慢性肾病儿童的营养不良管理。

IF 2.6 3区 医学 Q1 PEDIATRICS
Pediatric Nephrology Pub Date : 2025-01-01 Epub Date: 2024-07-02 DOI:10.1007/s00467-024-06436-z
Antonio Corsello, Chiara Maria Trovato, Valeria Dipasquale, Emanuele Proverbio, Gregorio Paolo Milani, Antonella Diamanti, Carlo Agostoni, Claudio Romano
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引用次数: 0

摘要

慢性肾脏病(CKD)包括多种疾病,如先天性异常、肾小球肾炎和遗传性肾病,因此需要进行个性化的营养干预。由于不良后果的风险增加,包括影响生长和增加医疗费用,因此早期发现至关重要。儿科慢性肾脏病的营养评估采用全面的多学科方法,考虑疾病的特异性因素、生长指标和饮食习惯。通过各种工具和指南确定的营养不良发生率强调了定期和警惕性监测的必要性。营养管理策略寻求热量摄入、蛋白质需求和电解质之间的平衡。维持均衡的营养摄入对于预防全身并发症和保护剩余肾功能至关重要。在需要长期支持的情况下,肠内营养(包括胃造瘘术)的细微差别值得考虑,重点是最大限度地降低风险以获得最佳疗效。总之,小儿慢性肾脏病患者的营养管理面临着持续的挑战,需要不断进行评估和调整。本综述强调了量身定制的饮食方法的重要性,它不仅能促进生长和预防并发症,还能提高 CKD 患儿的整体生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Malnutrition management in children with chronic kidney disease.

Malnutrition management in children with chronic kidney disease.

Chronic kidney disease (CKD) encompasses diverse conditions such as congenital anomalies, glomerulonephritis, and hereditary nephropathies, necessitating individualized nutritional interventions. Early detection is pivotal due to the heightened risk of adverse outcomes, including compromised growth and increased healthcare costs. The nutritional assessment in pediatric CKD employs a comprehensive, multidisciplinary approach, considering disease-specific factors, growth metrics, and dietary habits. The prevalence of malnutrition, as identified through diverse tools and guidelines, underscores the necessity for regular and vigilant monitoring. Nutritional management strategies seek equilibrium in calorie intake, protein requirements, and electrolyte considerations. Maintaining a well-balanced nutritional intake is crucial for preventing systemic complications and preserving the remaining kidney function. The nuanced landscape of enteral nutrition, inclusive of gastrostomy placement, warrants consideration in scenarios requiring prolonged support, with an emphasis on minimizing risks for optimized outcomes. In conclusion, the ongoing challenge of managing nutrition in pediatric CKD necessitates continuous assessment and adaptation. This review underscores the significance of tailored dietary approaches, not only to foster growth and prevent complications but also to enhance the overall quality of life for children grappling with CKD.

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来源期刊
Pediatric Nephrology
Pediatric Nephrology 医学-泌尿学与肾脏学
CiteScore
4.70
自引率
20.00%
发文量
465
审稿时长
1 months
期刊介绍: International Pediatric Nephrology Association Pediatric Nephrology publishes original clinical research related to acute and chronic diseases that affect renal function, blood pressure, and fluid and electrolyte disorders in children. Studies may involve medical, surgical, nutritional, physiologic, biochemical, genetic, pathologic or immunologic aspects of disease, imaging techniques or consequences of acute or chronic kidney disease. There are 12 issues per year that contain Editorial Commentaries, Reviews, Educational Reviews, Original Articles, Brief Reports, Rapid Communications, Clinical Quizzes, and Letters to the Editors.
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