effect of rda protein on renal function in children with chronic kidney diseases

Children with chronic kidney diseases have an increased risk of progression to end-stage renal disease, which would ultimately resultin lifelong disability and shortening of lifespan. there is no effective intervention such as renal replacement therapy because ofhigh cost and donor shortage. this study aimed to examine the effect of recommended dietary allowance (rda) protein on chronickidney diseases (ckd) children without dialysis to halt the progression of ckd by preventing the deterioration of the renal function.in this observational study, 30 children aged 2 - 18 years at different ckd stages without dialysis were selected as the researchsample. anthropometric measurements (namely weight and height) and laboratory assessments (namely s. creatinine. blood urea,total serum albumin, hemoglobin, serum ferritin, and ccr) were considered at the beginning of the study. following the interventionusing the rda protein during three- and six-month periods, anthropometric and laboratory assessments were compared usingthe preliminary data.weight, weight for age z score, and body mass index (bmi) significantly increased (p < 0.05) after three and sixmonths, compared to the preliminary data. moreover, laboratory assessments such as hb, s. creatinine, blood urea, and creatinineclearance rate significantly improved (p < 0.05) after three and six months of rda protein intake without dialysis. the growth andrenal function improved following the intervention with recommended dietary allowance protein inckdchildren without dialysis.