title: Dietary adherence in children with chronic kidney disease: a review of the evidence.
abstract: BACKGROUND
  In children with chronic kidney disease (CKD), a nutrition support plan is important to ensure optimal macro- and micro-nutrient intake in order to avoid malnutrition, disease-related complications and growth rate reduction. Children with CKD and their families encounter many difficulties in adjusting to the renal diet. Even though adherence to the recommended dietary plan is important in CKD, it is rarely measured partly due to the lack of robust, unbiased assessment methods.
  
  
  METHODS
  In this review of 22 papers, the techniques used to assess adherence in children with CKD are reviewed, alongside their advantages and disadvantages.
  
  
  RESULTS
  Although dietary surveys, biochemical index assessment and clinician ratings have been found not to be efficient when used as a single tool, they should be used in combination in order to give the opportunity to the health providers to perceive adherence from as many angles as possible.
authors.affiliation: Clinical Nutrition Laboratory, Department of Nutrition and Dietetics, Alexander Technological Education Institute, Thessaloniki, Greece.
authors.forename: Aggeliki
authors.initials: A
authors.lastname: Apostolou
authors.forename: Tauhomai
authors.initials: T
authors.lastname: Karagiozoglou-Lampoudi
mesh_terms: D002648:Child; D005247:Feeding Behavior / Q000523:psychology*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000178:diet therapy* / Q000451:nursing* / Q000523:psychology; D018673:Nutrition Policy; D009751:Nutritional Requirements; D010349:Patient Compliance / Q000523:psychology*
keywords: Adherence score; Chronic kidney disease; Dietary adherence; Paediatric