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Assessment of Nutritional Status in Children With Chronic Kidney Disease Using Hand Grip Strength Tool

Ashraf Mohamed Abd El Basset Bakr1, Bothina Mohamed Hasaneen1, Dina AbdelRasoul Helal Bassiouni2

  • 1Pediatric Nephrology Unit, Department of Pediatrics, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation
|May 8, 2018
PubMed

Insights

Hand grip strength (HGS) is a reliable tool for assessing muscle power and nutritional status in children with chronic kidney disease (CKD). This bedside assessment aids in diagnosing protein energy wasting in pediatric CKD patients.

Area of Science:

  • Pediatric Nephrology
  • Nutritional Assessment
  • Muscle Physiology

Background:

  • Protein energy wasting (PEW) and cachexia are significant concerns in children with chronic kidney disease (CKD).
  • Hand grip strength (HGS) is a validated measure of muscle power in adult CKD patients.
  • Data on the utility of HGS for assessing muscle status in pediatric CKD is lacking.

Purpose of the Study:

  • To evaluate the reliability of hand grip strength (HGS) as an indicator of muscle power.
  • To determine the usefulness of HGS in assessing the nutritional status of children with CKD.

Main Methods:

  • An observational cross-sectional study involving 73 children with CKD (45 with end-stage kidney disease on hemodialysis, 28 not on dialysis).
  • Nutritional status assessed via biochemical markers (serum albumin, cholesterol) and anthropometrics (height, BMI).
  • Body composition analyzed using a BCM device for lean tissue mass (LTM); muscle power measured by HGS.

Main Results:

  • 69.8% of pediatric CKD patients exhibited HGS below the 10th percentile for age and sex.
  • HGS was notably reduced in children with chronic renal insufficiency (CRI) and those with non-glomerular kidney disease causes.
  • A positive correlation was found between HGS and height, but not with LTM or serum albumin.

Conclusions:

  • Hand grip strength (HGS) serves as a dependable, accessible bedside tool for nutritional assessment in pediatric patients with chronic kidney disease (CKD).
  • HGS can aid in the early identification of muscle wasting and malnutrition in this vulnerable population.
Abstract

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