Growth and nutrition in children with chronic kidney disease.

Children with chronic kidney disease (CKD) suffer from growth failure due to a multitude of confounding factors. Among these include nutritional deficiencies, metabolic acidosis, anemia, and growth hormone resistance. Each of these variables contributes independently to increased morbidity and mortality in this population. Psychosocial well being is also adversely affected. Every effort should be made by the nephrology team to optimize treatment of these variables when managing children with CKD.