Nutritional Status of Children with Chronic Kidney Disease, Upper Egypt
DOI:
https://doi.org/10.3889/oamjms.2024.11902Keywords:
CKD, Pediatrics, nutritional assessment, Anthropometric measurementsAbstract
BACKGROUND: Chronic Kidney Disease (CKD) introduces a unique set of nutritional challenges for the growing and developing child. Maintenance of optimal nutrition plays a key role in the management of children with (CKD) across different stages of CKD, during dialysis and following transplantation.
AIM: To assess the nutritional status of children with CKD.
METHODS: This is a cross-sectional study carried out on 40 children diagnosed with stage 5 CKD of both sex attending Pediatric Nephrology Unite, University Pediatric Hospital, Upper Egypt. Their age ranged from 2-15 years. 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.
RESULTS: Weight was the most affected anthropometric parameter, as 80% of the patients were < 5th percentile. 72.5% of our studied children were stunted, their height was less than 5th percentile. Body mass index (BMI) was normal in only 20% of CKD children, no one was obese and 80% were undernourished. Undernutrition was significantly related to the duration of CKD, male gender, age < 5 years, and low socio-economic state.
CONCLUSION: Undernutrition is widely prevalent among children with CKD. Long duration of hemodialysis, young age at presentation, low socio-economic state, and male gender are the main risk factors that threaten the nutritional status of those children.
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Copyright (c) 2024 Osama El-Asheer, Maram M. Amir, Abdel-Latif M. Abdel-Moaz Abdel-Moaz, Amir M. Aboelgheet (Author)
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