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Assessment of Child Anthropometry in a Large Epidemiologic Study
09:36

Assessment of Child Anthropometry in a Large Epidemiologic Study

Published on: February 2, 2017

Underweight, overweight and obesity in paediatric dialysis and renal transplant patients

Marjolein Bonthuis1, Karlijn J van Stralen, Enrico Verrina

  • 1ESPN/ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
|August 27, 2013
PubMed

Insights

Overweight and obesity are common in European children on renal replacement therapy (RRT), challenging the focus on malnutrition. Nutritional strategies must address both underweight and overweight/obesity in pediatric RRT patients.

Area of Science:

  • Pediatric Nephrology
  • Public Health
  • Nutritional Science

Background:

  • Childhood overweight is a global concern, yet poor nutrition remains primary in pediatric renal replacement therapy (RRT).
  • This study investigates the prevalence and factors of underweight and overweight/obesity in European children undergoing RRT.
  • It also examines body mass index (BMI) changes post-RRT initiation.

Purpose of the Study:

  • To determine the prevalence of underweight, overweight, and obesity in European children on RRT.
  • To identify factors associated with underweight and overweight/obesity in this population.
  • To analyze the changes in BMI after starting RRT.

Main Methods:

  • Analysis of BMI data from 4474 European pediatric RRT patients (1995-2010).
  • Utilized World Health Organization (WHO) and International Obesity Task Force (IOTF) criteria for BMI classification.
  • Data sourced from the European Society for Paediatric Nephrology/European Renal Association-European Dialysis and Transplant Association Registry.

Main Results:

  • Underweight prevalence was 3.5%; overweight was 20.8%; obesity was 12.5%.
  • Dialysis treatment and infant age were linked to underweight.
  • Short stature and glucocorticoid use were associated with overweight/obesity in transplant recipients.

Conclusions:

  • Overweight and obesity are more prevalent than underweight in European pediatric RRT patients.
  • Short stature is strongly linked to overweight in graft recipients; underweight is primarily an infant issue.
  • Nutritional management for pediatric RRT should equally address overweight/obesity prevention and treatment alongside malnutrition.
Abstract

Keywords:
childrennutritional statusoverweightrenal replacement therapyunderweight

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