Dietary sources of energy and nutrient intake among children and adolescents with chronic kidney disease

Wen Chen, Kirstie Ducharme-Smith, Laura Davis, Wun Fung Hui, Bradley A. Warady, Susan L. Furth, Alison G. Abraham, Aisha Betoko

Research output: Research - peer-reviewArticle

Abstract

Background: Our purpose was to identify the main food contributors to energy and nutrient intake in children with chronic kidney disease (CKD). Methods: In this cross-sectional study of dietary intake assessed using Food Frequency Questionnaires (FFQ) in the Chronic Kidney Disease in Children (CKiD) cohort study, we estimated energy and nutrient intake and identified the primary contributing foods within this population. Results: Completed FFQs were available for 658 children. Of those, 69.9% were boys, median age 12 (interquartile range (IQR) 8–15 years). The average daily energy intake was 1968 kcal (IQR 1523–2574 kcal). Milk was the largest contributor to total energy, protein, potassium, and phosphorus intake. Fast foods were the largest contributors to fat and sodium intake, the second largest contributors to energy intake, and the third largest contributors to potassium and phosphorus intake. Fruit contributed 12.0%, 8.7%, and 6.7% to potassium intake for children aged 2–5, 6–13, and 14–18 years old, respectively. Conclusions: Children with CKD consumed more sodium, protein, and calories but less potassium than recommended by the National Kidney Foundation (NKF) guidelines for pediatric CKD. Energy, protein, and sodium intake is heavily driven by consumption of milk and fast foods. Limiting contribution of fast foods in patients with good appetite may be particularly important for maintaining recommended energy and sodium intake, as overconsumption can increase the risk of obesity and cardiovascular complications in that population.

LanguageEnglish (US)
Pages1-9
Number of pages9
JournalPediatric Nephrology
DOIs
StateAccepted/In press - Feb 16 2017
Externally publishedYes

Fingerprint

Energy Intake
Chronic Renal Insufficiency
Food
Potassium
Sodium
Fast Foods
Proteins
Phosphorus
Milk
Population
Appetite
Fruit
Cohort Studies
Obesity
Cross-Sectional Studies
Fats
Guidelines
Pediatrics
Kidney
Surveys and Questionnaires

Keywords

  • Adolescents
  • Children
  • Chronic kidney disease
  • Food
  • Nutrient intake

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Nephrology

Cite this

Chen, W., Ducharme-Smith, K., Davis, L., Hui, W. F., Warady, B. A., Furth, S. L., ... Betoko, A. (2017). Dietary sources of energy and nutrient intake among children and adolescents with chronic kidney disease. Pediatric Nephrology, 1-9. DOI: 10.1007/s00467-017-3580-0

Dietary sources of energy and nutrient intake among children and adolescents with chronic kidney disease. / Chen, Wen; Ducharme-Smith, Kirstie; Davis, Laura; Hui, Wun Fung; Warady, Bradley A.; Furth, Susan L.; Abraham, Alison G.; Betoko, Aisha.

In: Pediatric Nephrology, 16.02.2017, p. 1-9.

Research output: Research - peer-reviewArticle

Chen W, Ducharme-Smith K, Davis L, Hui WF, Warady BA, Furth SL et al. Dietary sources of energy and nutrient intake among children and adolescents with chronic kidney disease. Pediatric Nephrology. 2017 Feb 16;1-9. Available from, DOI: 10.1007/s00467-017-3580-0
Chen, Wen ; Ducharme-Smith, Kirstie ; Davis, Laura ; Hui, Wun Fung ; Warady, Bradley A. ; Furth, Susan L. ; Abraham, Alison G. ; Betoko, Aisha. / Dietary sources of energy and nutrient intake among children and adolescents with chronic kidney disease. In: Pediatric Nephrology. 2017 ; pp. 1-9
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