Singularidades no cuidado em nutrição em crianças com doença renal crônica
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Publicado
Feb 4, 2025
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Resumo
Objetivo: Realizar uma revisão narrativa dos aspectos nutricionais específicos para crianças com doença renal crônica que podem ser empregados na prática clínica de profissionais nutricionistas de forma clara e objetiva. Revisão de literatura: Foram agrupadas as informações relacionadas a avaliação em nutrição incluindo a avaliação dietética, de medidas antropométrica, de dados bioquímicos, além intervenção em nutrição abordando aspectos relacionadas as alterações metabólicas e as recomendações de macro e micronutrientes para crianças com doenças renais crônicas. Considerações finais: Sabe-se que o manejo nutricional para crianças com doenças renais crônicas deve ser específico e individualizado, porém são escassos estudos que descrevam o cuidado nutricional nesse público, além disso as diretrizes não são frequentemente atualizadas, tornando-se uma limitação. Visto isso, essa revisão é de fundamental importância para guiar o profissional nutricionista no processo de assistência nutricional pelo seu compilado de informações relacionadas à avaliação em nutrição e intervenção em nutrição que podem ser empregadas na prática clínica.
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Como Citar
SilvaE. A. F. da, GuimarãesP. P. M., DreuxA. P. B., & LopesM. M. G. D. (2025). Singularidades no cuidado em nutrição em crianças com doença renal crônica. Revista Eletrônica Acervo Saúde, 25, e18883. https://doi.org/10.25248/reas.e18883.2025
Seção
Revisão Bibliográfica
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Referências
1. AKCHURIN OM. Chronic Kidney Disease and Dietary Measures to Improve Outcomes. Pediatr Clin North Am. 2019;66(1):247–67.
2. ANTUNES SA, CANZIANI MEF. Hepcidin: an important iron metabolism regulator in chronic kidney disease. J BrasNefrol. 2016;38(3).
3. BOYER O, et al. Management of congenital nephrotic syndrome: consensus recommendations of the ERKNet-ESPN Working Group. Nat Rev Nephrol. 2021;17(4):277–89.
4. CHEN CB, et al. Overview of Albumin Physiology and its Role in Pediatric Diseases. Curr Gastroenterol Rep. 2021;23(8):11.
5. CHUA AN, WARADY BA. Care of the Pediatric Patient on Chronic Dialysis. AdvChronicKidneyDis. 2017; 24(6):388–97.
6. CIRILLO L, et al. Chronic kidney disease in children: an update. Clin Kidney J. 2023; 29;16(10):1600–11.
7. Dietary Reference Intakes for Sodium and Potassium, National Academies Press. 2019. Disponível em: https://www.nap.edu/catalog/25353. Acesso em: 6 agosto. 2024
8. CRISPIM SP. Manual de quantificação consumo alimentar infantil. Curitiba; 2018.
9. DESLOOVERE A, et al. The dietary management of potassium in children with CKD stages 2–5 and on dialysis—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce. Pediatr Nephrol. 2021; 36(6):1331–46.
10. DOWNIE ML,et al. Nephrotic syndrome in infants and children: pathophysiology and management. Paediatr Int Child Health. 2017; 2;37(4):248–58.
11. FOSTER BJ, et al.. Nutrition in infants and very young children with chronic kidney disease. Pediatr Nephrol. 2012;27(9):1427–39.
12. INSTITUTE OF MEDICINE(IOM). Dietary Reference Intakes: The Essential Guide to Nutrient Requirements. The Nacional Academies Press; 2006..
13. INSTITUTE OF MEDICINE(IOM). Dietary Reference Intakes for Calcium and Vitamin D. The Nacional Academies Press; 2011.
14. INSTITUTE OF MEDICINE(IOM). Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. The National Academies Press; 2005.
15. KIDNEY DISEASE IMPROVING GLOBAL OUTCOMES (KDIGO). KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. KidneyIntSuppl. 2013;3(1):1–150.
16. LEVIN A, et al. Executive summary of the KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease: known knowns and known unknowns. Kidney Int. 2024; 105(4):684–701.
