ASSESSMENT OF THE NUTRITIONAL STATUS OF CHILDREN WITH CHRONIC KIDNEY DISEASE

Abd Allah Zahed, Ahmed Mohamed Saeed; Taher El Mougi, Mahmoud; Mohamed Abu Farag, Ibrahim; Ahmed Shaheen, Mohamed Mahdy

doi:10.21608/azjp.2018.77253

ASSESSMENT OF THE NUTRITIONAL STATUS OF CHILDREN WITH CHRONIC KIDNEY DISEASE

Document Type : Original Article

Authors

10.21608/azjp.2018.77253

Abstract

Background: Poor nutritional intake is a common concern in children with CKD, and this often leads to severe growth retardation. Maintaining adequate nutrition and normal body composition is important for patients with chronic kidney disease (CKD) as well as those with end-stage renal disease (ESRD). This study was carried out to assess the growth and the nutritional status in children with CKD and to correlate their caloric and protein intake with anthropometric measurements.
Objectives: to assess the growth and the nutritional status in children with CKD and to correlate their caloric and protein intake with different variables (anthropometric measurements and duration of CKD).
Patients and Methods: This is a descreptive cross sectional study carried out on 50 child attending Pediatric Nephrology Clinic at Al-Hussein university Hospital. Their age ranged from 2 year to 18 year. The time of the study was 6 months from June 2017-november 2017.They were 34 males & 16 females. Patients were subjected to full history taking including dietary intake, full medical examination including anthropometric measurements, and laboratory investigations including complete blood picture, serum calcium, phosphorus, , and serum albumin. Data were collected, tabulated and statistically analyzed.
Results: The study revealed that; weight was the most affected anthropometric parameter, as 70% of the patients were < 5th percentile (mean 21.3 ± 9.6), height is less affected than weight, as 50% of patients were less than 5th percentile (mean 116.6 ± 21.8). In addition the body mass index of 38% of the patient were < 5th percentile, while only 2% of the patient were > 50th percentile. The BMI ranged from 8.9 – 23.4 (mean 15.04 ± 1.9).This retardation was significantly related to duration of CKD.
Conclusion: Growth of patients with CKD is markedly affected despite of adequacy of their caloriec intake. the longer the duration of hemodialysis, the more severe the affection of growth parameters.

Keywords