The CARI Guidelines – Caring for Australians with Renal Impairment Nutrition and Growth in Kidney Disease (December 2005) Micronutrient intake in children Date written: May 2004 Final submission: January 2005 Author: Elisabeth Hodson GUIDELINES No recommendations possible based on Level I or II evidence SUGGESTIONS FOR CLINICAL CARE (Suggestions are based on Level III and IV sources) • Supplements of water soluble vitamins are indicated in dialysis patients who are not receiving nutritional supplements. • Supplements of vitamins A, B 12 and E are not indicated, since the dietary intake of these vitamins meets recommended daily intakes (RDIs) in children on dialysis. Background There are no data available on the optimum intake of vitamins and micronutrients in children with chronic kidney disease (CKD) or end-stage kidney disease (ESKD). There remains controversy as to whether children with CKD or ESKD should receive routine supplementations of vitamins and micronutrients. The objectives of this guideline are to review the available evidence for the benefits and adverse effects of supplementation of vitamins and micronutrients in children with CKD or ESKD. Search strategy Databases searched: Medline (1996 to November Week 2 2003) and Embase (1980 to November 2003). MeSH terms for kidney disease were combined with MeSH terms and text words for micronutrients. The Cochrane Renal Group Specialised Register of randomised controlled trials was also searched for relevant trials not indexed in Medline. Date of searches: 1 December 2003.