A.N. ZAVYALOVA, A.V. GOSTIMSKY, V.N. FEDORETS

Saint Petersburg State Pediatric Medical University of the Ministry of Healthcare of the Russian Federation, Saint Petersburg

Contact details:

Zavyalova A.N. — Ph. D. (medicine), Associate Professor of the Department of General Medical Practice, nutritionist

Address: 2 Litovskaya St., Saint Petersburg, Russian Federation, 194100, tel.: +7-921-398-59-55, е-mail: anzavjalova@mail.ru

  The article presents modern recommendations on the nutrition of patients with chronic kidney disease (CKD). Children with CKD have gastrointestinal problems, weight deficiency and growth retardation, progressing with the development of CKD. Considering various approaches to the correction of nutritional deficiency in children with somatic pathology and children with CKD, variants of correction of protein-energy deficiency for a patient at the pre-dialysis stage of CKD and during dialysis are presented. The article presents detailed recommendations for changing lifestyle. Recommendations are presented for intake of protein, sodium, potassium, phosphorus, iron, vitamins and the energy value of the diet with a choice of foods and dishes.The tables presented in the article are of practical interest. The starting positions of the elimination diet for outpatient and inpatient patients are described.

Key words: children, chronic kidney disease, nutritional status, diet quality.

(For citation: Zavyalova A.N., Gostimsky A.V., Fedorets V.N. Nutrition approaches to treating children with chronic kidney disease. Practical Medicine. 2019. Vol. 17, № 5, P. 152-160)

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