Nutritional therapy in children with chronic renal failure
1980
Chantler, Cyril | El Bishti, Mohammed | Counahan, Ralph
Low-protein diets supplemented with essential amino acids or ketoacids may improve growth and survival in children with renal failure if other factors are controlled. In conjunction with nutritional therapy, there must be careful control of osteodystrophy, suppression of hyperparathyroidism, control of acidosis, and an adequate electrolyte intake. Methods for assessing the adequacy of energy and protein intake on a week-to-week basis are urgently needed. The energy and protein requirements for children in relation to body weight are greater than for adults. A high energy, low-protein diet with essential amino acids supplementation may be preferable to insure adequate essential amino acid intake. Fat intake also should be increased to provide sufficient energy without causing hypertriglyceridemia. Ketoacids may allow sufficient protein consumption to insure an adequate energy intake while reducing nitrogen toxicity.
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