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[Height and weight growth delay and protein-energy malnutrition in children with chronic dialysis]

L Perţea1, Lavinia Diaconeasa, M Burlea

  • 1Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi, Facultatea de Medicină Generală, Clinica a V(-a) Pediatrie Gastroenterologie.

Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi
|August 13, 2010
PubMed

Insights

Children on chronic dialysis often experience growth retardation due to protein-energy malnutrition. Malnutrition significantly worsens stature-weight deficits in pediatric patients undergoing long-term dialysis.

Area of Science:

  • Pediatric Nephrology
  • Nutritional Science
  • Growth and Development

Context:

  • Growth retardation is a significant concern for children with chronic kidney disease.
  • Malnutrition is a key factor influencing growth in these pediatric patients.
  • Children undergoing chronic dialysis are particularly vulnerable to nutritional deficiencies.

Purpose:

  • To investigate the relationship between protein-energy malnutrition and growth retardation in children on chronic dialysis.
  • To assess the impact of malnutrition on stature-weight deficits in this patient population.

Summary:

  • A 4-year follow-up study analyzed 16 children (aged 9-17) on chronic dialysis.
  • Significant stature-weight deficits were observed, particularly in older children and those with longer dialysis durations.
  • Protein-energy malnutrition was prevalent, with 4 cases of moderate and 9 of severe malnutrition identified.

Impact:

  • Late diagnosis, prolonged dialysis, and early malnutrition exacerbate growth retardation.
  • Findings highlight the critical need for nutritional intervention in pediatric dialysis patients.
  • Correlations between anthropometric, biochemical, BIA, and DEXA data provide comprehensive insights into malnutrition status.
Abstract

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