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Open Access 01-04-2009 | Educational Feature

Nutrition assessment and management in children on peritoneal dialysis

Authors: Fabio Paglialonga, Alberto Edefonti

Published in: Pediatric Nephrology | Issue 4/2009

Abstract

Protein-calorie malnutrition, otherwise known as cachexia, is a common problem in children undergoing chronic peritoneal dialysis (PD) and is a frequent source of significant morbidity and mortality. Recent evidence suggests that the main factors involved in the pathogenesis are metabolic acidosis, a decreased response to anabolic hormones, and chronic inflammation, associated with hormonal imbalances and an increased metabolic rate. Given the complexity and multifactorial nature of cachexia, the assessment of nutritional status in children on PD requires a complete history and physical examination; assessment of dietary intake, biochemical indices, and anthropometry; and possibly bioimpedance analysis and combined score systems. Its management should likewise be multidisciplinary and include ensuring an adequate energy and protein intake; optimal metabolic control, with the correction of acidosis, anaemia, and hyperparathyroidism; an optimal (or at least adequate) dialysis dose; and, if necessary, prescription of specific drugs such as recombinant human growth hormone.

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Title: Nutrition assessment and management in children on peritoneal dialysis
Authors: Fabio Paglialonga
Alberto Edefonti
Publication date: 01-04-2009
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Nephrology / Issue 4/2009
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI: https://doi.org/10.1007/s00467-007-0719-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Nutrition assessment and management in children on peritoneal dialysis

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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