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<p>Sodium imbalance is a common concern in children with kidney diseases, presenting as either sodium excess or sodium deficit, each with significant clinical implications. Sodium excess contributes to fluid overload and hypertension, while increased sodium losses, particularly via urine or peritoneal fluid, can predispose patients to hypotension and growth failure. Effective sodium management is thus a critical component of care in pediatric kidney diseases, with dietary sodium intake playing a pivotal role in maintaining homeostasis. The Pediatric Renal Nutrition Taskforce (PRNT) has developed clinical practice recommendations (CPRs) for dietary sodium management in children with kidney diseases, addressing key aspects of sodium balance, including primary dietary sources, nutritional assessment of sodium intake, non-dietary factors influencing sodium balance, and recommended intakes. Strategies for reducing sodium intake in cases of sodium excess and augmenting intake in patients with increased sodium losses are also provided. The consensus of international experts was assessed through a Delphi process. These CPRs will be regularly updated by the PRNT.</p>

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The dietary management of sodium in children with kidney diseases—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月18日

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  • José Renken-Terhaerdt,
  • An Desloovere,
  • Michiel JS Oosterveld,
  • Nonnie Polderman,
  • Evelien Snauwaert,
  • Stella Stabouli,
  • Johan Vande Walle,
  • Caroline Anderson,
  • Sheridan Collins,
  • Larry A. Greenbaum,
  • Matthew Harmer,
  • Lyndsay Harshman,
  • Christina L. Nelms,
  • Pearl Pugh,
  • Vanessa Shaw,
  • Jetta Tuokkola,
  • Molly R. Wong Vega,
  • Bradley A. Warady,
  • Rukshana Shroff,
  • Fabio Paglialonga

摘要

Sodium imbalance is a common concern in children with kidney diseases, presenting as either sodium excess or sodium deficit, each with significant clinical implications. Sodium excess contributes to fluid overload and hypertension, while increased sodium losses, particularly via urine or peritoneal fluid, can predispose patients to hypotension and growth failure. Effective sodium management is thus a critical component of care in pediatric kidney diseases, with dietary sodium intake playing a pivotal role in maintaining homeostasis. The Pediatric Renal Nutrition Taskforce (PRNT) has developed clinical practice recommendations (CPRs) for dietary sodium management in children with kidney diseases, addressing key aspects of sodium balance, including primary dietary sources, nutritional assessment of sodium intake, non-dietary factors influencing sodium balance, and recommended intakes. Strategies for reducing sodium intake in cases of sodium excess and augmenting intake in patients with increased sodium losses are also provided. The consensus of international experts was assessed through a Delphi process. These CPRs will be regularly updated by the PRNT.