Nutritional management of chronic kidney disease in children: a best evidence summary.

IF 1.9 4区医学 Q3 UROLOGY & NEPHROLOGY

International Urology and Nephrology Pub Date : 2025-10-05 DOI:10.1007/s11255-025-04802-w

Diyi Luo, Lili Liu, Shenghua Zhang, Yujia Guan, Jingyi He

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引用次数: 0

Abstract

Objective: Chronic kidney disease in children is increasingly prevalent worldwide and significantly impacts quality of life. Nutritional management is one of the key components in the comprehensive treatment of chronic kidney disease in children; however, the relevant contents are scattered. This study summarizes the best evidence on nutritional management of chronic kidney disease in children, to provide high-quality evidence-based references for clinical practice.

Methods: By following the "6S" pyramid model, top-down searches were conducted in computerized decision support systems, international guideline websites, websites of chronic kidney disease professional associations, and various databases. The timeframe for the search was from the inception of the databases to September 2024. The quality evaluation, extraction, and synthesis of the evidence were conducted independently by 2 researchers.

Results: A total of 26 articles were included, including 8 guidelines, 1 expert consensus, 5 clinical decisions, 11 recommendation for clinical practice, and 1 systematic review. Thirty-five pieces of best evidence were synthesized into 6 categories, including nutrition management team, nutrition screening and assessment, nutrition diagnosis, nutrition goals, nutrition support, nutrition monitoring, and follow-up.

Conclusion: The best evidence for nutritional management of chronic kidney disease in children in this study is clinically practical, can provide evidence-based support for medical staff to implement nutritional management measures and improve clinical outcomes in children with chronic kidney disease.

查看原文本刊更多论文

儿童慢性肾病的营养管理：最佳证据总结。

目的：儿童慢性肾脏疾病在世界范围内日益普遍，并显著影响生活质量。营养管理是儿童慢性肾病综合治疗的关键内容之一；但是，相关内容比较分散。本研究总结了儿童慢性肾脏疾病营养管理的最佳证据，为临床实践提供高质量的循证参考。方法：采用“6S”金字塔模型，从计算机化决策支持系统、国际指南网站、慢性肾脏疾病专业协会网站及各类数据库进行自顶向下的检索。搜索的时间范围是从数据库建立到2024年9月。证据的质量评价、提取和合成由2名研究人员独立进行。结果：共纳入文献26篇，其中指南8篇，专家共识1篇，临床决策5篇，临床实践推荐11篇，系统评价1篇。将35条最佳证据综合为6类，包括营养管理团队、营养筛查与评估、营养诊断、营养目标、营养支持、营养监测和随访。结论：本研究提供的儿童慢性肾病营养管理的最佳证据具有临床实用性，可为医务人员实施儿童慢性肾病营养管理措施、改善儿童慢性肾病临床转归提供循证支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Urology and Nephrology 医学-泌尿学与肾脏学

CiteScore

3.40

自引率

5.00%

发文量

329

审稿时长

1.7 months

期刊介绍： International Urology and Nephrology publishes original papers on a broad range of topics in urology, nephrology and andrology. The journal integrates papers originating from clinical practice.