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Energy and nutrient intake of patients with mild-to-moderate chronic renal failure compared with healthy children: An Italian multicentre study

  • Nephrology/Urology
  • Published:
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Abstract

Nutritional counselling is important in the management of children with chronic renal failure (CRF). In 1988, a controlled European multicentre study was started to evaluate the effects of a low-protein diet on the progression of CRF in children. To assess the energy, macro- and micronutrient intake, 4-day weighed dietary records were obtained from 50 children with low to moderate CRF (creatinine clearance 65 to 15 ml/min per 1.73 m2) and from 93 healthy children. The mean energy intake was 90%–93% of the recommended dietary allowance for Italian children in controls and 76%–88% in CRF patients. The mean protein intake was 2.1–3.1 g/kg per day in controls and 1.6–2.7 g/kg per day in CRF patients. Overall, the energy intake was 10% and the protein intake 33% lower in CRF patients than in healthy children. Children with CRF consumed less cholesterol, calcium and phosphorus than healthy children. The lower spontaneous intake of energy, protein and other nutrients should be taken into account when planning the nutrition of children with CRF.

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Abbreviations

CRF:

chronic renal failure

RDA:

recommended dietary allowance

RDA-I:

recommended dietary allowances for the Italian population

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Authors and Affiliations

  1. Department of Paediatrics, University of Ancona, via Corridoni 11, I-60123, Ancona, Italy

    I. M. Rätsch, C. Catassi & P. L. Giorgi

  2. Department of Paediatric Nephrology, G. Gaslini Institute, Genoa, Italy

    E. Verrina & R. Gusmano

  3. Second Department of Paediatrics, University of Milan, Milan, Italy

    A. Appiani & A. Bettinelli

  4. Department of Paediatric Nephrology, Bambino Gesù Children's Hospital, Rome, Italy

    S. Picca & G. Rizzoni

  5. University Children's Hospital, Heidelberg, Germany

    C. Fabian-Bach, A. M. Wingen & O. Mehls

Authors
  1. I. M. Rätsch
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  2. C. Catassi
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  3. E. Verrina
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  4. R. Gusmano
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  5. A. Appiani
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  6. A. Bettinelli
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  7. S. Picca
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  8. G. Rizzoni
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  9. C. Fabian-Bach
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  10. A. M. Wingen
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  11. O. Mehls
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  12. P. L. Giorgi
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Rätsch, I.M., Catassi, C., Verrina, E. et al. Energy and nutrient intake of patients with mild-to-moderate chronic renal failure compared with healthy children: An Italian multicentre study. Eur J Pediatr 151, 701–705 (1992). https://doi.org/10.1007/BF01957578

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  • DOI: https://doi.org/10.1007/BF01957578

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