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[Nutritional status of children treated with continuous ambulatory peritoneal dialysis and ambulatory peritoneal

I Makulska1, D Zwolińska, K Kiliś-Pstrusińska

  • 1Katedra i Klinika Nefrologii Pediatrycznej Akademii Medycznej we Wrocławiu.

Polski Merkuriusz Lekarski : Organ Polskiego Towarzystwa Lekarskiego
|July 4, 2001
PubMed

Insights

Malnutrition significantly affects children with end-stage renal disease (ESRD) undergoing peritoneal dialysis. Younger children exhibit the most severe malnutrition, linked to higher protein catabolic rates.

Area of Science:

  • Pediatric Nephrology
  • Nutritional Science
  • Renal Medicine

Background:

  • Malnutrition is a critical concern for pediatric patients with end-stage renal disease (ESRD) requiring peritoneal dialysis.
  • Nutritional status significantly impacts growth and overall health in these children.

Purpose of the Study:

  • To investigate the prevalence and characteristics of malnutrition in children with ESRD on peritoneal dialysis.
  • To identify factors contributing to malnutrition in this pediatric population.

Main Methods:

  • Anthropometric measurements and serum biochemical parameters were assessed in 20 children (10 CAPD, 10 APD).
  • Dialysis adequacy was evaluated using KT/V, SCCr, and Protein Catabolic Rate (PCR).

Main Results:

  • The youngest children displayed the most severe malnutrition, characterized by low Body Mass Index (BMI) and deficiencies in muscle and fat mass.
  • An elevated Protein Catabolic Rate (PCR) was identified as a key factor contributing to malnutrition in children under 6 years old.

Conclusions:

  • Malnutrition is a significant issue in pediatric ESRD patients on peritoneal dialysis, particularly in younger age groups.
  • Monitoring and managing Protein Catabolic Rate (PCR) is crucial for preventing and treating malnutrition in these vulnerable children.

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