Assessment of dietary intake of children with chronic kidney disease

Wun Fung Hui, Aisha Betoko, Jonathan D. Savant, Alison Gump Abraham, Larry A. Greenbaum, Bradley Warady, Marva M. Moxey-Mims, Susan L. Furth

Research output: Contribution to journalArticle

Abstract

Objective: Our aim was to characterize the nutrient intake of children with chronic kidney disease (CKD) relative to recommended intake levels. Methods: We conducted a cross-sectional study of dietary intake assessed by Food Frequency Questionnaire (FFQ) in The North American Chronic Kidney Disease in Children (CKiD) prospective cohort study. Nutrient intake was analyzed to estimate the daily consumption levels of various nutrients and compared with national guidelines for intake. Results: There were 658 FFQs available for analysis; 69.9 % of respondents were boys, with a median age [Interquartile range (IQR)] of 11 years (8–15). Median daily sodium, potassium, and phosphorus intake was 3089 mg (2294–4243), 2384 mg (1804–3076), and 1206 mg (894–1612) respectively. Sodium and phosphorus consumptions were higher than recommended in all age groups. Caloric intake decreased with dropping glomerular filtration rate (GFR) (p = 0.003). The median daily caloric intakes were 1307 kcal in male children 2–3 years old, 1875 kcal in children 4–8 years old, 1923 kcal in those 9–13 years old, and 2427 kcal in those 14–18 years old. Respective levels for girls were 1467 kcal, 1736 kcal, 1803 kcal, and 2281 kcal. Median protein intake exceeded recommended levels in all age groups, particularly among younger participants. Younger children were more likely than older children to exceed the recommended intakes for phosphorus (p < 0.001) and the age-specific recommended caloric intake (p < 0.001). Macronutrient distribution (carbohydrate:fat:protein) was consistent with recommendation. Conclusions: Children in the CKiD cohort consumed more sodium, phosphorus, protein, and calories than recommended. The gap between actual consumption and recommendations indicates a need for improved nutritional counseling and monitoring.

Original languageEnglish (US)
Pages (from-to)1-10
Number of pages10
JournalPediatric Nephrology
DOIs
StateAccepted/In press - Sep 29 2016

Fingerprint

Chronic Renal Insufficiency
Phosphorus
Energy Intake
Sodium
Food
Age Groups
Proteins
Glomerular Filtration Rate
Counseling
Potassium
Cohort Studies
Cross-Sectional Studies
Eating
Fats
Carbohydrates
Prospective Studies
Guidelines

Keywords

  • Children
  • Chronic kidney disease
  • Dietary assessment
  • Nutrient intake

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Nephrology

Cite this

Hui, W. F., Betoko, A., Savant, J. D., Abraham, A. G., Greenbaum, L. A., Warady, B., ... Furth, S. L. (Accepted/In press). Assessment of dietary intake of children with chronic kidney disease. Pediatric Nephrology, 1-10. https://doi.org/10.1007/s00467-016-3491-5

Assessment of dietary intake of children with chronic kidney disease. / Hui, Wun Fung; Betoko, Aisha; Savant, Jonathan D.; Abraham, Alison Gump; Greenbaum, Larry A.; Warady, Bradley; Moxey-Mims, Marva M.; Furth, Susan L.

In: Pediatric Nephrology, 29.09.2016, p. 1-10.

Research output: Contribution to journalArticle

Hui, WF, Betoko, A, Savant, JD, Abraham, AG, Greenbaum, LA, Warady, B, Moxey-Mims, MM & Furth, SL 2016, 'Assessment of dietary intake of children with chronic kidney disease', Pediatric Nephrology, pp. 1-10. https://doi.org/10.1007/s00467-016-3491-5
Hui, Wun Fung ; Betoko, Aisha ; Savant, Jonathan D. ; Abraham, Alison Gump ; Greenbaum, Larry A. ; Warady, Bradley ; Moxey-Mims, Marva M. ; Furth, Susan L. / Assessment of dietary intake of children with chronic kidney disease. In: Pediatric Nephrology. 2016 ; pp. 1-10.
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AU - Hui, Wun Fung

AU - Betoko, Aisha

AU - Savant, Jonathan D.

