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Recommended dietary protein intake in children with chronic kidney disease*

Age	Dietary reference intake (DRI)
Age	DRI (g/kg/day)	Recommended for CKD stage 3 (g/kg/day) (100 to 140 percent DRI)	Recommended for CKD stages 4 or 5 (g/kg/day) (100 to 120 percent DRI)	Recommended for HD (g/kg/day)^¶	Recommended for PD (g/kg/day)^Δ
0 to 6 months	1.5	1.5 to 2.1	1.5 to 1.8	1.6	1.8
7 to 12 months	1.2	1.2 to 1.7	1.2 to 1.5	1.3	1.5
1 to 3 years	1.05	1.05 to 1.5	1.05 to 1.25	1.15	1.3
4 to 13 years	0.95	0.95 to 1.35	0.95 to 1.15	1.05	1.1
14 to 18 years	0.85	0.85 to 1.2	0.85 to 1.05	0.95	1

CKD: chronic kidney disease; HD: hemodialysis; PD: peritoneal dialysis.
* Children with chronic kidney disease stages 3 to 5.
¶ DRI + 0.1 g/kg/day to compensate for dialytic losses.
Δ DRI + 0.15 to 0.3 g/kg/day depending on patient age to compensate for peritoneal losses.

Reproduced with permission from: National Kidney Foundation. KDOQI Clinical Practice Guideline for Nutrition in Children with CKD: 2008 update. Executive summary. Am J Kidney Dis 2009; 53:S11. Illustration used with the permission of Elsevier Inc. All rights reserved.

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