What are the protein requirements for infants with CKD who are not on dialysis?

Infants with chronic kidney disease (CKD) who are not on dialysis require careful management of their nutritional needs, particularly protein intake. The Dietary Reference Intakes (DRI) provide guidelines for macronutrient requirements based on age, growth, and health status. In the case of infants with CKD who are not undergoing dialysis, the DRI is the appropriate standard because it balances the need for adequate protein to support growth and development while also taking into account the reduced kidney function.

It is crucial for infants to receive sufficient protein to support their rapid growth and overall health, while also avoiding excessive protein that could exacerbate kidney issues. Therefore, adhering to the DRI helps clinicians ensure that the infant receives the necessary protein without overwhelming the compromised renal function.

Higher protein diets and low-protein modified diets are not suitable for this scenario. While a high protein intake may be advantageous for growth, it poses risks in infants with renal dysfunction, as their ability to excrete waste products is impaired. On the other hand, a low protein modified diet is typically recommended for older children or adults with CKD where protein restriction is necessary to slow progression of the disease. In the context of infants who are growing, the DRI provides a balanced approach tailored