Anthropometric and growth assessment of children receiving renal replacement therapy in Malaysia.
J Ren Nutr
; 12(2): 113-21, 2002 Apr.
Article
en En
| MEDLINE
| ID: mdl-11953925
OBJECTIVE: To report on the anthropometric and growth status of children receiving renal replacement therapy (RRT) in Malaysia. DESIGN: Cross-sectional study with some retrospective elements. SETTING: Outpatients' clinics in a major referral hospital in Malaysia. PATIENTS: Fifteen renal transplants (mean age, 13.3 +/- 2.8 years) and 35 continuous ambulatory peritoneal dialysis (CAPD) patients (mean age, 12.6 +/- 3.0 years) participated. The RRT period ranged between 3 months to 6 years for both groups. INTERVENTION: None. MAIN OUTCOME MEASURES: Body mass index (BMI), percent body fat (% BF), triceps skinfold (TSF), mid upper-arm circumference (MUAC), arm muscle area (AMA), and z scores for height and weight. RESULTS: BMI for age indicated 7% of transplant subjects (TS) versus 40% of CAPD subjects were below the 5th percentile, whereas only 7% of TS were above the 95th percentile. % BF was higher for TS compared with the CAPD group for both sexes (boys, 19.5% and girls, 29.8% v boys, 12.4% and girls, 21.5%). Despite higher percentiles for TSF, transplant subjects still showed depleted muscle mass based on MUAC and AMA. z scores for height showed 93% of transplant subjects and 62% of CAPD subjects below -2 standard deviation (SD), whereas for weight these were 27% and 54%, respectively. Sixty-four percent of TS experienced catch-up growth for height and 86% for weight. These percentages were approximately halved for the CAPD group (32% and 43%, respectively). CONCLUSION: Patterns of growth and body composition appear distinctly different with the different RRT modalities. Serial anthropometric evaluation appears vital in pre- and post-RRT monitoring in pediatric renal populations.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Terapia de Reemplazo Renal
/
Fallo Renal Crónico
Tipo de estudio:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Child
/
Female
/
Humans
/
Male
País/Región como asunto:
Asia
Idioma:
En
Revista:
J Ren Nutr
Asunto de la revista:
CIENCIAS DA NUTRICAO
/
NEFROLOGIA
Año:
2002
Tipo del documento:
Article
País de afiliación:
Malasia
Pais de publicación:
Estados Unidos