Growth and nutritional status in children with chronic kidney disease on maintenance dialysis in Poland

详细信息    查看全文

• 作者：Małgorzata Stańczyk^a ; ^{mbstanczyk@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Monika Miklaszewska^b ; Katarzyna Zachwieja^c ; Ryszard Wierciński^c ; Roman Stankiewicz^d ; Agnieszka Firszt-Adamczyk^d ; Jacek Zachwieja^e ; Hanna Borzęcka^f ; Ilona Zagożdżon^g ; Helena Zi&oacute ; łkowska^h ; Beata Leszczyńska^h ; Anna Medyńskaⁱ ; Piotr Adamczyk^j ; Maria Szczepańska^j ; Marcin Tkaczyk^a ; ^k
• 关键词：Children ; Chronic kidney disease ; Renal replacement therapy ; Dialysis adequacy ; Growth
• 刊名：Advances in Medical Sciences
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：61
• 期：1
• 页码：46-51
• 全文大小：305 K

文摘

Despite vast availability of modern methods of treatment of chronic kidney disease and its complications, the short stature still is a major point of concern in adolescents with chronic kidney disease. The aim of the study was to assess changes in growth and nutritional status of Polish children on renal replacement therapy in the decade, 2004–2013.

Material and methods

The study was designed as a cross-sectional analysis of anthropometric values and selected indices of growth status amongst children receiving dialysis in Poland between the years 2004 and 2013. Data were acquired during two different multicentre studies on hypertension in dialyzed children in Poland. Basic anthropometric parameters (body weight, body height/length, body mass index – BMI), dialysis adequacy and duration of RRT were assessed.

Results

The study showed that anthropometric parameters of children undergoing renal replacement therapy had not significantly changed in the last 10 years of observation. Children on RRT were still of short stature despite availability of modern methods of hormonal therapy and nutrition. Median of height z-score was −2.10 in 2004 and −2.19 in 2013. Expected clinical improvement in these measures was not proven.

Conclusions

The cause of chronic kidney disease, method of dialysis, time on dialysis or dialysis adequacy did not influence the anthropometric parameters significantly in dialyzed children in Poland.