Dietary adherence in children with chronic kidney disease: a review of the evidence.
BACKGROUND
In children with chronic kidney disease (CKD), a nutrition support plan is important to ensure optimal macro- and micro-nutrient intake in order to avoid malnutrition, disease-related complications and growth rate reduction. Children with CKD and their families encounter many difficulties in adjusting to the renal diet. Even though adherence to the recommended dietary plan is important in CKD, it is rarely measured partly due to the lack of robust, unbiased assessment methods.


METHODS
In this review of 22 papers, the techniques used to assess adherence in children with CKD are reviewed, alongside their advantages and disadvantages.


FINDINGS
Although dietary surveys, biochemical index assessment and clinician ratings have been found not to be efficient when used as a single tool, they should be used in combination in order to give the opportunity to the health providers to perceive adherence from as many angles as possible.
['Apostolou|Aggeliki|A|', 'Karagiozoglou-Lampoudi|Tauhomai|T|']
D002648:Child D005247:Feeding Behavior D006801:Humans D007676:Kidney Failure, Chronic D018673:Nutrition Policy D009751:Nutritional Requirements D010349:Patient Compliance
Dietary adherence Chronic kidney disease Adherence score Paediatric