There is no direct gold standard evidence or specific UK or European consensus guidelines for monitoring the growth of children with moderate to severe renal disease. This document therefore aims to define minimum standards for measuring and monitoring growth in children with CKD, based on local expert opinion, international committee reports, and indirectly supportive peer-reviewed clinical trials and reviews. Multiple measures are necessary 15,19 to give a broad and reliable picture of growth and nutrition, and the frequency of measurement will depend on the child’s age and stage of CKD (see appendix 1). Children displaying growth delay or unstable medical.