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Published on: July 3, 2013
[Nutritional status of children and teenagers with chronic renal failure]
M P Zambon1, V M Belangero, A C de Britto
1Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP. zambon@correionet.com.br
Insights
Children and teenagers with chronic renal failure (CRF) show poor nutritional status, particularly in muscle and fat reserves. However, muscle mass shows signs of improvement, suggesting potential for recovery with treatment.
Area of Science:
- Pediatric Nephrology
- Nutritional Science
- Anthropometry
Context:
- Chronic renal failure (CRF) significantly impacts child and adolescent health.
- Nutritional status is a critical factor in managing chronic diseases in pediatric populations.
- Anthropometric measurements provide key indicators of growth and nutritional reserves.
Purpose:
- To assess the nutritional status of pediatric patients with chronic renal failure.
- To evaluate muscle and fat stores using anthropometric measurements.
- To identify potential improvements in nutritional markers post-treatment.
Summary:
- Forty-one children and adolescents with CRF underwent anthropometric assessments, including mid-upper arm circumference (MUAC) and triceps skinfold (TSF).
- Calculated mid-arm fat area (MUAFA) and arm muscle area (AMA) z-scores were generally low.
- Arm muscle area (AMA) z-scores were statistically significant, with further improvement noted in the renal transplantation group.
Impact:
- The study highlights a compromised nutritional status in pediatric CRF patients.
- Findings indicate that muscle stores may show improvement, particularly after renal transplantation.
- This research underscores the importance of nutritional monitoring in children with chronic kidney disease.
Background:
the purpose of this study is to evaluate the nutritional status of children and teenagers with chronic renal (CRF) failure using anthropometric measurements.
Material And Methods:
41 children and adolescents with (CRF) (creatinine "clearance" < 50 ml/min/1,73m(2)) followed at the Pediatric Nephrology Unit (HC-UNICAMP), between January 1995 and November 1996, were evaluated by the assessment of anthropometric measurements, mid upper arm circunference (MUAC) and triceps skinfold (TSF). With these measurements, mid arm fat area (MUAFA) and arm muscle area (AMA) were calculated and its z-scores. These measurements were performed twice at least, ranging from 0.21 to 1.3 years (0.88 +/- 0.04).
Results:
all the z-scores (MUAC, TSF, MUAFA and AMA) were very low, and only the AMA z-score was statistically significant (p= 0,03 Wilcoxon test). The patients were divided in to groups, according to their treatment, and the MAC z-score for the renal transplantation group was statistically significant (p= 0,02 Wilcoxon test).
Conclusions:
these data demonstrate a compromised nutritional status from both muscle and fat stores, with an improvement in muscle stores.
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