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Paediatric Renal Disease

Paediatric Renal Disease

Pediatric Renal Disease

There are two types of kidney disease; Acute Kidney Injury (AKI) and Chronic Kidney Disease (CKD). Provision of adequate nutrition is vital in the management of children with kidney disease to enable normal growth and development1. Dietary management also aims to avoid the accumulation of toxic metabolites, reduce morbidities such as renal bone disease and ultimately improve quality of life2

Dietary management is complex and should be individualised with a focus on2:


  1. Energy intake: poor appetite, food refusal, nausea and vomiting are common

  2. Protein intake: careful monitoring and regulation of protein is needed to achieve optimal growth.

  3. Fluid and electrolytes: requirements and potential restrictions will vary depending upon the needs of the individual.

  4. Regulation of calcium and phosphate intakes.

  5. Ensuring adequate micronutrient and iron intakes.


Dietary management is dependent on many factors and therefore a specialist paediatric renal dietitian has an essential role in the management of these patients within a multidisciplinary team. 

  1. KDOQI Clinical Practice Guideline for Nutrition in Children with CKD: 2008 Update. 2009.
  2. Royle J. Chapter 12: Kidney Disease. In: Shaw V, editor. Clinical Paediatric Dietetics. 4: John Wiley & Sons Ltd.; 2015. p. 242-81.


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Finding Phos: Managing Phosphorus Intake for Pediatric Renal Disease

Has your dietitian has asked you to limit the phosphorus in your diet and you’re wondering where to start? Watch this simple 2-minute video explaining: 

  • Why a high level of phosphorus in your blood can be harmful to your health 
  • Easy ways to limit phosphorus in your diet 
  • How to find ‘phos’ wherever it may be in the foods you buy at the grocery store

For further questions about your diet consult with your dietitian.