| Theme | Dialysis patients and people who are in charge of preparing food | |
|---|---|---|
| Title | Providing school lunches for children receiving peritoneal dialysis | |
| Publish Date | 2018/10 | |
| Author | Keiko Ito | Department of Clinical Nutrition, Hiroshima Prefectural Hospital |
| Author | Toshiyuki Ohta | Department of Pediatric Nephrology, Hiroshima Prefectural Hospital |
| Author | Yasuhiro Matsugu | Department of Clinical Nutrition, Hiroshima Prefectural Hospital / Department of Gastroenterological, Breast and Transplant Surgery, Hiroshima Prefectural Hospital |
| [ Summary ] | Elementary and junior high school outpatients receiving peritoneal dialysis must be cared for regarding lunch planning. The relationship between school lunches and homemade meals is important in that patients must consume appropriate amounts of energy and nutriention for nutritional management of pediatric peritoneal dialysis (PPD). Since dietary therapy is often provided for extended periods, it is necessary to perform periodic nutritional assessments according to patient growth stages. The recommended dietary allowance for PPD is nearly equivalent to that of healthy children based on the "Dietary Reference Intake for Japanese" guidelines. However, excessive phosphorus and salt intake should be monitored in PPD diets. Although school lunches are planned according to appropriately balanced dietary needs, the phosphorus content in those foods provided may be high. For this reason, the main focus of dietary therapy for PPD is management of phosphorus intake. In the presented case, the patient ate the same school lunches as his classmates and we modified the phosphorus amount in his meals at home. We provided dietary suggestions and an overall program regarding awareness of menu planning with the aim of restricting phosphorus intake. We also supported the mental state and nutritional self-reliance of the patient until renal transplantation could be provided. | |