• Nutritional Assessment for malnutrition in Pediatric Chronic Kidney Disease (CKD)
  • Mojtaba Hajipour,1 Sahar Arabpour,2 Andisheh Norouzian Ostad,3,*
    1. Bachelor student of Nutrition, Department of Nutrition Sciences, Varastegan Institute for Medical Sciences, Mashhad, Iran.
    2. Bachelor student of Nutrition, Department of Nutrition Sciences, Varastegan Institute for Medical Sciences, Mashhad, Iran.
    3. MD-Ph.D. of nutrition science, Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.


  • Introduction: Children with chronic kidney disease (CKD) had problems in growth and development. Malnutrition and undernutrition are common in CKD children. This study aims to investigate nutritional assessment methods for children with CKD.
  • Methods: To accomplish this narrative review, we searched 4 Databases (PubMed, Web of Science, Scopus and google scholar) based on the search strategy from 2012 to 2022 with the high sensitivity on September 2022 by following MeSH keywords: " Chronic Kidney Disease ", " Pediatrics ", " Nutritional Assessment ", " Malnutrition ", " Undernutrition ".
  • Results: Most studies indicated that growth assessment and management parameters must be included: Anthropometric data, nutritional status, and Caloric Intake. Protein intake is critical for muscle and skeletal growth. Route of feeding is essential; a few sufferers may also require supplementation remedy or enteral feeding. Monitoring fluid balance through comparing blood pressure and weight gain earlier than and after dialysis, or the use of bioimpedance spectroscopy is necessary. Protein (positive nitrogen balance). The maximum recommendation of sodium is 1500–2400 mg/day. Serum potassium must be in the normal range of 3.5–5 mmol/L. Phosphate recommends varies according to age for first month's child is 5.2–8.4 mg/dl and then reduces with age and personal needs. The need for calcium for children is 100-200% of DRI.
  • Conclusion: Based on the date of our study, close monitoring for children with CKD is necessary for better growth and prevention of comorbidities.
  • Keywords: Chronic Kidney Disease, Nutritional Assessment, Pediatric