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Pediatric Nephrology
Erschienen in: Pediatric Nephrology 7/2018

27.07.2017 | Educational Review

Vitamin and trace element deficiencies in the pediatric dialysis patient

verfasst von: Lyndsay A. Harshman, Kathy Lee-Son, Jennifer G. Jetton

Erschienen in: Pediatric Nephrology | Ausgabe 7/2018

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Abstract

Pediatric dialysis patients are at risk of nutritional illness secondary to deficiencies in water-soluble vitamins and trace elements. Unlike 25-OH vitamin D, most other vitamins and trace elements are not routinely monitored in the blood and, consequently, the detection of any deficiency may not occur until significant complications develop. Causes of vitamin and trace element deficiency in patients on maintenance dialysis patient are multifactorial, ranging from diminished nutritional intake to altered metabolism as well as dialysate-driven losses of water-soluble vitamins and select trace elements. In this review we summarize the nutritional sources of key water-soluble vitamins and trace elements with a focus on the biological roles and clinical manifestations of their respective deficiency to augment awareness of potential nutritional illness in pediatric patients receiving maintenance dialysis. The limited pediatric data on the topic of clearance of water-soluble vitamins and trace elements by individual dialysis modality are reviewed, including a brief discussion on clearance of water-soluble vitamins and trace elements with continuous renal replacement therapy.
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Metadaten
Titel
Vitamin and trace element deficiencies in the pediatric dialysis patient
verfasst von
Lyndsay A. Harshman
Kathy Lee-Son
Jennifer G. Jetton
Publikationsdatum
27.07.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Pediatric Nephrology / Ausgabe 7/2018
Print ISSN: 0931-041X
Elektronische ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-017-3751-z

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