AU - Abraham, Alison Gump

AU - Greenbaum, Larry A.

AU - Warady, Bradley

AU - Moxey-Mims, Marva M.

AU - Furth, Susan L.

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N2 - Objective: Our aim was to characterize the nutrient intake of children with chronic kidney disease (CKD) relative to recommended intake levels. Methods: We conducted a cross-sectional study of dietary intake assessed by Food Frequency Questionnaire (FFQ) in The North American Chronic Kidney Disease in Children (CKiD) prospective cohort study. Nutrient intake was analyzed to estimate the daily consumption levels of various nutrients and compared with national guidelines for intake. Results: There were 658 FFQs available for analysis; 69.9 % of respondents were boys, with a median age [Interquartile range (IQR)] of 11 years (8–15). Median daily sodium, potassium, and phosphorus intake was 3089 mg (2294–4243), 2384 mg (1804–3076), and 1206 mg (894–1612) respectively. Sodium and phosphorus consumptions were higher than recommended in all age groups. Caloric intake decreased with dropping glomerular filtration rate (GFR) (p = 0.003). The median daily caloric intakes were 1307 kcal in male children 2–3 years old, 1875 kcal in children 4–8 years old, 1923 kcal in those 9–13 years old, and 2427 kcal in those 14–18 years old. Respective levels for girls were 1467 kcal, 1736 kcal, 1803 kcal, and 2281 kcal. Median protein intake exceeded recommended levels in all age groups, particularly among younger participants. Younger children were more likely than older children to exceed the recommended intakes for phosphorus (p < 0.001) and the age-specific recommended caloric intake (p < 0.001). Macronutrient distribution (carbohydrate:fat:protein) was consistent with recommendation. Conclusions: Children in the CKiD cohort consumed more sodium, phosphorus, protein, and calories than recommended. The gap between actual consumption and recommendations indicates a need for improved nutritional counseling and monitoring.

AB - Objective: Our aim was to characterize the nutrient intake of children with chronic kidney disease (CKD) relative to recommended intake levels. Methods: We conducted a cross-sectional study of dietary intake assessed by Food Frequency Questionnaire (FFQ) in The North American Chronic Kidney Disease in Children (CKiD) prospective cohort study. Nutrient intake was analyzed to estimate the daily consumption levels of various nutrients and compared with national guidelines for intake. Results: There were 658 FFQs available for analysis; 69.9 % of respondents were boys, with a median age [Interquartile range (IQR)] of 11 years (8–15). Median daily sodium, potassium, and phosphorus intake was 3089 mg (2294–4243), 2384 mg (1804–3076), and 1206 mg (894–1612) respectively. Sodium and phosphorus consumptions were higher than recommended in all age groups. Caloric intake decreased with dropping glomerular filtration rate (GFR) (p = 0.003). The median daily caloric intakes were 1307 kcal in male children 2–3 years old, 1875 kcal in children 4–8 years old, 1923 kcal in those 9–13 years old, and 2427 kcal in those 14–18 years old. Respective levels for girls were 1467 kcal, 1736 kcal, 1803 kcal, and 2281 kcal. Median protein intake exceeded recommended levels in all age groups, particularly among younger participants. Younger children were more likely than older children to exceed the recommended intakes for phosphorus (p < 0.001) and the age-specific recommended caloric intake (p < 0.001). Macronutrient distribution (carbohydrate:fat:protein) was consistent with recommendation. Conclusions: Children in the CKiD cohort consumed more sodium, phosphorus, protein, and calories than recommended. The gap between actual consumption and recommendations indicates a need for improved nutritional counseling and monitoring.

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