Recommended parameters and frequency of nutritional assessment for children with CKD stages 2 to 5 and 5D

Measure	Minimum interval (month)
	Age 0 to <1 year			Age 1 to 3 years			Age >3 years
	CKD 2 or 3	CKD 4 or 5	CKD 5D	CKD 2 or 3	CKD 4 or 5	CKD 5D	CKD 2	CKD 3	CKD 4 or 5	CKD 5D
Dietary intake	0.5 to 3	0.5 to 3	0.5 to 2	1 to 3	1 to 3	1 to 3	6 to 12	6	3 to 4	3 to 4
Height or length-for-age percentile or SDS	0.5 to 1.5	0.5 to 1.5	0.5 to 1	1 to 3	1 to 2	1	3 to 6	3 to 6	1 to 3	1 to 3
Height or length velocity-for-age percentile or SDS	0.5 to 2	0.5 to 2	0.5 to 1	1 to 6	1 to 3	1 to 2	6	6	6	6
Estimated dry weight and weight-for-age percentile or SDS	0.5 to 1.5	0.5 to 1.5	0.25 to 1	1 to 3	1 to 2	0.5 to 1	3 to 6	3 to 6	1 to 3	1 to 3
BMI-for-height-age percentile or SDS	0.5 to 1.5	0.5 to 1.5	0.5 to 1	1 to 3	1 to 2	1	3 to 6	3 to 6	1 to 3	1 to 3
Head circumference-for-age percentile or SDS	0.5 to 1.5	0.5 to 1.5	0.5 to 1	1 to 3	1 to 2	1 to 2	N/A	N/A	N/A	N/A
nPCR	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A	1*

CKD: chronic kidney disease; SDS: standard deviations score; BMI: body mass index; N/A: not applicable; nPCR: normalized protein catabolic rate.
* Only applies to adolescents receiving hemodialysis.

Reproduced with permission from: National Kidney Foundation. Recommendation 1: Evaluation of Growth and Nutritional Status. Am J Kid Dis 2009; 53:S16. Illustration used with permission of Elsevier Inc. All rights reserved.

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Recommended parameters and frequency of nutritional assessment for children with CKD stages 2 to 5 and 5D