17. MACIEl JRV, et al. STRONGkidsvalidation: tool accuracy. J Pediatr Versão Em Port. 2020;96(3):371–8.
18. MAK RH, et al. Nutrition in Children With Chronic Kidney Disease: How to Thrive? J Ren Nutr. 2023; 33(6):S49–55.
19. SOCIEDADE BRASILEIRA DE NUTRIÇÃO PARENTERAL E ENTERAL(BRASPEN) Manual de triagem e avaliação nutricional em pediatria - Sociedade Brasileira de Nutrição Parenteral e Enteral. BRASPEN J. 2024;39(1).
20. MARTINS C, SAEKI SL. Consenso sobre a terminologia padronizada do processo de cuidado em nutrição para pacientes adultos com doença renal crônica.J. Bras. Nefrol. 2021;43(2):236-253.
21. MCALISTER L, et al. The dietary management of calcium and phosphate in children with CKD stages 2-5 and on dialysis—clinical practice recommendation from the Pediatric Renal Nutrition Taskforce. Pediatr Nephrol. 2020;35(3):501–18.
22. KIDNEY DISEASE OUTCOMES QUALITY INITIATIVE(KDOQI) National Kidney Foundation. KDOQI Clinical Practice Guideline for Nutrition in Children with CKD: 2008 Update. Am J KidneyDis. 2009;53(3):S11–104.
23. NELMS CL, et al. Determination of Renal Nutrition Training and Education Need for Pediatric-Focused and Adult-Focused Clinicians: The North American Pediatric Renal Nutrition Education Survey (NAPRNES). J Ren Nutr. 2019;29(2):91–6.
24. NELMS CL, et al. Assessment of nutritional status in children with kidney diseases—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce. Pediatr Nephrol. 2021;36(4):995–1010.
25. NELMS CL. Optimizing Enteral Nutrition for Growth in Pediatric Chronic Kidney Disease (CKD). Front Pediatr. 2018; 2;6:214.
26. REES L, et al. Delivery of a nutritional prescription by enteral tube feeding in children with chronic kidney disease stages 2–5 and on dialysis—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce. Pediatr Nephrol. 2021; 36(1):187–204.
27. Rezende CF, et al. Doença renal crônica e suas consequências na criança e no adolescente.ArchLatinNefrPed 2021;20(1):40-59.
28. SHAW V, et al. Energy and protein requirements for children with CKD stages 2-5 and on dialysis–clinical practice recommendations from the Pediatric Renal Nutrition Taskforce. Pediatr Nephrol. 2020;35(3):519–31.
29. SILVA CP, et al. Impactos físicos, nutricionais, psicológicos, sociais e educacionais em jovens com Doença Renal Crônica em seu tratamento. Res Soc Dev. 2021; 26;10(12):e235101220101.
30. SILVERSTEIN DM. Growth and Nutrition in Pediatric Chronic Kidney Disease. Front Pediatr. 2018; 14;6:205.
31. SOCIEDADE BRASILEIRA DE PEDIATRIA(SBP) Doença Renal Crônica em Pediatria: Diagnóstico e Prevenção. 2020.
32. SONG P, et al.. Prevalence and associated factors of impaired renal function in Chinese children: The China Health and Nutrition Survey. Nephrology. 2019;24(2):195–201.
33. STABOULI S, et al. Assessment and management of obesity and metabolic syndrome in children with CKD stages 2–5 on dialysis and after kidney transplantation—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce. Pediatr Nephrol. 2022;37(1):1–20.
34. SWAN WI, et al. Nutrition Care Process (NCP) Update Part 2: Developing and Using the NCP Terminology to Demonstrate Efficacy of Nutrition Care and Related Outcomes. J AcadNutr Diet. 2019;119(5):840–55.
35. TUROLO S, et al. Fatty Acids in Nephrotic Syndrome and Chronic Kidney Disease. J Ren Nutr. 2018; 28(3):145–55.
36. TUTTLE KR, et al. Clinical Characteristics of and Risk Factors for Chronic Kidney Disease Among Adults and Children: An Analysis of the CURE-CKD Registry. JAMA Netw Open. 2019; 20;2(12):e1918169.
