What is the protein requirement for infants and children on hemodialysis or peritoneal dialysis?

Infants and children undergoing hemodialysis or peritoneal dialysis have specific nutritional needs due to the dialysis process, which can lead to increased protein losses. Therefore, their protein requirements are typically higher than the standard Dietary Reference Intake (DRI).

During dialysis, essential amino acids and proteins can be lost, necessitating a higher intake to maintain adequate growth, development, and muscle mass in this vulnerable population. The increased protein requirement addresses the need for sufficient dietary protein to compensate for these losses and to support overall health.

While the Recommended Daily Intake might suggest a baseline for adequate nutrition, it does not account for the additional protein losses that occur in children receiving dialysis. Hence, the correct approach is to aim for a protein intake that exceeds the typical recommendations outlined by the DRI to ensure that these children meet their unique physiological needs.