LAUSR

Purpose of Review Children with chronic kidney disease (CKD) have unique nutritional needs related to decreased kidney function. This review discusses outcomes related to nutritional status in children with CKD. It reviews recommendations specific to children with CKD including nutritional assessment, energy needs, and macro- and micronutrient requirements. In addition, other considerations including supplemental feeding and potential barriers are briefly summarized. Recent Findings While malnutrition has been long associated with CKD, obesity is increasingly being recognized in CKD and may contribute to progression of disease. The practice of dietary potassium restriction is being questioned. Education regarding phosphorus management should include inorganic sources from food additives and preservatives in addition to the usual organic sources of phosphorus. There are emerging options for formula alternatives including blenderized diets that meet the dietary restrictions of this population. Recognizing and addressing food insecurity and providing guidance on cooking techniques may enhance adherence. Summary The nutritional management of children with CKD is complex. An individualized approach by a multi-disciplinary team can help educate and promote success in these lifelong dietary modifications.