37. VAVRUK A, et al. Consenso sobre a terminologia padronizada do processo de cuidado em nutrição para pacientes adultos com injúria renal aguda. BRASPEN J. 2021;36(3):227–44.
38. WEIDEMANN DK, et al. Childhood Kidney Disease: A Troubling Prognosis? Am J Kidney Dis. 2018;72(5):764–6.
39. WORLD HEALTH ORGANIZATION (WHO). Child Growth Standards: Length/Height for Age, Weight for Age, Weight for Length, Weight for Height, and Body Mass Index for Age. MethodsandDevelopment. World Health Organization; 2006.
40. WORLD HEALTH ORGANIZATION (WHO). Development of a WHO growth reference for school-aged children and adolescents. Vol. 85. World Health Organization; 2007.
2. ANTUNES SA, CANZIANI MEF. Hepcidin: an important iron metabolism regulator in chronic kidney disease. J BrasNefrol. 2016;38(3).
3. BOYER O, et al. Management of congenital nephrotic syndrome: consensus recommendations of the ERKNet-ESPN Working Group. Nat Rev Nephrol. 2021;17(4):277–89.
4. CHEN CB, et al. Overview of Albumin Physiology and its Role in Pediatric Diseases. Curr Gastroenterol Rep. 2021;23(8):11.
5. CHUA AN, WARADY BA. Care of the Pediatric Patient on Chronic Dialysis. AdvChronicKidneyDis. 2017; 24(6):388–97.
6. CIRILLO L, et al. Chronic kidney disease in children: an update. Clin Kidney J. 2023; 29;16(10):1600–11.
7. Dietary Reference Intakes for Sodium and Potassium, National Academies Press. 2019. Disponível em: https://www.nap.edu/catalog/25353. Acesso em: 6 agosto. 2024
8. CRISPIM SP. Manual de quantificação consumo alimentar infantil. Curitiba; 2018.
9. DESLOOVERE A, et al. The dietary management of potassium in children with CKD stages 2–5 and on dialysis—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce. Pediatr Nephrol. 2021; 36(6):1331–46.
10. DOWNIE ML,et al. Nephrotic syndrome in infants and children: pathophysiology and management. Paediatr Int Child Health. 2017; 2;37(4):248–58.
11. FOSTER BJ, et al.. Nutrition in infants and very young children with chronic kidney disease. Pediatr Nephrol. 2012;27(9):1427–39.
12. INSTITUTE OF MEDICINE(IOM). Dietary Reference Intakes: The Essential Guide to Nutrient Requirements. The Nacional Academies Press; 2006..
13. INSTITUTE OF MEDICINE(IOM). Dietary Reference Intakes for Calcium and Vitamin D. The Nacional Academies Press; 2011.
14. INSTITUTE OF MEDICINE(IOM). Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. The National Academies Press; 2005.
15. KIDNEY DISEASE IMPROVING GLOBAL OUTCOMES (KDIGO). KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. KidneyIntSuppl. 2013;3(1):1–150.
16. LEVIN A, et al. Executive summary of the KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease: known knowns and known unknowns. Kidney Int. 2024; 105(4):684–701.
17. MACIEl JRV, et al. STRONGkidsvalidation: tool accuracy. J Pediatr Versão Em Port. 2020;96(3):371–8.
18. MAK RH, et al. Nutrition in Children With Chronic Kidney Disease: How to Thrive? J Ren Nutr. 2023; 33(6):S49–55.
19. SOCIEDADE BRASILEIRA DE NUTRIÇÃO PARENTERAL E ENTERAL(BRASPEN) Manual de triagem e avaliação nutricional em pediatria - Sociedade Brasileira de Nutrição Parenteral e Enteral. BRASPEN J. 2024;39(1).
20. MARTINS C, SAEKI SL. Consenso sobre a terminologia padronizada do processo de cuidado em nutrição para pacientes adultos com doença renal crônica.J. Bras. Nefrol. 2021;43(2):236-253.
