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Body composition of children on CAPD

C Stefanidis1, D Siapera, A Papadopoulou

  • 1Division of Pediatric Nephrology, A. Kyriakou Children's Hospital, Athens, Greece.

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|January 1, 1996
PubMed
Summary

Bioelectrical impedance (BIA) is a reliable method for assessing body composition in children undergoing continuous ambulatory peritoneal dialysis (CAPD). Serial BIA measurements can effectively monitor nutritional status and dialysis adequacy.

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Area of Science:

  • Pediatric Nephrology
  • Nutritional Science
  • Biomedical Engineering

Background:

  • Children on continuous ambulatory peritoneal dialysis (CAPD) often experience altered body composition.
  • Accurate assessment of body composition is crucial for managing nutritional status and overall health in these patients.

Purpose of the Study:

  • To estimate body composition in children on CAPD.
  • To assess fat-free mass (FFM) using bioelectrical impedance (BIA) and skinfold anthropometry (SF).
  • To determine how nutritional status and dialysis adequacy affect body composition.

Main Methods:

  • A non-interventional retrospective clinical trial design was employed.
  • Body fat percentage was calculated using both SF and BIA.
  • Fat-free mass (FFM) water content was analyzed.

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  • Correlation between protein catabolic rate (PCR) and dialysis dose (KT/V) was examined.

    • Main Results:

    • A strong correlation was found between fat percentage measured by SF and BIA (r = 0.94, p < 0.0001).
    • FFM water content ranged from 70%-79%.
    • A significant correlation existed between PCR and KT/V, which strengthened when V was calculated using BIA (r = 0.83, p = 0.0007).

    Conclusions:

    • Bioelectrical impedance (BIA) is a simple and reliable technique for predicting body composition in pediatric CAPD patients.
    • Serial BIA measurements are valuable for assessing nutritional interventions and monitoring patients on CAPD.