对患有 CKD 的儿童和青少年的膳食纤维摄入量制定了临床实践建议 (CPR)。在这份 CPR 文件中,我们提出了纤维的定义,就纤维摄入量的要求和评估提供了建议,并就如何优化 CKD 儿童的膳食纤维摄入量提供了实用指导。此外,考虑到现有证据的匮乏,为了获得国际专家的共识,我们进行了一次德尔菲调查,对所有临床实践建议进行了回顾。
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来源期刊
Journal of Renal Nutrition
Journal of Renal Nutrition 医学-泌尿学与肾脏学
CiteScore
5.70
自引率
12.50%
发文量
146
审稿时长
6.7 weeks
期刊介绍: The Journal of Renal Nutrition is devoted exclusively to renal nutrition science and renal dietetics. Its content is appropriate for nutritionists, physicians and researchers working in nephrology. Each issue contains a state-of-the-art review, original research, articles on the clinical management and education of patients, a current literature review, and nutritional analysis of food products that have clinical relevance.
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