21. MCALISTER L, et al. The dietary management of calcium and phosphate in children with CKD stages 2-5 and on dialysis—clinical practice recommendation from the Pediatric Renal Nutrition Taskforce. Pediatr Nephrol. 2020;35(3):501–18.
22. KIDNEY DISEASE OUTCOMES QUALITY INITIATIVE(KDOQI) National Kidney Foundation. KDOQI Clinical Practice Guideline for Nutrition in Children with CKD: 2008 Update. Am J KidneyDis. 2009;53(3):S11–104.
23. NELMS CL, et al. Determination of Renal Nutrition Training and Education Need for Pediatric-Focused and Adult-Focused Clinicians: The North American Pediatric Renal Nutrition Education Survey (NAPRNES). J Ren Nutr. 2019;29(2):91–6.
24. NELMS CL, et al. Assessment of nutritional status in children with kidney diseases—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce. Pediatr Nephrol. 2021;36(4):995–1010.
25. NELMS CL. Optimizing Enteral Nutrition for Growth in Pediatric Chronic Kidney Disease (CKD). Front Pediatr. 2018; 2;6:214.
26. REES L, et al. Delivery of a nutritional prescription by enteral tube feeding in children with chronic kidney disease stages 2–5 and on dialysis—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce. Pediatr Nephrol. 2021; 36(1):187–204.
27. Rezende CF, et al. Doença renal crônica e suas consequências na criança e no adolescente.ArchLatinNefrPed 2021;20(1):40-59.
28. SHAW V, et al. Energy and protein requirements for children with CKD stages 2-5 and on dialysis–clinical practice recommendations from the Pediatric Renal Nutrition Taskforce. Pediatr Nephrol. 2020;35(3):519–31.
29. SILVA CP, et al. Impactos físicos, nutricionais, psicológicos, sociais e educacionais em jovens com Doença Renal Crônica em seu tratamento. Res Soc Dev. 2021; 26;10(12):e235101220101.
30. SILVERSTEIN DM. Growth and Nutrition in Pediatric Chronic Kidney Disease. Front Pediatr. 2018; 14;6:205.
31. SOCIEDADE BRASILEIRA DE PEDIATRIA(SBP) Doença Renal Crônica em Pediatria: Diagnóstico e Prevenção. 2020.
32. SONG P, et al.. Prevalence and associated factors of impaired renal function in Chinese children: The China Health and Nutrition Survey. Nephrology. 2019;24(2):195–201.
33. STABOULI S, et al. Assessment and management of obesity and metabolic syndrome in children with CKD stages 2–5 on dialysis and after kidney transplantation—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce. Pediatr Nephrol. 2022;37(1):1–20.
34. SWAN WI, et al. Nutrition Care Process (NCP) Update Part 2: Developing and Using the NCP Terminology to Demonstrate Efficacy of Nutrition Care and Related Outcomes. J AcadNutr Diet. 2019;119(5):840–55.
35. TUROLO S, et al. Fatty Acids in Nephrotic Syndrome and Chronic Kidney Disease. J Ren Nutr. 2018; 28(3):145–55.
36. TUTTLE KR, et al. Clinical Characteristics of and Risk Factors for Chronic Kidney Disease Among Adults and Children: An Analysis of the CURE-CKD Registry. JAMA Netw Open. 2019; 20;2(12):e1918169.
37. VAVRUK A, et al. Consenso sobre a terminologia padronizada do processo de cuidado em nutrição para pacientes adultos com injúria renal aguda. BRASPEN J. 2021;36(3):227–44.
38. WEIDEMANN DK, et al. Childhood Kidney Disease: A Troubling Prognosis? Am J Kidney Dis. 2018;72(5):764–6.
39. WORLD HEALTH ORGANIZATION (WHO). Child Growth Standards: Length/Height for Age, Weight for Age, Weight for Length, Weight for Height, and Body Mass Index for Age. MethodsandDevelopment. World Health Organization; 2006.
40. WORLD HEALTH ORGANIZATION (WHO). Development of a WHO growth reference for school-aged children and adolescents. Vol. 85. World Health Organization; 2007.