Evidence map›Paper›PMID 34374836›Full record

ReviewPediatric nephrology (Berlin, Germany)2022

Assessment and management of obesity and metabolic syndrome in children with CKD stages 2-5 on dialysis and after kidney transplantation-clinical practice recommendations from the Pediatric Renal Nutrition Taskforce.

Stella Stabouli, Nonnie Polderman, Christina L Nelms, Fabio Paglialonga, Michiel J S Oosterveld, Larry A Greenbaum, Bradley A Warady, Caroline Anderson, Dieter Haffner, An Desloovere and 7 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Pediatric nephrology (Berlin, Germany), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  12. Review
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  14. Malnutrition management in children with chronic kidney disease.Pediatric nephrology (Berlin, Germany) · 2025
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Diagnostic evaluation of the hypertensive child.Pediatric nephrology (Berlin, Germany) · 2024
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Stella Stabouli1st Department of Pediatrics, Hippokration Hospital, Aristotle University Thessaloniki, 49 Konstantinoupoleos Str, 54642, Thessaloniki, Greece. sstaboul@auth.gr.ORCID http://orcid.org/0000-0001-9843-8198
Nonnie PoldermanBritish Columbia Children's Hospital, Vancouver, Canada.
Christina L NelmsUniversity of Nebraska, Kearney, NE, USA.
Fabio PaglialongaFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Michiel J S OosterveldEmma Children's Hospital, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Larry A GreenbaumEmory University, Atlanta, GA, USA.
Bradley A WaradyChildren's Mercy Kansas City, Kansas City, MO, USA.
Caroline AndersonUniversity Hospital Southampton NHS Foundation Trust, Southampton, UK.
Dieter HaffnerChildren's Hospital, Hannover Medical School, Hannover, Germany.
An DesloovereUniversity Hospital Ghent, Ghent, Belgium.
Leila QizalbashGreat Northern Children's Hospital, Newcastle upon Tyne, UK.
José Renken-TerhaerdtWilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Jetta TuokkolaChildren's Hospital and Clinical Nutrition Unit, Internal Medicine and Rehabilitation, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Johan Vande WalleUniversity Hospital Ghent, Ghent, Belgium.
Vanessa ShawUniversity College London Great Ormond Street Hospital Institute of Child Health, London, UK.
Mark MitsnefesDivision of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Rukshana ShroffUniversity College London Great Ormond Street Hospital Institute of Child Health, London, UK.

Funding

Department of Health
6 · The paper itself

Abstract

Obesity and metabolic syndrome (O&MS) due to the worldwide obesity epidemic affects children at all stages of chronic kidney disease (CKD) including dialysis and after kidney transplantation. The presence of O&MS in the pediatric CKD population may augment the already increased cardiovascular risk and contribute to the loss of kidney function. The Pediatric Renal Nutrition Taskforce (PRNT) is an international team of pediatric renal dietitians and pediatric nephrologists who develop clinical practice recommendations (CPRs) for the nutritional management of children with kidney diseases. We present CPRs for the assessment and management of O&MS in children with CKD stages 2-5, on dialysis and after kidney transplantation. We address the risk factors and diagnostic criteria for O&MS and discuss their management focusing on non-pharmacological treatment management, including diet, physical activity, and behavior modification in the context of age and CKD stage. The statements have been graded using the American Academy of Pediatrics grading matrix. Statements with a low grade or those that are opinion-based must be carefully considered and adapted to individual patient needs based on the clinical judgment of the treating physician and dietitian. Research recommendations are provided. The CPRs will be periodically audited and updated by the PRNT.

Indexed as

Metabolic SyndromePediatric ObesityRenal Insufficiency, ChronicChildHumansKidney TransplantationPractice Guidelines as TopicRenal DialysisChronic kidney diseaseClinical practice recommendationsDietKidney transplantationMetabolic syndromeObesityPediatric Renal Nutrition TaskforcePhysical activityScreen timeSleep

Identifiers

PMID34374836
PMCPMC8674169

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.