Malnutrition, growth delay and nutrition related metabolic abnormalities are the common problems in children with chronic kidney disease (CKD). Regular assessment of nutritional status and providing adequate nutrition are key components in the overall management of children with CKD. Although various factors are involved, nutritional care and therapy are essential to prevent or correct these disturbances and are important aspects of the management of CKD in children. Individualized nutrition care plans require frequent modification according to changes in the child's age, development, residual kidney function, and mode of kidney replacement therapy. Over nutrition followed by obesity and thereby long term implications of unbalanced dietary and lifestyle practices are also gaining concern to the pediatric CKD population. And this problem too needs to be addressed and resolved by nutrition management scheme.
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