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患有慢性病的儿童的成长和相关的矮身风险因素
Virgínia Barbosa de Melo1, Danielle Barbosa da Silva1, Matheus Dantas Soeiro2
1Instituto de Medicina Integral Professor Fernando Figueira, Recife, PE, Brazil.
Jornal brasileiro de nefrologia
|August 2, 2024
概括
患有慢性病 (CKD) 的儿童经常经历矮身,特别是年轻的患者. 监测生长,控制甲状腺功能障碍和营养支持对于管理儿科CKD生长衰竭至关重要.
科学领域:
- 儿科脏病学 儿科脏病学
- 增长和发展 增长和发展
- 慢性病管理 慢性病管理
背景情况:
- 发育不良是慢性病 (CKD) 儿童的重要并发症,导致发病率和死亡率增加.
- 识别可修改的风险因素对于改善受影响儿童的护理策略至关重要.
研究的目的:
- 为了研究3-5期慢性脏病的儿童的生长模式,而不是透析.
- 在这个儿科群体中确定与矮身相关的危险因素.
主要方法:
- 对43名患有3-5期慢性结核病的儿童的人类测量和流行病学数据的回顾性分析.
- 评估生物化学标志物,包括副甲状腺激素 (PTH),和酸盐水平.
- 追踪数据至少收集了一年.
主要成果:
- 51%的孩子表现出矮身,年幼的孩子更容易受到影响.
- 与基线相比,随访时平均身高/长度/年龄z-score显著下降.
- 升高的PTH水平与降低的身高z-score相关;较小的儿童 (<5岁) 患有更高的发育不良和较差的营养状况 (体重/年龄和BMI/年龄z-score).
结论:
- 患有非透析性慢性病的儿科患者中,身高矮的患病率很高,尤其是年轻的儿科患者.
- 副甲状腺激素水平是影响身高z-score的重要因素.
- 有效的管理需要警的生长监测,对甲状腺功能障碍的控制和有针对性的营养支持.
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