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Nutritional Management of Idiopathic Nephrotic Syndrome in Pediatric Age
Graziana Lella1, Luca Pecoraro1, Elisa Benetti2
1Pediatric Clinic, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, 37126 Verona, Italy.
Insights
Pediatric nephrotic syndrome (NS) requires tailored nutrition to prevent complications from steroid treatment and kidney damage. A multidisciplinary approach involving healthcare professionals and parents is crucial for effective dietary management.
Area of Science:
- Pediatric Nephrology
- Clinical Nutrition
- Glomerular Diseases
Background:
- Nephrotic syndrome (NS) is a common pediatric kidney disorder affecting the glomerular filtration barrier.
- Conventional corticosteroid therapy for NS can lead to long-term complications impacting bones, growth, and cardiovascular health.
- Current scientific literature lacks comprehensive nutritional guidelines for managing pediatric NS.
Purpose of the Study:
- To highlight the critical role of individualized nutrition in managing pediatric nephrotic syndrome.
- To emphasize the need for dietary interventions during both acute and remission phases of NS.
- To advocate for a multidisciplinary approach in the nutritional management of children with NS.
Main Methods:
- Literature review on nutritional aspects of pediatric nephrotic syndrome.
- Analysis of the impact of NS and its treatment on nutritional status.
- Identification of key stakeholders for a multidisciplinary approach.
Main Results:
- Dietary management is essential for preventing complications associated with NS and corticosteroid therapy.
- Individualized nutritional strategies are necessary for children with NS, considering both acute and remission phases.
- A collaborative effort among pediatricians, nephrologists, dietitians, and parents is vital for optimal outcomes.
Conclusions:
- Individualized nutrition is crucial for children with nephrotic syndrome to prevent long-term complications and kidney damage progression.
- A multidisciplinary team approach is essential for effective dietary management in pediatric NS.
- Further research is needed to establish specific evidence-based nutritional recommendations for pediatric NS.
Abstract:
Nephrotic syndrome (NS) is a common pediatric disease characterized by a dysfunction in the glomerular filtration barrier that leads to protein, fluid, and nutrient loss in urine. Corticosteroid therapy is the conventional treatment in children. Long-term complications of NS and prolonged exposure to steroids affect bones, growth, and the cardiovascular system. Diet can play an important role in preventing these complications, but there is a scarcity of scientific literature about nutritional recommendations for children with NS. They need individualized nutrition choices not only during the acute phase of the disease but also during remission to prevent the progression of kidney damage. The correct management of diet in these children requires a multidisciplinary approach that involves family pediatricians, pediatric nephrologists, dietitians, and parents.
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